Not 10 months post-op reservoir lineside from pump failure!

[tooyoung]

Ready2go,

They already did the self containing fluid verison of the malleable but it faild unfortunately.

https://www.vjsm.info/videos/legend-ser ... prosthesis

Anyway do you think loss of girth is a big deal ? I would trade it for the peace of mind and way less risks for sure..but maybe It's a sginificant loss that's worth consideration.

[Discovernew]

Ready2go,

They already did the self containing fluid verison of the malleable but it faild unfortunately.

https://www.vjsm.info/videos/legend-ser ... prosthesis

Anyway do you think loss of girth is a big deal ? I would trade it for the peace of mind and way less risks for sure..but maybe It's a sginificant loss that's worth consideration.

That was a very nice video to explain all evolutions and variants of implants (including failed ones).

Personally i don't mind the reservoir, but i would like to see a pump that is not in the scrotum (that is the thing that most bothers me personally). I would like to see some kind of small flatter pump placed under the skin on the leg. It would be just a small lump on the skin, and i am pretty sure nobody would notice. I like when women touch my balls and play with them during sex. But if there was some kind of option to have a small disk-shaped pump on the thigh i believe it would be much more practical.

In fact i had a couple lipomas in my legs for years (these are just bening little balls of fat), and nobody has ever noticed except me. I would think the same would go for a small pump. (designed specially for the leg with a different shape than the one in the scrotum)

[tooyoung]

Personally i don't mind the reservoir, but i would like to see a pump that is not in the scrotum (that is the thing that most bothers me personally).

I agree...that's why one of the perks of the upcomming ipp which is wirelessly driven is that there's no pump in the scrotum and it will be implanted beside the reservoir.however, according to experts this device won't be available atleast 10 years from now...and once it comes out ofcourse it might have its' own bugs and might be revoked as any of the past prototypes that turned out to be impractical after being released to the market...so the best bet in my opinion is if (god forbid ) you require a revision surgery in the very distant future you get the malleable.

[ready2go]

Ready2go,

They already did the self containing fluid verison of the malleable but it faild unfortunately.

https://www.vjsm.info/videos/legend-ser ... prosthesis

Anyway do you think loss of girth is a big deal ? I would trade it for the peace of mind and way less risks for sure..but maybe It's a sginificant loss that's worth consideration.

the "self contained ipp" ? that was interesting .
but yes i miss my natural girth . anyway there is HA fillers which i will try when i can get around [busted leg at the moment]

[Discovernew]

Personally i don't mind the reservoir, but i would like to see a pump that is not in the scrotum (that is the thing that most bothers me personally).

I agree...that's why one of the perks of the upcomming ipp which is wirelessly driven is that there's no pump in the scrotum and it will be implanted beside the reservoir.however, according to experts this device won't be available atleast 10 years from now...and once it comes out ofcourse it might have its' own bugs and might be revoked as any of the past prototypes that turned out to be impractical after being released to the market...so the best bet in my opinion is if (god forbid ) you require a revision surgery in the very distant future you get the malleable.

I am not sure I would want the electronic version. It will require batteries and I don't trust needing to charge something and having batteries in my body.

But I would like to see manufacturers exploring different placement of the pump not just in the scrotum. I would rather have a small lump in my inner thigh than the pump in the scrotum

[Tuscan_Order]

https://www.vjsm.info/videos/legend-series/five-decades-of-experience-with-the-development-of-penile-prosthesis

@18:15

[ElbowRoom]

thats the thing with the ipp's , they can't make an implant with tubes that don't leak ?
it almost seems like the auto industry making parts that are built to break .
Is it that hard to get durable tubing that won't spring a leak in months or a few years ?
or depending on the brand it's the cylinders ...or the pump .
Getting cut open is not the same as changing out a part on a car .
they should make a malleable that could be filled with a little fluid to a desirable
girth then sealed permanently. no pumps or tubes or lines .

Well there are a lot of factors involved. Sure they can make tubes that don't leak...but it's harder when you have to add bio-compatibility as a requirement. There's also the regulatory aspect...it will take some number of years to realize there is a problem with tubing leaks, some time (maybe years) to engineer a proper solution. Then once all of that is done, the manufacturer has to go through the FDA medical device certification process, which probably involves field tests and clinical trials, so more years used there.

The bottom line is it takes a very long time to correct a medical device defect. My surgeon told me Coloplast has Titan revisions in the works, but it's probably still five years out before they are available for sale.

Your malleable idea is interesting, but won't work because fluids are incompressible (which is why IPPs work so well!). Once you fill a space around the malleable material with fluid, the implant won't bend without the capsule around the fluid deforming (bulging at the top if bending it down, for example). That would make for a horrible looking flaccid penis, and if the capsule around the fluid can deform like that it's not going to help rigidity anyway.

[Curved-Guy]

****Update****

Well I’m in the room waiting on the Dr to release me, I had my 4th revision done yesterday morning. I feel great, I mean unusually great. No swelling at all, not my balls nor my penis. No pain in either and no pain from my staples. I’ve got lots of……….

I was going to say I had lots of questions but the nurse came in and informed me the DR said to remove the catheter and drain. Once I used I use the bathroom I can go home. She didn’t have the answers to my particular questions so I’ll have to wait until my 2 week follow up to get the answers. In all I’m feeling great, looking great down there and can’t wait to try it out in a month or so!

I'm glad you are doing well! Congrats. I see on your signature you keep getting bigger implants on each revision?
What size do you have now?

This last revision he stayed with the 22cm +3 rte’s, which I’m happy and comfortable with.

[Curved-Guy]

******Update to my Update*******

After leaving the hospital and walking a bit had some swelling in my testicals. Overnight the left cylinder became hard as a marble but only from the center up to the tip. Of course after hours nurse took notes but could only pass on to office Monday morning. Got to the office Monday and the staff actually tried to charge me a co-pay….. Pissed me off! (Not happening). Got to see Dr. and he saw the issues and brought in the HEAD of urology at the hospital. They agreed it was a suture that pulled post op and trapped the fluid in the cylinder. They said it was the first time in over 25 years they’ve seen this and wanted to fix it right away. I was scheduled for the next morning, They brought in other urologist and students as a teaching point and fixed the issue. I’m home recovering now very little swelling to testicals and slight soreness with staples but felling great and looking forward to 15-20+ years with this one. Fingers crossed…….

I’m still implanted with 22cm +3 rte’s, curve is intact. Haven’t fully pumped up but if I’m anywhere back to 7.5-8 in length and 6-6.2 width I’ll be a happy camper.

[Discovernew]

******Update to my Update*******

After leaving the hospital and walking a bit had some swelling in my testicals. Overnight the left cylinder became hard as a marble but only from the center up to the tip. Of course after hours nurse took notes but could only pass on to office Monday morning. Got to the office Monday and the staff actually tried to charge me a co-pay….. Pissed me off! (Not happening). Got to see Dr. and he saw the issues and brought in the HEAD of urology at the hospital. They agreed it was a suture that pulled post op and trapped the fluid in the cylinder. They said it was the first time in over 25 years they’ve seen this and wanted to fix it right away. I was scheduled for the next morning, They brought in other urologist and students as a teaching point and fixed the issue. I’m home recovering now very little swelling to testicals and slight soreness with staples but felling great and looking forward to 15-20+ years with this one. Fingers crossed…….

I’m still implanted with 22cm +3 rte’s, curve is intact. Haven’t fully pumped up but if I’m anywhere back to 7.5-8 in length and 6-6.2 width I’ll be a happy camper.

Wow I'm sorry you went through all of this. I hope you are doing good now.
Can you explain more about what they meant about a suture that pulled? Are you saying the corpora incision failed and opened? Or something else happened? Trying to picture it on my mind.

How hard was the fix? Did they need to open you up and do a revision right away?