Injections still work. Pull the implant trigger?

The final frontier. Deciding when, if and how.



splitpeach
Posts: 141
Joined: Fri Nov 22, 2024 7:43 pm

Re: Injections still work. Pull the implant trigger?

Postby splitpeach » Fri Mar 21, 2025 6:57 am

LastHope wrote:
splitpeach wrote:But then that would surely just mean you're undersized laterally?


It all hinges on your corporal diameter. If your surgeon can measure and only safely and snugly dilate up to 9mm, you’ll get 9mm MPP cylinders, that’s spot-on sizing. My upper limit was 13mm, and he wasn’t able to dilate beyond that. That’s also spot-on sizing.

With MPP, the surgeon has to bend the rods to fit snugly within the corpora. MPP isn’t for monster dicks since their rod sizes are limited, capping at a 13mm diameter. However, if you naturally measure around 9-13mm, you’re a potential candidate to reap the benefits of MPP.

But if you’re clocking in way over 13mm, like close to 21mm, you may be better off taking the IPP route. A competent surgeon can evaluate your anatomy for these considerations.


I'm sorry, I'm not sure I understand. The way I see it if you draw two perfect circles next to each other, the diameter of both circles combined (width) will be double that of the height of just one circle (height).

This is the cross section of the corpora cavernosum and implants. The width is double that of the height creating a flat elongated width.

This can only be rounded off by the urethra being engorged.

I don't see how an MPP changes that over an IPP
Mid 30s. UK. ED since mid teens. Done the pills, injections, P Shot, Gainswave, ESWT shockwave.

Now preparing to take the plunge under care of Professor Ralph at UCLH. Planning on a Rigicon Infla10 AX with Pulse pump.

LastHope
Posts: 1200
Joined: Sun Feb 18, 2024 1:26 am

Re: Injections still work. Pull the implant trigger?

Postby LastHope » Fri Mar 21, 2025 9:10 am

MPP 13+13 = 26mm max
AMS IPP 18+18 = 36mm max
Titan IPP 21+21= 42mm max

MPP diameters are fixed with a set limit, whereas IPPs allow for girth expansion. With regular cycling, IPPs gradually stretch your tunica albuginea up to its elasticity threshold. This can lead to a pronounced "surfboard" appearance in some individuals. Consider a snug fit 42mm vs 26mm width, one will appear overly broad compared to other.

splitpeach
Posts: 141
Joined: Fri Nov 22, 2024 7:43 pm

Re: Injections still work. Pull the implant trigger?

Postby splitpeach » Fri Mar 21, 2025 9:15 am

LastHope wrote:MPP 13+13 = 26mm max
AMS IPP 18+18 = 36mm max
Titan IPP 21+21= 42mm max

MPP diameters are fixed with a set limit, whereas IPPs allow for girth expansion. With regular cycling, IPPs gradually stretch your tunica albuginea up to its elasticity threshold. This can lead to a pronounced "surfboard" appearance in some individuals. Consider a snug fit 42mm vs 26mm width, one will appear overly broad compared to other.


I don't see how the variable diameters change anything, it's the proportions that matter.

The width of two rods side by side is double that of one rod in height. You're always going to have a dick that is twice the width as it is high.

The only difference is the soft tissue underneath (I.e. the urethra) that rounds this shape off.

Im just failing to see why slimmer rods make any difference to that.
Mid 30s. UK. ED since mid teens. Done the pills, injections, P Shot, Gainswave, ESWT shockwave.

Now preparing to take the plunge under care of Professor Ralph at UCLH. Planning on a Rigicon Infla10 AX with Pulse pump.

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thedriver
Posts: 294
Joined: Sun Jan 24, 2021 8:56 am

Re: Injections still work. Pull the implant trigger?

Postby thedriver » Sun Mar 23, 2025 8:11 am

splitpeach wrote:
LastHope wrote:MPP 13+13 = 26mm max
AMS IPP 18+18 = 36mm max
Titan IPP 21+21= 42mm max

MPP diameters are fixed with a set limit, whereas IPPs allow for girth expansion. With regular cycling, IPPs gradually stretch your tunica albuginea up to its elasticity threshold. This can lead to a pronounced "surfboard" appearance in some individuals. Consider a snug fit 42mm vs 26mm width, one will appear overly broad compared to other.


I don't see how the variable diameters change anything, it's the proportions that matter.

The width of two rods side by side is double that of one rod in height. You're always going to have a dick that is twice the width as it is high.

The only difference is the soft tissue underneath (I.e. the urethra) that rounds this shape off.

Im just failing to see why slimmer rods make any difference to that.


If you put 2 IPP implants in and start to inflate them, as they get wider (side by side) the top will flatten out more with every pump you give it, just my analogy, I have had both IPP and MPP now and both the wifey and I really notice that difference the 2 of them in that aspect.
And sort of on that same subject the biggest difference I personally note every time I jump the wifey is more sensitivity and engorgement in the glans area.
And like I said in other posts, maybe I was over pumping the IPP to where I was cutting off some circulation to the glans area,,,,, but if you can't pump it to the max and still have enough feeling in the glans area to orgasm,,, I'll still pass on it and stick with the MPP.
And before anyone shoots the question on loss of girth,,, I lost about 1/4 to 1/2 inch in girth going to the MPP, and no loss of length at all.
And like Lasthope, there is nothing wrong with a variety toys to mix into the play, the wifey has more toys, vibes, machines, slutty outfits than most porn stars would have, and a imagination that will blow a mans mind.
Just sort of my take on it all.
After 4 Titan IPP failures within 4 years I finally wised up and went to the Malleable Genesis 23cm- 13mm implanted 2-1-24 and no regrets so far.
For those that are asking, I'm going to change the wifeys avatar weekly.

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thedriver
Posts: 294
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Re: Injections still work. Pull the implant trigger?

Postby thedriver » Sun Mar 23, 2025 8:29 am

And one last note,,, I don't know how some of you guys are sticking needles into your dicks, sends a shiver up my spine just reading it, I would try to convince my Doctor in anyway possible to install a PP one way or another before doing that with the chance of permanent damage and scar tissue creating a problem for a PP installation in the future.
Good luck you guys.
After 4 Titan IPP failures within 4 years I finally wised up and went to the Malleable Genesis 23cm- 13mm implanted 2-1-24 and no regrets so far.
For those that are asking, I'm going to change the wifeys avatar weekly.

splitpeach
Posts: 141
Joined: Fri Nov 22, 2024 7:43 pm

Re: Injections still work. Pull the implant trigger?

Postby splitpeach » Sun Mar 23, 2025 8:14 pm

thedriver wrote:
splitpeach wrote:
LastHope wrote:MPP 13+13 = 26mm max
AMS IPP 18+18 = 36mm max
Titan IPP 21+21= 42mm max

MPP diameters are fixed with a set limit, whereas IPPs allow for girth expansion. With regular cycling, IPPs gradually stretch your tunica albuginea up to its elasticity threshold. This can lead to a pronounced "surfboard" appearance in some individuals. Consider a snug fit 42mm vs 26mm width, one will appear overly broad compared to other.


I don't see how the variable diameters change anything, it's the proportions that matter.

The width of two rods side by side is double that of one rod in height. You're always going to have a dick that is twice the width as it is high.

The only difference is the soft tissue underneath (I.e. the urethra) that rounds this shape off.

Im just failing to see why slimmer rods make any difference to that.


If you put 2 IPP implants in and start to inflate them, as they get wider (side by side) the top will flatten out more with every pump you give it, just my analogy, I have had both IPP and MPP now and both the wifey and I really notice that difference the 2 of them in that aspect.
And sort of on that same subject the biggest difference I personally note every time I jump the wifey is more sensitivity and engorgement in the glans area.
And like I said in other posts, maybe I was over pumping the IPP to where I was cutting off some circulation to the glans area,,,,, but if you can't pump it to the max and still have enough feeling in the glans area to orgasm,,, I'll still pass on it and stick with the MPP.
And before anyone shoots the question on loss of girth,,, I lost about 1/4 to 1/2 inch in girth going to the MPP, and no loss of length at all.
And like Lasthope, there is nothing wrong with a variety toys to mix into the play, the wifey has more toys, vibes, machines, slutty outfits than most porn stars would have, and a imagination that will blow a mans mind.
Just sort of my take on it all.


But as you inflate the implants don't just get wider, the height increases at the same ratio. So the proportions remain the same.

Irrespective of inflation or the size or type of implant you'll still have two cylinders side by side that are twice as wide as they are tall.

The only thing that reduces that flat look is engorgement of the urethra.

Penile injections were daunting at first but I've become very comfortable with them. But I am becoming tired of them.

Im not sure if you've mentioned this but do you get any natural erection at all with your implant in?
Mid 30s. UK. ED since mid teens. Done the pills, injections, P Shot, Gainswave, ESWT shockwave.

Now preparing to take the plunge under care of Professor Ralph at UCLH. Planning on a Rigicon Infla10 AX with Pulse pump.

ElbowRoom
Posts: 41
Joined: Mon Mar 17, 2025 1:58 pm

Re: Injections still work. Pull the implant trigger?

Postby ElbowRoom » Mon Mar 24, 2025 8:33 pm

I'm in a similar boat. Trimix still works well for a couple of hours. I still get morning erections, sometimes quite hard but as soon as I start moving around away it goes. I've had ED off an on since my 20s, but now there is no life in the old guy without assistance.

Injections are spontaneity killers. I've been using them for a decade or so, and even with an understanding partner it just sucks having to schedule your sex sessions. Also you can't just go do something else when it's over (at least, I can't)...the effects will last 2-3 hours for me so I'm housebound until I'm sure the erection will go away.

I've done a ton of research and I have had consults with Dr. Clavell and Dr. Hakky. Both seem great, but Hakky is local to me so I'd probably have him do the surgery. He did a doppler on my penis and there's no scarring and I'm straight as an arrow, but the measured blood flow numbers were pretty bad.

The IPP seems like the right solution, it's just hard to make such a momentous decision knowing that it's a one-way trip.
58yo in good shape looking at Coloplast Titan. Tri-Mix still works but is a drag.

ragingbull
Posts: 106
Joined: Fri Jul 26, 2024 10:24 pm

Re: Injections still work. Pull the implant trigger?

Postby ragingbull » Mon Mar 24, 2025 8:45 pm

ElbowRoom wrote:I'm in a similar boat. Trimix still works well for a couple of hours. I still get morning erections, sometimes quite hard but as soon as I start moving around away it goes. I've had ED off an on since my 20s, but now there is no life in the old guy without assistance.

Injections are spontaneity killers. I've been using them for a decade or so, and even with an understanding partner it just sucks having to schedule your sex sessions. Also you can't just go do something else when it's over (at least, I can't)...the effects will last 2-3 hours for me so I'm housebound until I'm sure the erection will go away.

I've done a ton of research and I have had consults with Dr. Clavell and Dr. Hakky. Both seem great, but Hakky is local to me so I'd probably have him do the surgery. He did a doppler on my penis and there's no scarring and I'm straight as an arrow, but the measured blood flow numbers were pretty bad.

The IPP seems like the right solution, it's just hard to make such a momentous decision knowing that it's a one-way trip.


How do surgeons nail down the right Trimix dose for a full erection before a Doppler test when someone has never tried injections? I always wondered.

ragingbull
Posts: 106
Joined: Fri Jul 26, 2024 10:24 pm

Re: Injections still work. Pull the implant trigger?

Postby ragingbull » Mon Mar 24, 2025 8:46 pm

Does Trimix cause the glans and spongiosm to be erect as well?

LetoMan
Posts: 151
Joined: Tue Apr 09, 2024 1:25 pm

Re: Injections still work. Pull the implant trigger?

Postby LetoMan » Mon Mar 24, 2025 9:23 pm

I skipped injections, and went straight to IPP a bit under a year ago. So I can’t compare to injections. What I can say is that for me implant is the absolute best. I can’t imagine how injections could possible be better.

We all *only* have our own experience to rely on. For me, implant is the absolute best.

One of the downsides of this site is that there are a lot of guys who fetishize a lot of stuff (myself included). The vast majority of implanted dudes are not on this site, they are off fucking somewhere and reporting very high levels of satisfaction. But here, there are a bunch of guys with strong opinions on one thing or another.

Malleable versus inflatable? I’d make the decision on what works for you in consultation with your doctor. Personally, I don’t think there is that much difference one way or the other. Most of the guys with IPPs seem to feel similarly, whereas there is a small contingent of MPP enthusiasts that are very vocal about how vastly superior their MPP is to something they’ve mostly never experienced! Frankly, it seems like the main draw to the minority that choose the mpp is being contrarian, lol. (I’m obviously joking, they picked it for their own reasons. But they do seem awfully intent on proving to everyone that they made the superior choice).

Bottom line: if you’ve been struggling with ED your whole life and have a healthy sex drive, either implant is probably going to be amazing. Not marginally better or worse than injections, just completely different ball game better. The confidence that comes from “hard on demand” is the polar opposite from what you have experienced your whole life. The implant is a game changer. I shoulda got it when I was a teenager. IPP, MPP, one competent doc vs. another competent doc… none of that really matters in the end. What matters is the vast majority of guys report high levels of satisfaction because very few have complications and most have super hard on demand erections for as long as they want. If that is appealing to you, I would go for it.

But YMMV. There are certainly dudes here with complaints. But that doesn’t show up in the overall satisfaction reported.

Be well,
Leto
50. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.


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