Higher failure on malleables?

[LastHope]

Since I have a mallabble Rigicon which just came to the market in 2019 and have never had a IPP to compare it to it's hard for me to compare the difference. I think many of these "studies" are subjective to many factors. I think members like thedriver who had 4 failed IPP's and then put in a Genesis which he seems very happy with. Would be nice to get objective feedback from members who have perhaps had one or both types as information coming from the horse's mouth so to speak and not a study with unknown parameters. Just throwing my 2 cents out there.

These studies use "EDITS questionnaire" (Erectile Dysfunction Inventory of Treatment Satisfaction), a research tool for assessing satisfaction after penile implants (attached).

Yes easymoney, subjectivity is a factor that could confound the results. The perception in the West is, MPP is "inferior" and for "sicker patients with limited hand dexterity". Different patient populations - different outcomes?

[LastHope]

What could objectively explain the 20% lower patient satisfaction scores and 8% higher partner dissatisfaction scores with malleables compared to inflatables?

Could lower axial rigidity and girth size/expansion limitations be a factor for lower satisfaction scores on malleables?

You know LH, I wouldn't concentrate much on partner satisfaction score since there's more to sex than a hard dick which both inflattables and malleables provide. We gotta remember that often women ain't satisfied with man's natural equipment if his confidence and approach are messed up. We got actual pornstars using malleables and that should speak for itself - implants are just GREAT for sex.

I let myself copy-paste this comment from reddit user QuickExit123 (https://www.reddit.com/user/QuickExit123/), who talked some more on pros and cons of his malleable. This young guy (in his 20s) had phalloplasty done and got a malleable, which later fractured in multiple places - he eventually had to change it to inflattable due to this very reason after 3 years of using his malleable:

My experience with the malleable was:

Pros:
- Great for rough sex
- Great or PIV sex
- Always ready to go, so took away a lot of the pressure and could be there in the moment with my partner
- Simple device, I never questioned if it was going to break while getting ready for sex...as long as it was hanging the same way I knew it was fine

Cons:
- Not good for anal sex
- Concealable only by changing to tight briefs and pointing straight to my hip on either side, very uncomfortable
- Constant pressure, no relief (this was exacerbated by the fact mine was too long)
- Couldn't wear boxer briefs or boxers anymore
- Gave up a lot of sports I liked (snowboarding/rock climbing/biking


And I think the concealing problems and - as per his words - muting certain aspects of his life are why patient satisfaction scores are lower for one pieces.

Excellent points regarding partner satisfaction, they make sense! Do you happen to know the names of any porn stars who use Malleables? I’m curious to see one in action.

In phalloplasty, only 1 cylinder is placed in the phallus. So, the benefits highlighted by the Reddit user with just 1 cylinder are quite impressive. It makes you wonder if having two cylinders could double the effect or if the single cylinder played a role in the fractures he experienced.

Yes, consealability and constant discomfort are huge drawbacks of malleables and cannot be quickly dismissed with subjective arguments. Wearing business clothes and sitting in business settings with a malleable can be a hard price (no pun intended) to pay by some individuals in exchange for the consistent reliability and peace of mind it offers.

[Fidelio]

Excellent points regarding partner satisfaction, they make sense! Do you happen to know the names of any porn stars who use Malleables? I’m curious to see one in action.

There's JH2007 here on this site and he switched from an inflattable to malleable. I think he asked to keep his full name secret (although there's not many young performers with these initials and I think some members actually found out who he is), and since the guy was really nice and helpful all along let's just keep it as he wishes to. All I know is he's starring in these step-bro kind of scenes. It's just....a normal dick on the surface so I don't think any kind of visual confirmation is needed Just another excuse to watch CORN.
There's much more guys in gay porn who are using these or so I read.

In phalloplasty, only 1 cylinder is placed in the phallus. So, the benefits highlighted by the Reddit user with just 1 cylinder are quite impressive. It makes you wonder if having two cylinders could double the effect or if the single cylinder played a role in the fractures he experienced.

I wasn't aware of that, I'll need to do my research. I thought they're going with Zephyr brand implants only but it seems they might be using different brands. This guy's situation is really special as you can see and he had to go through much more horrific procedures so...Puts things into perspective when one is losing sleep over implant surgery alone.

[LastHope]

Thanks for sharing.
Speaking of visual confirmation, Dr. Eid has a theory about tissue atrophy caused by hard surfaces based on his clinical experience of seeing patients for decades. It's caused by hard surfaces such as malleable rods or even liberal use of RTEs on IPPs, leading to a wobbly penis as a result of thinning of flesh in the proximal sections. This seems to occur after many years though. I’m curious if the base is wobbly on long term malleable porn stars. Most users I know are newly implanted.

The Reddit user you mentioned had a Coloplast Genesis. I presume that one rod of the Genesis in the phallus must have endured a significant beating for the purpose it's not designed for. Yes, Zephyr ZSI 100 FTM sounds like a great malleable choice for his use case.

[ready2go]

This 15 year study was conducted on patients who had surgeries between 2003 and 2018.

This was the era of AMS Spectra (2009-2018) and Coloplast Genesis (2004-present).

The potential erosion possibilities (2.6%) with malleables and mechanical malfunctions (5.5%) of inflatables are obvious concerns, but those arguments are not new discoveries.

Patient satisfaction was 90.9% for inflatables and 70.8% for malleables. Partner’s dissatisfaction rates were 3.3% with inflatables and 11.2% with the malleables.

What could objectively explain the 20% lower patient satisfaction scores and 8% higher partner dissatisfaction scores with malleables compared to inflatables?

Could lower axial rigidity and girth size/expansion limitations be a factor for lower satisfaction scores on malleables?

yeah "studys say" some random low info chart leaving the reader with zero real life input from people who have implants .
i read those "studys" and got nothing useful from them .
then i found this site and other places where people with implants gave their opinions first hand . Not from some dubious chart .
but each to their own . myself i did not want all that hardware in side me and have to pump up to get hard . Not to mention the failure rate , pumps breaking ,tubes leaking , cylinders with pin holes . then have to go through that complicated ,long recovery surgery again
my one complaint is the loss of girth and when i finally get around to it ill get HA fillers to get that back / no loss in length
i don't have a ipp so i cant compare , and the best of luck to the guys who get one . i hope it goes well for as long as possible .

[ready2go]

This 15 year study was conducted on patients who had surgeries between 2003 and 2018.

This was the era of AMS Spectra (2009-2018) and Coloplast Genesis (2004-present).

The potential erosion possibilities (2.6%) with malleables and mechanical malfunctions (5.5%) of inflatables are obvious concerns, but those arguments are not new discoveries.

Patient satisfaction was 90.9% for inflatables and 70.8% for malleables. Partner’s dissatisfaction rates were 3.3% with inflatables and 11.2% with the malleables.

What could objectively explain the 20% lower patient satisfaction scores and 8% higher partner dissatisfaction scores with malleables compared to inflatables?

Could lower axial rigidity and girth size/expansion limitations be a factor for lower satisfaction scores on malleables?

yeah "studys say" some random low info chart leaving the reader with zero real life input from people who have implants .
i read those "studys" and got nothing useful from them .
then i found this site and other places where people with implants gave their opinions first hand . Not from some dubious chart .
but each to their own . myself i did not want all that hardware in side me and have to pump up to get hard . Not to mention the failure rate , pumps breaking ,tubes leaking , cylinders with pin holes . then have to go through that complicated ,long recovery surgery again
my one complaint is the loss of girth and when i finally get around to it ill get HA fillers to get that back / no loss in length
i don't have a ipp so i cant compare , and the best of luck to the guys who get one . i hope it goes well for as long as possible .

oh yeah , partner satisfaction , i have had 3 pinay since i had the implant. and each one on more than one day . .two from before when i used pills with good results the two from before did not notice any difference , although one said after a few rounds " why is your dick not sleeping" .
they went as long as they wanted in whatever position they liked . and after they got theirs, it was my turn . all 3 had 100 percent "partner satisfaction"

[ready2go]

inflattables and malleables provide. We gotta remember that often women ain't satisfied with man's natural equipment if his confidence and approach are messed up. We got actual pornstars using malleables and that should speak for itself - implants are just GREAT for sex.

I let myself copy-paste this comment from reddit user QuickExit123 (https://www.reddit.com/user/QuickExit123/), who talked some more on pros and cons of his malleable. This young guy (in his 20s) had phalloplasty done and got a malleable, which later fractured in multiple places - he eventually had to change it to inflattable due to this very reason after 3 years of using his malleable:

My experience with the malleable was:

Pros:
- Great for rough sex
- Great or PIV sex
- Always ready to go, so took away a lot of the pressure and could be there in the moment with my partner
- Simple device, I never questioned if it was going to break while getting ready for sex...as long as it was hanging the same way I knew it was fine

Cons:
- Not good for anal sex
- Concealable only by changing to tight briefs and pointing straight to my hip on either side, very uncomfortable
- Constant pressure, no relief (this was exacerbated by the fact mine was too long)
- Couldn't wear boxer briefs or boxers anymore
- Gave up a lot of sports I liked (snowboarding/rock climbing/biking


And I think the concealing problems and - as per his words - muting certain aspects of his life are why patient satisfaction scores are lower for one pieces.

my own experience : anal sex , i don't care about that , in the butt when she has a sexy wet p.ssy ? pass . not for me . i did try it twice just to see what the fuss was about, long ago . and im done with that .whether i could do it with my implant remains to be seen .

I do wear tight boxer briefs in swim trunks . otherwise in regular shorts ,semi tight is ok . and i have no discomfort at all . [the first 4 weeks ,yes of course ]
i have no undue pressure at all . my implant falls to the left side on its own . Sometimes i need to give a push down so it is not poking out a bit, say after sitting in the water at the beach .otherwise it's not a problem concealing it or any uncomfortable pressure

Exercise . i ride a bicycle 10 to 12 miles every other day with no issues , and do calisthenics at home , i do plan on joining a gym for a better workout since they now have a decent one on this little island . so for me to sum it up . Having a malleable has not hindered my activities in any way or causing any discomfort from day to day .
One thing it has done is seem to raise my libido . being able to feel it hard all the time puts me in the mood .
and it was interesting while at the local fiestas here with the discos ,when the girls i was dancing with started with the rubbing their butt up against my crotch. They noticed it was hard even though it was pointing down . Which led them to sneaking some quick hand grabbing . Just another benefit of having a malleable in my book

one other thing , i spoke with two different doctors . And both first pushed the ipp . Telling me that i would have trouble with concealment due to my size . this looks like a selling tatic to get patients to choose the more costly , i assume, more profitable ipp's . and that has not been my experience