Revision from Genesis to Tactra Malleable

The final frontier. Deciding when, if and how.



fucked0ne
Posts: 379
Joined: Wed Nov 22, 2023 7:47 pm

Re: Revision from Genesis to Tactra Malleable

Postby fucked0ne » Tue Mar 18, 2025 1:24 pm

newbiehere23 wrote:
fucked0ne wrote:Glad you’re finally happy, Cautious! BTW, if you have concerns about girth, there’s always dermal filler.

This makes me very jealous; my initial choice was a Rigi10, but I was talked out of it. Not too happy with my LGX, so I’ve been in contact with Hakky about an MPP swap.


What aren't you happy about? We spoke in messages but I cannot remember you stating what you did not like about it


Pump is a bewildering and frustrating shit show; base is wobbly (common with LGX); rests at 4 o’clock (forget angling it upward); tolerable, but don’t really care for the way it feels. Also, would like something more “spontaneous.”
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

Mark1974
Posts: 446
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Revision from Genesis to Tactra Malleable

Postby Mark1974 » Tue Mar 18, 2025 5:06 pm

duke_cicero wrote:
Mark1974 wrote:I'm surprised that so many guys don't mind multiple surgeries on their penis.


This. I'm really hoping this is the last procedure I have. Doesn't seem like a good thing to have revision after revision after revision...
This is my number one reason for wanting a semi-rigid.

I realize that the satisfaction rates with females is lower according to studies, but I have read so many cases of men on here getting multiple revisions for their IPP's. I have watched many surgeries on Youtube and the surgeries look quite punishing. This can't be good for sensitivity and sensation when the penis gets ripped open like this multiple times.

And then you have to consider the increasing probability of an infection with each revision.

There is no good solution for severe ED yet in medicine, but I'd prefer to take the pro's and cons of the MPP from what I know. I will see if anyone at Dr Levine's office tries to convince me otherwise, but I would need good, logical reasoning....not fear of a small penis
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. Surgery scheduled 5/19/25

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duke_cicero
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Re: Revision from Genesis to Tactra Malleable

Postby duke_cicero » Tue Mar 18, 2025 5:45 pm

Mark1974 wrote:
duke_cicero wrote:
Mark1974 wrote:I'm surprised that so many guys don't mind multiple surgeries on their penis.


This. I'm really hoping this is the last procedure I have. Doesn't seem like a good thing to have revision after revision after revision...
This is my number one reason for wanting a semi-rigid.

I realize that the satisfaction rates with females is lower according to studies, but I have read so many cases of men on here getting multiple revisions for their IPP's. I have watched many surgeries on Youtube and the surgeries look quite punishing. This can't be good for sensitivity and sensation when the penis gets ripped open like this multiple times.

And then you have to consider the increasing probability of an infection with each revision.

There is no good solution for severe ED yet in medicine, but I'd prefer to take the pro's and cons of the MPP from what I know. I will see if anyone at Dr Levine's office tries to convince me otherwise, but I would need good, logical reasoning....not fear of a small penis


I can tell you what — women love my malleable. All they know is that my penis works. Weekend after weekend I am reminded of this fact. I never worry about pumps or tubing or reservoirs.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

RoboCock69
Posts: 223
Joined: Wed Sep 08, 2021 9:31 pm

Re: Revision from Genesis to Tactra Malleable

Postby RoboCock69 » Tue Mar 18, 2025 6:38 pm

duke_cicero wrote:
Mark1974 wrote:
duke_cicero wrote:
This. I'm really hoping this is the last procedure I have. Doesn't seem like a good thing to have revision after revision after revision...
This is my number one reason for wanting a semi-rigid.

I realize that the satisfaction rates with females is lower according to studies, but I have read so many cases of men on here getting multiple revisions for their IPP's. I have watched many surgeries on Youtube and the surgeries look quite punishing. This can't be good for sensitivity and sensation when the penis gets ripped open like this multiple times.

And then you have to consider the increasing probability of an infection with each revision.

There is no good solution for severe ED yet in medicine, but I'd prefer to take the pro's and cons of the MPP from what I know. I will see if anyone at Dr Levine's office tries to convince me otherwise, but I would need good, logical reasoning....not fear of a small penis


I can tell you what — women love my malleable. All they know is that my penis works. Weekend after weekend I am reminded of this fact. I never worry about pumps or tubing or reservoirs.


Nice. Keep tapping that ass. What is your length and girth?
Born 1982. Implanted with Coloplast Titan 22cm in August 2021 by the great Dr. Perito in Miami. 6.125" BPEL, 5.25" EG. "It's the girth that gets her off."

Mark1974
Posts: 446
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Revision from Genesis to Tactra Malleable

Postby Mark1974 » Tue Mar 18, 2025 6:38 pm

duke_cicero wrote:
Mark1974 wrote:
duke_cicero wrote:
This. I'm really hoping this is the last procedure I have. Doesn't seem like a good thing to have revision after revision after revision...
This is my number one reason for wanting a semi-rigid.

I realize that the satisfaction rates with females is lower according to studies, but I have read so many cases of men on here getting multiple revisions for their IPP's. I have watched many surgeries on Youtube and the surgeries look quite punishing. This can't be good for sensitivity and sensation when the penis gets ripped open like this multiple times.

And then you have to consider the increasing probability of an infection with each revision.

There is no good solution for severe ED yet in medicine, but I'd prefer to take the pro's and cons of the MPP from what I know. I will see if anyone at Dr Levine's office tries to convince me otherwise, but I would need good, logical reasoning....not fear of a small penis


I can tell you what — women love my malleable. All they know is that my penis works. Weekend after weekend I am reminded of this fact. I never worry about pumps or tubing or reservoirs.

How is your sensitivity right now?
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. Surgery scheduled 5/19/25

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duke_cicero
Posts: 251
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Re: Revision from Genesis to Tactra Malleable

Postby duke_cicero » Tue Mar 18, 2025 6:44 pm

RoboCock69 wrote:Nice. Keep tapping that ass. What is your length and girth?


Every blessed weekend, my friend. Sometimes multiple women throughout the week. I'm feeling like the luckiest man in the world. My length is 6.5" and my girth is 4.25", sometimes I get a little more of both length and girth when I've taken a Cialis and I'm horny as all get-out.

Mark1974 wrote:How is your sensitivity right now?


Awesome. It feels like my erection did before. When I'm fully engorged it's like normal. Under normal conditions I have more feeling in my penis than I would normally (a flaccid penis has very little sensation, even if you don't have ED, I learned).
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

adkd124
Posts: 52
Joined: Sun Aug 13, 2023 1:44 am

Re: Revision from Genesis to Tactra Malleable

Postby adkd124 » Tue Mar 18, 2025 10:16 pm

duke_cicero wrote:
RoboCock69 wrote:Nice. Keep tapping that ass. What is your length and girth?


Every blessed weekend, my friend. Sometimes multiple women throughout the week. I'm feeling like the luckiest man in the world. My length is 6.5" and my girth is 4.25", sometimes I get a little more of both length and girth when I've taken a Cialis and I'm horny as all get-out.

Mark1974 wrote:How is your sensitivity right now?


Awesome. It feels like my erection did before. When I'm fully engorged it's like normal. Under normal conditions I have more feeling in my penis than I would normally (a flaccid penis has very little sensation, even if you don't have ED, I learned).

Your girth is 4.25" when you aroused? What your girth was pre op?
30 yo. Get tactra in 30, 11mm rods. Lost 5mm in length and 5mm in width. Regret about getting implant.

LastHope
Posts: 1201
Joined: Sun Feb 18, 2024 1:26 am

Re: Revision from Genesis to Tactra Malleable

Postby LastHope » Wed Mar 19, 2025 3:54 am

Mark1974 wrote:I realize that the satisfaction rates with females is lower according to studies...


My 2 cents on this...

All things being equal, in a large study population of these surveys, girth may have an association with partner satisfaction due to increased vaginal wall stimulation, which complements penile stimulation. After a woman has given birth to 3 kids, her expanded vagina seems to appreciate girth more, and it enhances penile stimulation as well. If residual vascular engorgement increases girth, it enhances partner satisfaction. So, satisfaction is also subjective and tied to an individual’s residual vascular health.

The happy path, I’d like to say in crude terms, is “malleable girth augmented by your own bloody hydraulics,” for lack of a better scientific term.

Inflatables have a higher partner satisfaction rate because they maintain greater girth by bypassing the unpredictability of residual engorgement, on top of the rods, which is subjective to an individual’s residual vascular flow.

I’m unsure whether the manufacturers and surgeons who write these papers and fund these studies also have survey participants complete satisfaction questionnaires following a mechanical malfunction. Such an event could even tip the scores. Not trying to say that its all fun until the fun ends.

The types of patients who are recommended a malleable in the west where these surveys are conducted are also different (Quoting Coloplast: A solution for patients with finger or hand dexterity issues, hand muscle fatigue, limited reach and range of mobility...blah blah blah....). That's a completely different type of patient and partner sampling and wouldn't offer a fair apples to apples comparison.

These studies are confounded by selection bias and not like a randomized controlled trial.

For those with a decent vascular health or with a fleshy or naturally girthy penis with decent padding of smooth muscles, malleable has the potential to offer great satisfaction and vice versa.

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duke_cicero
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Joined: Tue May 28, 2024 2:58 pm

Re: Revision from Genesis to Tactra Malleable

Postby duke_cicero » Wed Mar 19, 2025 10:05 am

As per usual, LastHope drops his wisdom and knowledge on us in true style. Concur with every bit of that.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

newbiehere23
Posts: 80
Joined: Tue Mar 15, 2022 9:24 pm

Re: Revision from Genesis to Tactra Malleable

Postby newbiehere23 » Wed Mar 19, 2025 10:21 am

duke_cicero wrote:As per usual, LastHope drops his wisdom and knowledge on us in true style. Concur with every bit of that.


Hey Duke,

Did you lose any size after your procedure or was it more or less the same size?


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