The good news

[tooyoung]

tooyoung

...I’m calling out the ass-kissers and those who keep spreading lies especially the schmucks who gain nothing from it...

I think, "Follow the money" is the rule of the game. That polished "financial incentives" bullshit. I place the blame squarely on regulatory agencies like the FDA and their cozy relationship with pharma and device manufacturers, their lax approach to approvals and ineffective post-marketing surveillance is the real problem. Why blame the tiger for being a tiger? And why blame the carcass for getting eaten? Blame the zookeeper for leaving the cage open. If a $200 copay gets you a BMW along with free repairs, don’t expect people to choose a reliable Japanese econobox, at least not until they’ve gone through multiple revisions and device infections.

On a side note, please don't lose your medical license and get cancelled for speaking the truths. That's not how medicine is practiced. I'm preaching to the choir. Just kidding!

Totally agree..you perfectly described "the game"...thank you for this...I love you man and I love reading your posts...great analogy there...

I can't blame the zookeeper either because it's a fucking tiger..it's a wilderness and not a zoo..FDA regulators are pharma/device companies shareholders....what's more obvious than the studies sponsored by these companies themselves are the studies that are put to action..there's no zookeeper...that's why i blame the carcasses for not running or fighting back...it's the only way out as this system is hardwired...yup it will always be "follow the money"...they will do toyota ipps once carcasses stop being carcasses....

What's strange I've never seen a carcass praising its' tiger while being eaten...so disgusting.

[duke_cicero]

Perito is a con-artist

Proof? Any kind of evidence, here? No? Moving on...

as >90% of physicians

More than 90% of physicians are con artists? Again, what proof do you have of this? This is an insane blanket statement that can't be taken seriously.

especially penile prosthetic surgeons...because simply if they become otherwise they will instantly loose their jobs

Extraordinary claims require extraordinary evidence. You're saying there's a link between being honest and losing one's job? What's the mechanism, here? This would mean that there's a vast conspiracy of silence and collective malpractice across an entire field. Do you know how fucking insane you sound?

Shit does happen—rarely, tragically, but unavoidably. You may not like that, but medicine isn’t obligated to coddle your fantasies. Get off this forum.

1st point : perito says device malfunction happens 1% each year...so I asked the AI to do math...cause I suck at it but I'm doing better than you do apparently because you seem to not imagine what a "probability" is...

Here's an excerpt of a simple chat...very interesting

https://copilot.microsoft.com/shares/av ... kXH71QxoCw

Apparently perito is claiming 82% survival rate of the inflatable past fucking 2 decades of use...very different than the other con article stating that it's 52%.
Not to mention saying 1% yearly is alot prettier than 82% past 2 decades...I hope you noticed also the near impossibility of having multiple failures within few years...put that math beside what we you are seeing on this forum...the very popular forum for implantees...almost every signature says multiple durability fuck ups ...only 2 or 3 I have seen got past 12 years...one of whom had a stroke post op so he didn't use it much or nearly at all...yet it fuckin broke..

What do you deduce from this Duke ? Seriously, I want to know because you are one of the most biased ,politically correct gentlemen I've ever seen...thinking that you would go to heaven by this.

2nd point : there are alot of factors obligate physicians to lie...especially when it comes to the only resort for a refractory condition..that doesn't make us physicians devils either....but you wouldn't get it...too much depth in this.

3rd point: Say you work in a car dealership selling a car called utopia 700...even if you aren't the salesman right there...say you are an HR employee or a janitor and the boss hears you saying honest things about utopia 700 to a customer...wouldn't he fire your ass immediately ? Come on duke I know you are an HONEST person...truthfully what do you think ?
Ok?...get it duke ? Have you ever been employed ?...see..penile prosthesis surgeons are employees of coloplast and boston scientific ...I don't know why aren't you getting that..

Yet some communist doctors in some relatively communist parts of the world were brave enough to tell these shit devices last approx 5 years with fequent use like dr.Oliver Kayes...dr.david ralph says expect 8-12 yrs in general (regardeless of use)..

The only thing that's not making utopia 700 not durable enough is not the boss...not the salesman...it's the customer who licks arse even after suffering tragedies and turning a blind eye just to be decent enough to go to heaven...there would be no need to change...the fucking customer is happy and politically correct.

4th point: don't make me look like i just insulted you...are you really one of those who say "shit happens though rare" ?

Come on duke what if you were an ipp advocate...shame...come on repent...and all your political overcorrectness and unreason shall be forgiven.

You’re citing the 2022 Miller meta-analysis as if it’s supposed to support your claim that the “real” survivability rate today is 52%, as if this is carved in stone, as if there’s some kind of contradiction that proves that the entire urological medical establishment is based on an enormous coordinated conspiracy.

Did you even read past the abstract? We have to wonder.

The Poisson model you originally cited isn’t wrong. The real-world data cited in the study takes into account a huge number of different factors that influence the raw statistical outcome over 30 years of data:

Different surgical eras (1986-2015)
Inconsistent reporting
Higher-infection surgical eras
Sicker patients
Poor surgical technique compared to today
International variation in surgical technique

In other words, a constant hazard model cited by Perito (at about 82%) isn’t in any way fraudulent or misleading. It assumes present-day conditions. The study you’re looking at is an amalgamation of 30 years of data. Of course there’s going to be differences.

Seriously, how do you not understand this???

Do you even know how to read a scientific paper??

If you're actually a doctor, as you've claimed time and time again ... it's time to hang up the gloves, man. You're going to hurt somebody.

[Corey212]

Have you fixed your titan or replaced it ?

No, about 3 months ago standing in front of my red light panel I was doing Perito exercises.I felt noting out of the ordinary except the front of my stomach (around pubic area) was constantly nagging for weeks, that I thought maybe cancer or could have been a leak where the saline was irritating that area. My max pumps went from 62 to 47. Then about 5 days ago I was doing perito exercises pushed at the base, middle and towards the tip and felt a pop, and instant deflation. I was able to get 27 pumps for a few days, and then 8-9 and right at the this moment 3 before the bulb deflates.

Never in my life will I ever put a Chloroplast disaster in my body. One of the worst mistakes of my life. I have lost more than money, believe me

So sorry man..must have been a horrible experience...I believe this will make you shift gears to the right way..

Perito is a con-artist as >90% of physicians especially penile prosthetic surgeons...because simply if they become otherwise they will instantly loose their jobs...I don't blame them...I blame the ass kissers who foster their propaganda...or those who gaslight a gentleman like you who have suffered...mumblimg phrases like "shit happens although rare"..."trust your surgeon..he knows better"....especially when they are the ones who installed multiple devices in a matter of few years.

I think a lot of the surgeons hang out here with aliases pushing the surgery and products. The Coloplast is a garbage company that hides behind surgeons and liaisons who they pay for hourly sessions. None of them are going to be honest if there's no real loss in the surgery. 2K for the the product, on a 20K(plus) procedure? That's like a product sold on Ebay for 99 cents with $99 shipping.

[Corey212]

lmao i had a 28cm titan coloplast put in me, and i never have any of the looking aroused issues you have had. It literally just looks like i have a huge dick. (which i do) But that never changed for me. Even when i didn't have it installed i had a very prominent bulge.

Also when i squeeze all the fluid out you can barely even tell its there.

It stiff as hell and at the gym not if, or once in a while, but when I did abs it would inflate and it was embarrassing as hell. There's absolutely nothing natural looking of feeling about the Coloplast, except when in the act. Basically I become an exhibitionist and the second I look at someone I become a pervert. Some women may like it but I am already so lit up with anxiety it would never even happen.

And it used to be a lot worse before the perito exercises, and using a stretcher attached to my knee to bend it downward above the dog ears.

[tooyoung]

Proof? Any kind of evidence, here? No? Moving on...



More than 90% of physicians are con artists? Again, what proof do you have of this? This is an insane blanket statement that can't be taken seriously.



Extraordinary claims require extraordinary evidence. You're saying there's a link between being honest and losing one's job? What's the mechanism, here? This would mean that there's a vast conspiracy of silence and collective malpractice across an entire field. Do you know how fucking insane you sound?

Shit does happen—rarely, tragically, but unavoidably. You may not like that, but medicine isn’t obligated to coddle your fantasies. Get off this forum.

1st point : perito says device malfunction happens 1% each year...so I asked the AI to do math...cause I suck at it but I'm doing better than you do apparently because you seem to not imagine what a "probability" is...

Here's an excerpt of a simple chat...very interesting

https://copilot.microsoft.com/shares/av ... kXH71QxoCw

Apparently perito is claiming 82% survival rate of the inflatable past fucking 2 decades of use...very different than the other con article stating that it's 52%.
Not to mention saying 1% yearly is alot prettier than 82% past 2 decades...I hope you noticed also the near impossibility of having multiple failures within few years...put that math beside what we you are seeing on this forum...the very popular forum for implantees...almost every signature says multiple durability fuck ups ...only 2 or 3 I have seen got past 12 years...one of whom had a stroke post op so he didn't use it much or nearly at all...yet it fuckin broke..

What do you deduce from this Duke ? Seriously, I want to know because you are one of the most biased ,politically correct gentlemen I've ever seen...thinking that you would go to heaven by this.

2nd point : there are alot of factors obligate physicians to lie...especially when it comes to the only resort for a refractory condition..that doesn't make us physicians devils either....but you wouldn't get it...too much depth in this.

3rd point: Say you work in a car dealership selling a car called utopia 700...even if you aren't the salesman right there...say you are an HR employee or a janitor and the boss hears you saying honest things about utopia 700 to a customer...wouldn't he fire your ass immediately ? Come on duke I know you are an HONEST person...truthfully what do you think ?
Ok?...get it duke ? Have you ever been employed ?...see..penile prosthesis surgeons are employees of coloplast and boston scientific ...I don't know why aren't you getting that..

Yet some communist doctors in some relatively communist parts of the world were brave enough to tell these shit devices last approx 5 years with fequent use like dr.Oliver Kayes...dr.david ralph says expect 8-12 yrs in general (regardeless of use)..

The only thing that's not making utopia 700 not durable enough is not the boss...not the salesman...it's the customer who licks arse even after suffering tragedies and turning a blind eye just to be decent enough to go to heaven...there would be no need to change...the fucking customer is happy and politically correct.

4th point: don't make me look like i just insulted you...are you really one of those who say "shit happens though rare" ?

Come on duke what if you were an ipp advocate...shame...come on repent...and all your political overcorrectness and unreason shall be forgiven.

You’re citing the 2022 Miller meta-analysis as if it’s supposed to support your claim that the “real” survivability rate today is 52%, as if this is carved in stone, as if there’s some kind of contradiction that proves that the entire urological medical establishment is based on an enormous coordinated conspiracy.

Did you even read past the abstract? We have to wonder.

The Poisson model you originally cited isn’t wrong. The real-world data cited in the study takes into account a huge number of different factors that influence the raw statistical outcome over 30 years of data:

Different surgical eras (1986-2015)
Inconsistent reporting
Higher-infection surgical eras
Sicker patients
Poor surgical technique compared to today
International variation in surgical technique

In other words, a constant hazard model cited by Perito (at about 82%) isn’t in any way fraudulent or misleading. It assumes present-day conditions. The study you’re looking at is an amalgamation of 30 years of data. Of course there’s going to be differences.

Seriously, how do you not understand this???

Do you even know how to read a scientific paper??

If you're actually a doctor, as you've claimed time and time again ... it's time to hang up the gloves, man. You're going to hurt somebody.

Wait a fucking minute...I say ipp survivability past 20 years is much lower than miller's 52%( so do many affiliated high volume surgeons....let alone real world data)..even clavell debunked it on a podcast..and eid debunked it on his videos.... I refered to it as con article...that's why perito is a con-artist for saying it's 82%..( i bet he didn't calculate it...it just seemed nice and clean as 1% per year)

1)Do you assume that present day conditions get you better durability than those of the past ? For instance, cars nowadays are sturdier and more durable than cars in the past? Is this a "scientific" assumption ? What would you have said if Eid didn't himself mention that classic pumps tubings are more durable than the newer model ?

2) you expect me to give you concrete "evidence" on every word I say and you take perito's yearly 1% at face value ? And ofcourse the evidence you need on every word and that would satisfy your political overcorrectness is an article sponsored by implant companies and written by affiliated surgeons.
Does the poisson model apply to perito's 1% ? Or is it too "raw" to draw it on him ? (Your political correctness is disgusting)

3) why the fuck did u get a mpp then? Because having a mpp with an ipp failure rate of 1% per year is utter stupidity...even if it's 1.5-2.5× the price.

I can read scientific articles...can you read the part of disclosures where it mentions conflict of interest?
Are u taking this personal ?? Because nothing else justifies you illogical persistence.

However, I loved the "sicker patients" part....made me laugh so hard

[LastHope]

tooyoung

...I’m calling out the ass-kissers and those who keep spreading lies especially the schmucks who gain nothing from it...

I think, "Follow the money" is the rule of the game. That polished "financial incentives" bullshit. I place the blame squarely on regulatory agencies like the FDA and their cozy relationship with pharma and device manufacturers, their lax approach to approvals and ineffective post-marketing surveillance is the real problem. Why blame the tiger for being a tiger? And why blame the carcass for getting eaten? Blame the zookeeper for leaving the cage open. If a $200 copay gets you a BMW along with free repairs, don’t expect people to choose a reliable Japanese econobox, at least not until they’ve gone through multiple revisions and device infections.

On a side note, please don't lose your medical license and get cancelled for speaking the truths. That's not how medicine is practiced. I'm preaching to the choir. Just kidding!

Totally agree..you perfectly described "the game"...thank you for this...I love you man and I love reading your posts...great analogy there...

I can't blame the zookeeper either because it's a fucking tiger..it's a wilderness and not a zoo..FDA regulators are pharma/device companies shareholders....what's more obvious than the studies sponsored by these companies themselves are the studies that are put to action..there's no zookeeper...that's why i blame the carcasses for not running or fighting back...it's the only way out as this system is hardwired...yup it will always be "follow the money"...they will do toyota ipps once carcasses stop being carcasses....

What's strange I've never seen a carcass praising its' tiger while being eaten...so disgusting.

Good point buddy. Lay consumers can empower themselves by learning stats and critical appraisal skills to analyze medical studies, but at the end of the day, that’s everyone’s choice. And let’s be honest, fanboys will always exist. Take the most unreliable piece of shit modern engine or transmission, head to its car fan forum, and you’ll find no shortage of cheerleaders defending it. That’s just part of the game we’re stuck in. So why stress? Let’s have fun, let's take it easy, and make the best choices we can. Let everyone feel good about the choices they've made and it also includes putting down the one's they don't have in a civil and respectful way. That said, I still blame the zoo keepers, the regulators and corporate enablers for letting pieces of junk into the market or letting them stay in the market with piss poor reliability and zero post-marketing surveillance. I don’t care if it’s an IPP, MPP, or some other cow shit boner pill. Broken systems protect broken products.

[duke_cicero]

Wait a fucking minute...I say ipp survivability past 20 years is much lower than miller's 52%( so do many affiliated high volume surgeons....let alone real world data)..even clavell debunked it on a podcast..and eid debunked it on his videos.... I refered to it as con article...that's why perito is a con-artist for saying it's 82%..( i bet he didn't calculate it...it just seemed nice and clean as 1% per year)

So now the study you cited as apparent proof of a contradiction between the original 82% 20-year survivability rate is part of the conspiracy? Give me a fucking break. But okay, I'll bite: show me where Clavell and Eid are debunking these claims in their videos. But then also explain why if there's a giant medical conspiracy why somehow Clavell and Eid, two of the highest-volume surgeons who are allegedly financially and reputationally beholden to Coloplast, are somehow exempt from the conspiracy. Do you seriously not see the contradiction here?

1)Do you assume that present day conditions get you better durability than those of the past ? For instance, cars nowadays are sturdier and more durable than cars in the past? Is this a "scientific" assumption ? What would you have said if Eid didn't himself mention that classic pumps tubings are more durable than the newer model ?

Yes. Present-day conditions get you better outcomes basically across the board. You've used the car analogy so often that I'm beginning to think you're somehow beholden to car manufacturers! Cars today provide better survivability in accidents than cars of the past—and they're less heavy and use less dense materials. More people were dying in those massive boat-like Oldsmobile killing machines of the past. You’re mocking a 53% 20-year survival rate across a 30-year swath of extremely diverse surgical outcomes like it’s some kind of failure or (again) somehow the consequence of an enormous urological conspiracy. But even with those caveats in mind, that’s a better rate of 20-year survival than breast implants, comparable to hip and knee replacements, and vastly outlasts pacemakers or spinal devices. Is there a massive conspiracy going on in those other surgical fields, as well? Get your pitchforks, I guess...

2) you expect me to give you concrete "evidence" on every word I say and you take perito's yearly 1% at face value ? And ofcourse the evidence you need on every word and that would satisfy your political overcorrectness is an article sponsored by implant companies and written by affiliated surgeons.
Does the poisson model apply to perito's 1% ? Or is it too "raw" to draw it on him ? (Your political correctness is disgusting)

In a word, yes. I expect you to provide concrete evidence of every claim you make. Extraordinary claims require extraordinary evidence. And so far, you've provided none. Also, if there actually were a conspiracy of the medical establishment, then wouldn't it make more sense to hide or somehow obscure the conflict of interest statement? If there actually were an elaborate conspiracy to defraud the public on this specific point, one that controlled the governing bodies and gagged doctors for telling the truth, you'd see papers like the 2022 meta-analysis making ridiculous, completely unverifiable claims. But that's not what's happening. You need transparency.

3) why the fuck did u get a mpp then? Because having a mpp with an ipp failure rate of 1% per year is utter stupidity...even if it's 1.5-2.5× the price.

I'm very risk-averse, it's true. I didn't want to take even the very remote 1% risk of the IPP failure in my particular financial situation. But if I had the money for an IPP (my insurance didn't cover and I had to pay for the MPP out of pocket) it may have been what I went with first. I don't know. That's not the boat I'm in. Different conditions, different outcome. Just being honest.

I can read scientific articles...can you read the part of disclosures where it mentions conflict of interest?

Yes. And in fact the disclosure of conflicts of interest actually lends credence to the idea that the data are trustworthy. Disclosure is a safeguard, not an admission of guilt. Conspiracies require silence and suppression. That's not what's happening here.

[tooyoung]

tooyoung


I think, "Follow the money" is the rule of the game. That polished "financial incentives" bullshit. I place the blame squarely on regulatory agencies like the FDA and their cozy relationship with pharma and device manufacturers, their lax approach to approvals and ineffective post-marketing surveillance is the real problem. Why blame the tiger for being a tiger? And why blame the carcass for getting eaten? Blame the zookeeper for leaving the cage open. If a $200 copay gets you a BMW along with free repairs, don’t expect people to choose a reliable Japanese econobox, at least not until they’ve gone through multiple revisions and device infections.

On a side note, please don't lose your medical license and get cancelled for speaking the truths. That's not how medicine is practiced. I'm preaching to the choir. Just kidding!

Totally agree..you perfectly described "the game"...thank you for this...I love you man and I love reading your posts...great analogy there...

I can't blame the zookeeper either because it's a fucking tiger..it's a wilderness and not a zoo..FDA regulators are pharma/device companies shareholders....what's more obvious than the studies sponsored by these companies themselves are the studies that are put to action..there's no zookeeper...that's why i blame the carcasses for not running or fighting back...it's the only way out as this system is hardwired...yup it will always be "follow the money"...they will do toyota ipps once carcasses stop being carcasses....

What's strange I've never seen a carcass praising its' tiger while being eaten...so disgusting.

Good point buddy. Lay consumers can empower themselves by learning stats and critical appraisal skills to analyze medical studies, but at the end of the day, that’s everyone’s choice. And let’s be honest, fanboys will always exist. Take the most unreliable piece of shit modern engine or transmission, head to its car fan forum, and you’ll find no shortage of cheerleaders defending it. That’s just part of the game we’re stuck in. So why stress? Let’s have fun, let's take it easy, and make the best choices we can. Let everyone feel good about the choices they've made and it also includes putting down the one's they don't have in a civil and respectful way. That said, I still blame the zoo keepers, the regulators and corporate enablers for letting pieces of junk into the market or letting them stay in the market with piss poor reliability and zero post-marketing surveillance. I don’t care if it’s an IPP, MPP, or some other cow shit boner pill. Broken systems protect broken products.

Yess I agree...thank you...

I bring up this problem only on posts where ipp breaks in a short time or multiple times or someone is still making the decision ...just for the sake of awareness...I sometimes encourage ipps in certain cases..

[tooyoung]

Wait a fucking minute...I say ipp survivability past 20 years is much lower than miller's 52%( so do many affiliated high volume surgeons....let alone real world data)..even clavell debunked it on a podcast..and eid debunked it on his videos.... I refered to it as con article...that's why perito is a con-artist for saying it's 82%..( i bet he didn't calculate it...it just seemed nice and clean as 1% per year)

So now the study you cited as apparent proof of a contradiction between the original 82% 20-year survivability rate is part of the conspiracy? Give me a fucking break. But okay, I'll bite: show me where Clavell and Eid are debunking these claims in their videos. But then also explain why if there's a giant medical conspiracy why somehow Clavell and Eid, two of the highest-volume surgeons who are allegedly financially and reputationally beholden to Coloplast, are somehow exempt from the conspiracy. Do you seriously not see the contradiction here?

1)Do you assume that present day conditions get you better durability than those of the past ? For instance, cars nowadays are sturdier and more durable than cars in the past? Is this a "scientific" assumption ? What would you have said if Eid didn't himself mention that classic pumps tubings are more durable than the newer model ?

Yes. Present-day conditions get you better outcomes basically across the board. You've used the car analogy so often that I'm beginning to think you're somehow beholden to car manufacturers! Cars today provide better survivability in accidents than cars of the past—and they're less heavy and use less dense materials. More people were dying in those massive boat-like Oldsmobile killing machines of the past. You’re mocking a 53% 20-year survival rate across a 30-year swath of extremely diverse surgical outcomes like it’s some kind of failure or (again) somehow the consequence of an enormous urological conspiracy. But even with those caveats in mind, that’s a better rate of 20-year survival than breast implants, comparable to hip and knee replacements, and vastly outlasts pacemakers or spinal devices. Is there a massive conspiracy going on in those other surgical fields, as well? Get your pitchforks, I guess...

2) you expect me to give you concrete "evidence" on every word I say and you take perito's yearly 1% at face value ? And ofcourse the evidence you need on every word and that would satisfy your political overcorrectness is an article sponsored by implant companies and written by affiliated surgeons.
Does the poisson model apply to perito's 1% ? Or is it too "raw" to draw it on him ? (Your political correctness is disgusting)

In a word, yes. I expect you to provide concrete evidence of every claim you make. Extraordinary claims require extraordinary evidence. And so far, you've provided none. Also, if there actually were a conspiracy of the medical establishment, then wouldn't it make more sense to hide or somehow obscure the conflict of interest statement? If there actually were an elaborate conspiracy to defraud the public on this specific point, one that controlled the governing bodies and gagged doctors for telling the truth, you'd see papers like the 2022 meta-analysis making ridiculous, completely unverifiable claims. But that's not what's happening. You need transparency.

3) why the fuck did u get a mpp then? Because having a mpp with an ipp failure rate of 1% per year is utter stupidity...even if it's 1.5-2.5× the price.

I'm very risk-averse, it's true. I didn't want to take even the very remote 1% risk of the IPP failure in my particular financial situation. But if I had the money for an IPP (my insurance didn't cover and I had to pay for the MPP out of pocket) it may have been what I went with first. I don't know. That's not the boat I'm in. Different conditions, different outcome. Just being honest.

I can read scientific articles...can you read the part of disclosures where it mentions conflict of interest?

Yes. And in fact the disclosure of conflicts of interest actually lends credence to the idea that the data are trustworthy. Disclosure is a safeguard, not an admission of guilt. Conspiracies require silence and suppression. That's not what's happening here.

One of the most renowned doctors—let alone those aiming for high-volume practice—confidently states a 1% failure rate per year, equating to an 82% survival rate past 20 years. Meanwhile, another con article claims only 52% survival past 20 years. That’s not a small gap, is it?

That said, I’m glad you acknowledged the discrepancy in the end. We’re getting somewhere. Watch Clavell’s podcast with Reena Malik and see for yourself. As for Eid—with all his experience—he said he has only seen one patient make it past 20 years (using the old classic pump). His exact words were, *“It always astonishes me when he comes for follow-up.”* This is a man with over 10,000+ implant procedures.

Now, regarding the idea that *"disclosure debunks any kind of conspiracy"* and *"why Clavell and Eid aren’t fired?"*—have you heard of the concept of relativity? We’re not living in complete lawlessness. Things still have to be *legitimized* through bureaucratic processes.
Moreover, Some representatives have a little room to speak the truth, adding credibility to their statements. It's all relative.
What is certain, however, is that expert opinions don’t align—neither with each other, nor with Miller’s study, nor with patient anecdotes by big fucking gaps.

I’m not saying that a 52% survival rate past 20 years equates to failure—though it is significantly lower..i think closer to ZERO. We’re fortunate to have any solution for a refractory disease; this is a major accomplishment in medicine. Don’t put words in my mouth. My point is that the numbers are a hoax, and there’s no need to sugarcoat them just to feel better about ourselves. What we need is more criticism, especially in a system where the regulator is the one being regulated. Criticism of other warriors in this forum gave me an insight and made me choose an mpp over an ipp.

So at the end still you buy ipp's risk is 1% ? Mpp is what 0% ?

Duke for the love of god stop being so politically correct

[duke_cicero]

Wait a fucking minute...I say ipp survivability past 20 years is much lower than miller's 52%( so do many affiliated high volume surgeons....let alone real world data)..even clavell debunked it on a podcast..and eid debunked it on his videos.... I refered to it as con article...that's why perito is a con-artist for saying it's 82%..( i bet he didn't calculate it...it just seemed nice and clean as 1% per year)

So now the study you cited as apparent proof of a contradiction between the original 82% 20-year survivability rate is part of the conspiracy? Give me a fucking break. But okay, I'll bite: show me where Clavell and Eid are debunking these claims in their videos. But then also explain why if there's a giant medical conspiracy why somehow Clavell and Eid, two of the highest-volume surgeons who are allegedly financially and reputationally beholden to Coloplast, are somehow exempt from the conspiracy. Do you seriously not see the contradiction here?

1)Do you assume that present day conditions get you better durability than those of the past ? For instance, cars nowadays are sturdier and more durable than cars in the past? Is this a "scientific" assumption ? What would you have said if Eid didn't himself mention that classic pumps tubings are more durable than the newer model ?

Yes. Present-day conditions get you better outcomes basically across the board. You've used the car analogy so often that I'm beginning to think you're somehow beholden to car manufacturers! Cars today provide better survivability in accidents than cars of the past—and they're less heavy and use less dense materials. More people were dying in those massive boat-like Oldsmobile killing machines of the past. You’re mocking a 53% 20-year survival rate across a 30-year swath of extremely diverse surgical outcomes like it’s some kind of failure or (again) somehow the consequence of an enormous urological conspiracy. But even with those caveats in mind, that’s a better rate of 20-year survival than breast implants, comparable to hip and knee replacements, and vastly outlasts pacemakers or spinal devices. Is there a massive conspiracy going on in those other surgical fields, as well? Get your pitchforks, I guess...

2) you expect me to give you concrete "evidence" on every word I say and you take perito's yearly 1% at face value ? And ofcourse the evidence you need on every word and that would satisfy your political overcorrectness is an article sponsored by implant companies and written by affiliated surgeons.
Does the poisson model apply to perito's 1% ? Or is it too "raw" to draw it on him ? (Your political correctness is disgusting)

In a word, yes. I expect you to provide concrete evidence of every claim you make. Extraordinary claims require extraordinary evidence. And so far, you've provided none. Also, if there actually were a conspiracy of the medical establishment, then wouldn't it make more sense to hide or somehow obscure the conflict of interest statement? If there actually were an elaborate conspiracy to defraud the public on this specific point, one that controlled the governing bodies and gagged doctors for telling the truth, you'd see papers like the 2022 meta-analysis making ridiculous, completely unverifiable claims. But that's not what's happening. You need transparency.

3) why the fuck did u get a mpp then? Because having a mpp with an ipp failure rate of 1% per year is utter stupidity...even if it's 1.5-2.5× the price.

I'm very risk-averse, it's true. I didn't want to take even the very remote 1% risk of the IPP failure in my particular financial situation. But if I had the money for an IPP (my insurance didn't cover and I had to pay for the MPP out of pocket) it may have been what I went with first. I don't know. That's not the boat I'm in. Different conditions, different outcome. Just being honest.

I can read scientific articles...can you read the part of disclosures where it mentions conflict of interest?

Yes. And in fact the disclosure of conflicts of interest actually lends credence to the idea that the data are trustworthy. Disclosure is a safeguard, not an admission of guilt. Conspiracies require silence and suppression. That's not what's happening here.

One of the most renowned doctors—let alone those aiming for high-volume practice—confidently states a 1% failure rate per year, equating to an 82% survival rate past 20 years. Meanwhile, another con article claims only 52% survival past 20 years. That’s not a small gap, is it?

That said, I’m glad you acknowledged the discrepancy in the end. We’re getting somewhere. Watch Clavell’s podcast with Reena Malik and see for yourself. As for Eid—with all his experience—he said he has only seen one patient make it past 20 years (using the old classic pump). His exact words were, *“It always astonishes me when he comes for follow-up.”* This is a man with over 10,000+ implant procedures.

Now, regarding the idea that *"disclosure debunks any kind of conspiracy"* and *"why Clavell and Eid aren’t fired?"*—have you heard of the concept of relativity? We’re not living in complete lawlessness. Things still have to be *legitimized* through bureaucratic processes.
Moreover, Some representatives have a little room to speak the truth, adding credibility to their statements. It's all relative.
What is certain, however, is that expert opinions don’t align—neither with each other, nor with Miller’s study, nor with patient anecdotes by big fucking gaps.

I’m not saying that a 52% survival rate past 20 years equates to failure—though it is significantly lower..i think closer to ZERO. We’re fortunate to have any solution for a refractory disease; this is a major accomplishment in medicine. Don’t put words in my mouth. My point is that the numbers are a hoax, and there’s no need to sugarcoat them just to feel better about ourselves. What we need is more criticism, especially in a system where the regulator is the one being regulated. Criticism of other warriors in this forum gave me an insight and made me choose an mpp over an ipp.

So at the end still you buy ipp's risk is 1% ? Mpp is what 0% ?

Duke for the love of god stop being so politically correct

Again, you don't know how to read scientific articles. There's a discrepancy because they're two entirely different sets of data aggregated and evaluated under entirely different conditions. You're just a troll. I'm done here.