Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

The final frontier. Deciding when, if and how.
LetoMan
Posts: 274
Joined: Tue Apr 09, 2024 1:25 pm

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby LetoMan » Fri Sep 19, 2025 4:09 pm

JohnnyBorg wrote: If I end up going with the IPP I can only hope to have as successful recovery as yourself!


Uff, my recovery was not pretty. But once I recovered, I’ve been putting it to good use! I hope the same for you, with a better recovery, haha.

Whatever you get, it’s going to be great. I’ll go back to my original advice to you: you may be able to get insight into individual’s experiences here, but this is a tough place to get an answer to your question of which is better for you. Partially because this forum is just not susceptible to that (almost none of us have experience with both, the loudest of us has experience with neither), and partially because for the last few months there has been a lot of unreliable info posted here on this topic.

Talk to your doctor. You have a good one. Free anonymous advice, including this advice from me, is only worth so much.

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.

JohnnyBorg
Posts: 98
Joined: Tue Jul 01, 2025 9:35 am

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby JohnnyBorg » Fri Sep 19, 2025 4:15 pm

tooyoung wrote: And why the hell do you guys talk about revisions as easy peasy projects ? ...let alone you talk about prosthetic infections as a cold flu that's guaranteed to be solved.


Thanks Tooyoung, yeah the revision and infection risk is the BIG hesitation for me. It’s a huge part of my assessment on account of my age and trying to estimate best and worst case scenarios, given my personal case.

I think if I swung for the fences with the IPP and got a bad infection (my worst case scenario) the honest truth is I’d be incredibly bummed out and kicking myself a little bit. I’m a very resilient guy and would be ready to pick up the pieces and move forward: but MAN it would suck.

I do think that with some things in life, you need to be bold and take a little extra risk. But the tricky part is gauging if the reward (device with a true flaccid state, likely best possible rigidity, maybe even gain some size back) is worth that extra risk!

No matter what though - I know that an implant is the right choice for me next. Regardless of outcome, I’ll be proud of myself for just trying to take charge of my situation.
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

JohnnyBorg
Posts: 98
Joined: Tue Jul 01, 2025 9:35 am

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby JohnnyBorg » Fri Sep 19, 2025 4:25 pm

dj_soros wrote:I decided to start with an MPP and hope to get 20+ years out of it. My surgeon was initially a little hesitant, but he also said he felt more comfortable with this plan because “it’s best to have few surgeries as possible” when you’ve got a long time horizon. By the time I ever need a replacement, I’m confident Coloplast will have refined their tubing or overall reliability and hell maybe even something like a Bluetooth-enabled implant will exist by then.

For me, the biggest practical factor was insurance. I didn’t want to risk an IPP lasting less than 12 years and then discover that my job’s health plan wouldn’t cover a replacement, leaving me with a $25k bill. I’ll take that gamble when I’m in my 50s.

I also like the idea that if I ever move to an IPP, it will feel like a real upgrade in both functionality and quality of life, something to look forward to. Going from an IPP back to an MPP, on the other hand, would feel more like a downgrade.

That said, I completely understand why someone would choose the better IPP functionality while they’re still younger. It really is a tough call and everyone has to weigh the trade-offs a little differently.


This is a really great perspective and congratulations on your implant!

Yes dude - insurance is such a pain in the ass. I’m fortunate to have a decent plan but if the procedure ultimately isn’t approved, the MPP I really suspect will come out on top for me. Basically for all the same reasons you stated. I can’t downplay the impact the financial side has on this decision for me.

I think you and ElbowRoom have the inverse perspective when it comes to whether one should start with an IPP or MPP, and both have strong points. Can summarize them like this:

IPP -> MPP = swing for the fences. You might gain back some lost size, and you also might actually better prep the corpora for an MPP later on (ie: TheDriver’s experience with the Genesis). In the end, if it doesn’t work out you have a reliable backup option with the MPP.

MPP -> IPP = you might actually really love the MPP, and if you don’t, you could upgrade later on (and especially if Coloplast has the tubing updated at the time, this could be huge).

Really looking forward to reading more about your experience with your MPP!
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

JohnnyBorg
Posts: 98
Joined: Tue Jul 01, 2025 9:35 am

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby JohnnyBorg » Fri Sep 19, 2025 4:34 pm

ready2go wrote:i typed out a long reply and it was deleted when i went to post it :(
so ill say , i like my malleable , its simple reliable . no excuse me while i go pump . .its stiff . it is not uncomfortable . Concealment issue is overblown by doctors who make more money on ipp's
the one negative is loss of girth . but for $2500,i found an androfill clinic here in the Philippines . so in a few weeks ,ill have my original fat girth back AND a reliable 24/7 hard on .:) just one second to pull him up and it's guaranteed go time .
For me i couldn't fathom all the potential unreliable hardware going inside me ,and the accompanying involved surgery . Then eventually having to do it all over again .
by the way my tactra does not "bend" . cow girl ,reverse cow girl, doggie . all butt cheek slapping good fun .
i cant comment on inflatables since i dont have one . the temptation with a ipp would be the possibility to regain any previous lost size . but i only need to regain girth . and thats coming up shortly .


Hey ready2go, appreciate your comment and yeah ive seen your posts in some of the big malleable threads (DukeCicero’s comes to mind).

The simplicity of the MPP is definitely appealing. And I’m VERY interested in following the outcomes of your girth enhancement! This is something I also have considered, and for me I think it could go a very long way. The procedure I considered was for Urofill, although I know that requires a fairly regular “top up”. I think Hakky offers Urofill but I might be mistaken.

Regardless, I think that a procedure like that to increase girth could go hand in hand with a solid malleable implant. Something for me to keep in mind if I end up going with the MPP but experience poor girth outcomes.
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

JohnnyBorg
Posts: 98
Joined: Tue Jul 01, 2025 9:35 am

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby JohnnyBorg » Fri Sep 19, 2025 4:38 pm

LastHope wrote:If I snagged a good insurance or a Powerball jackpot tomorrow :lol: , I'd only go for the gold-standard IPP until 3 infections knocks me out. That way I can die with my proud MPP (or totally fibrosed corpora) and satisfaction thinking, I tried my 100% best to fight this ED.


Good to see you LastHope :D you commented in one of my other threads too, yeah I really think the insurance approval / rejection is going to have a major impact on my decision. But in the end, no matter the choice I just wanna try DOING SOMETHING about it finally!
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

JohnnyBorg
Posts: 98
Joined: Tue Jul 01, 2025 9:35 am

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby JohnnyBorg » Fri Sep 19, 2025 4:46 pm

LetoMan wrote:
JohnnyBorg wrote: If I end up going with the IPP I can only hope to have as successful recovery as yourself!


Uff, my recovery was not pretty. But once I recovered, I’ve been putting it to good use! I hope the same for you, with a better recovery, haha.

Whatever you get, it’s going to be great. I’ll go back to my original advice to you: you may be able to get insight into individual’s experiences here, but this is a tough place to get an answer to your question of which is better for you. Partially because this forum is just not susceptible to that (almost none of us have experience with both, the loudest of us has experience with neither), and partially because for the last few months there has been a lot of unreliable info posted here on this topic.

Talk to your doctor. You have a good one. Free anonymous advice, including this advice from me, is only worth so much.

Be well,
Leto



Thanks for the perspective Leto - the “ Whatever you get, it’s going to be great” perspective is one I’m trying to keep reminding myself of. I’m just glad that I’m trying to do something about my ED. Even if I end up going with an MPP and end up losing size - even though I’m already a smaller dude! - I’ll still be able to be proud, because ANYTHING is better than Mr. Floppy I’ve been dealing with my whole life :lol:

And yeah im really looking to run my perspectives by Hakky in early October and get his feedback. I trust his experience and perspectives on it all.

Cheers man
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

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Wooody
Posts: 181
Joined: Mon Jan 27, 2025 3:04 pm
Location: Bay Area, CA

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby Wooody » Fri Sep 19, 2025 6:52 pm

tooyoung wrote:
Maybe if I were a medicared 70 y/o swinger I would've cheerled but it would make me a cheap asshole if I tried to dismiss young men trying to reclaim their lives or avoid suicide.

But again if you are one of those who don't think much about tommorrow then ipp might fit you more.


Why do you have to add this shit to your post? Up to that point you were rational and respectful to the OP and other forum members. Then you make it about putting down others.

No one has been dismissing young men trying to reclaim their lives or avoid suicide. Knock it off. I see members trying to answer questoins and sharing experiences and opinions.

When mark1974 said he was researching euthanasia after getting his MPP, the brotherhood here tried to help him. Yes, even the "medicared 70 y/o swingers" tried to help.

Can't you see that many of us are here, after our surgeries, to share our experiences? And yes many of us cheerlead because we've changed our lives and overcame ED with an implant and are LOVING IT! That's a bad thing?

We're also here to help those who have questions. I'm not going to be here much longer though, especially dealing with posters like you. I'm going to go live my life, away from ED problems and subjects.

There's a ton of other posters that are MIA that I saw regularly 6 months, 12 months ago, years and years ago when I look back in time on this forum. Why aren't they around? You think if they had problems and needed revisions they wouldn't come back here? They are out enjoying themselves - problem free.

Everyone with problems, newly implanted, and those considering implants are here regularly.. and a very few old timers that pop in and out.. but they are unicorns, as you say.

You don't think we think about tomorrow? I guarantee you everyone here thinks about tomorrow. What a BS thing to say.

To JohnnyBorg: Sorry for all this "fog", as tooyoung would say, in your thread.

Good luck to you future brother!
Titan Classic 22cm + 1cm RTEs - 2/25 - Dr Karpman, Bay Area CA

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ElbowRoom
Posts: 630
Joined: Mon Mar 17, 2025 1:58 pm

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby ElbowRoom » Fri Sep 19, 2025 8:44 pm

tooyoung wrote:
I'm not talking about fake compassion like wishing mark1974 good luck and expressing how sad they feel about him...real compassion I'm refering to is not poping out everytime and creating a fog with every critical appraisal attempt.


Why are you like this? Everybody’s compassion is fake because you say so, and you’re the only person here with genuine feelings? Why can’t you just let others be happy, even people who make choices you don’t agree with and somehow still like those choices?
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.

dj_soros
Posts: 19
Joined: Fri Apr 04, 2025 1:18 pm

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby dj_soros » Fri Sep 19, 2025 8:45 pm

LetoMan wrote:
You can’t even really know if there *is* an mpp crowd. Certainly some of them are not the troll, Duke Cicero springs to mind, and I don’t think Last Hope or Ready2Go are either, but how can you know?

You mentioned this is happening on Reddit, too. I briefly perused the Reddit ED boards about a year ago, and noticed that it was a cesspool full of disinformation trolls. Just absolute tons of them. I started suggesting to real sufferers that they go to FrankTalk instead. But apparently that has all followed us here.




This is such a wild and almost insulting take.
Tooyoung has already responded before me so I guess me also jumping is "more proof". Whatever, I'll play the role I was given.

Just two new people, neisseriaceae and myself, within the past three weeks, happened to express contentment or rationale for MPPs for our specific situations, and suddenly you believe this site has been infiltrated by an army of trolls. So fragile...

You're also almost implying that MPPs are so idiotic that almost anyone who suggests or opts for one isn't in their right mind and should be suspected of trolling until proven otherwise. What exactly passes your sniff test? Neisseriaceae has provided pictures and solid evidence dating back to 2013, yet he's still somehow an alt account. Duke_Cicero never posted pictures of himself, but I guess he checks out because he defended IPP reliability against Tooyoung months ago. My reasons for choosing an MPP are pretty much the same as Duke's, yet I'm a troll...

So as long as someone introduces themselves and at least considers an IPP or airs some pro-IPP sentiment or MPP hesitancy, then they're cleared of suspicion? Future trolls, take notes!

Your perceptions are delusional and somewhat cultish. Why isn't JohnnyBorg considered an alt? This post could be a long con to invite MPP trolls, disguised under the guise of considering an IPP to not trigger LetoMan's paranoia. Granted, I guess he did follow the protocol! But as you said with AI anyone can be an imposter! Again, easymoney can confirm my activity but he could be an imposter too!?!

Were you only expecting pro-IPP comments even though he's considering BOTH options? Yet me providing my input is considered suspicious. How dare I attend the open house!

I also don't know what you're talking about regarding Reddit. I've browsed the ED subreddit DAILY for nearly the past two years, hoping someone would find a "cure." It's mostly no-fappers, anti-porn puritans, people recycling the same BS herbal cocktail remedies, and endless "is my ED physical or psychological/what should I do?" posts. Many users there seem anti-implant and believe they can cure their (presumably organic) ED by not touching their penis for 90-100000+ days, altering their hormones, or with some other non clinically backed treatment. I wouldn't consider that trolling, but being misguided. But I guess difference of opinion or viewpoint is considered trolling in your eyes.
27. Rigicon MPP. Recovering

ready2go
Posts: 712
Joined: Fri Aug 25, 2023 7:47 pm

Re: Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

Postby ready2go » Fri Sep 19, 2025 9:49 pm

JohnnyBorg wrote:
ready2go wrote:i typed out a long reply and it was deleted when i went to post it :(
so ill say , i like my malleable , its simple reliable . no excuse me while i go pump . .its stiff . it is not uncomfortable . Concealment issue is overblown by doctors who make more money on ipp's
the one negative is loss of girth . but for $2500,i found an androfill clinic here in the Philippines . so in a few weeks ,ill have my original fat girth back AND a reliable 24/7 hard on .:) just one second to pull him up and it's guaranteed go time .
For me i couldn't fathom all the potential unreliable hardware going inside me ,and the accompanying involved surgery . Then eventually having to do it all over again .
by the way my tactra does not "bend" . cow girl ,reverse cow girl, doggie . all butt cheek slapping good fun .
i cant comment on inflatables since i dont have one . the temptation with a ipp would be the possibility to regain any previous lost size . but i only need to regain girth . and thats coming up shortly .


Hey ready2go, appreciate your comment and yeah ive seen your posts in some of the big malleable threads (DukeCicero’s comes to mind).

The simplicity of the MPP is definitely appealing. And I’m VERY interested in following the outcomes of your girth enhancement! This is something I also have considered, and for me I think it could go a very long way. The procedure I considered was for Urofill, although I know that requires a fairly regular “top up”. I think Hakky offers Urofill but I might be mistaken.

Regardless, I think that a procedure like that to increase girth could go hand in hand with a solid malleable implant. Something for me to keep in mind if I end up going with the MPP but experience poor girth outcomes.


I'm pretty sure I read dr Pietro ? say that those with an implant ,tend to retain the HA fillers longer .so that's good.
and mentally, im ready to get that done this week.
But fock me , I'm recovered enough from the snapped ankle from last October to be able to get around unassisted., then unbelievable bad luck . On the veranda ,i have this kitten i rescued ,its [was] a rambunctious little troublemaker . Fake attacks me when i go out ,gets into everything.etc .
It's black and was laying on a black t shirt and I stepped on it full body weight .she screamed ,I jumped , she jumped, and what are the odds ? i stepped hard on her again.
This time i fell backwards off the elevated veranda floor . hit my head on the concrete fence and royally fucked my back up . i have a pinched nerve now for 2 days and its not getting better . i managed to go outside, and the kitten didn't make it .
But now i have to wait for this new shiite to be done with , before i can go anywhere .although it was good news to find an androfill incountry . one relatively short plane ride from one island to another
ok rant over .
anyways , i think we have 2 good choices between the ipp and mpp
for me the mpp being "readyto go " :) 24/7 was appealing to me .
and i am happy with aspect .
the ipp sounds good, with members reporting it can be pumped hard as a rock . and some reporting gaining back their pre-op size .
But it has that one caveat of it malfunctioning and when, no one knows .
i hope these implant companies get their act together . and make tubes that don't come off or leak , pumps that don't stick and fail. And cylinders that don't spring
leaks . Either way good luck with whatever type you choose .
American , retired in the philippines .
tactra malleable 13 mm ,in new delhi India . on april 2024


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