Revision from Genesis to Tactra Malleable

The final frontier. Deciding when, if and how.



ready2go
Posts: 384
Joined: Fri Aug 25, 2023 7:47 pm

Re: Revision from Genesis to Tactra Malleable

Postby ready2go » Fri Mar 21, 2025 12:14 am

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 cant speak on ipp ,but can share experience with a tactra malleable .
i had a pinay fwb before i got the implant and was using supplements/pills at the time with good effect . She had an expat "partner" that would leave for half a year and needed some attention while he was away . Mentioned to point out the break in activities .
we did it all over the place ,including the flat rooftop area at night ,which she loved .
her favorite position was ridding on top . but before the malleable, that was one position for me where i lost some hardness , but still good enough for her to finish .
After the implant[i did not tell her i had one ] ,when she wanted to ride on top she would do so until she came and kept going to repeat that 2 more times .
Zero complaints of " unsatisfied"from her, zero .
i actually had to stop seeing her due to her "toxic " attitude to others and her crazy jealously . i had lost girth with the implant, but she didnt notice .
the same with another girl i had met a year or so before and hadn't seen again until after the implant.
i read those studies that just list percent numbers and no patient comments directly .
try your own study bt asking men who have a malleable and get the answer directly from the source .
the last girls complaint i was with was that "my dick was hard like a teenager"
is that unsatisfactory?

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

Re: Revision from Genesis to Tactra Malleable

Postby LastHope » Fri Mar 21, 2025 1:07 am

ready2go 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 cant speak on ipp ,but can share experience with a tactra malleable .
i had a pinay fwb before i got the implant and was using supplements/pills at the time with good effect . She had an expat "partner" that would leave for half a year and needed some attention while he was away . Mentioned to point out the break in activities .
we did it all over the place ,including the flat rooftop area at night ,which she loved .
her favorite position was ridding on top . but before the malleable, that was one position for me where i lost some hardness , but still good enough for her to finish .
After the implant[i did not tell her i had one ] ,when she wanted to ride on top she would do so until she came and kept going to repeat that 2 more times .
Zero complaints of " unsatisfied"from her, zero .
i actually had to stop seeing her due to her "toxic " attitude to others and her crazy jealously . i had lost girth with the implant, but she didnt notice .
the same with another girl i had met a year or so before and hadn't seen again until after the implant.
i read those studies that just list percent numbers and no patient comments directly .
try your own study bt asking men who have a malleable and get the answer directly from the source .
the last girls complaint i was with was that "my dick was hard like a teenager"
is that unsatisfactory?


This Tactra study blows those questionnaire studies out of the water. Seriously, Duke and Ready2go are doing true blinded studies as their dates don't know about the implant! Well done guys.

easymoney
Posts: 807
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Revision from Genesis to Tactra Malleable

Postby easymoney » Fri Mar 21, 2025 10:57 am

I think any brand malleable will work as good as any other in the end. I think cock size and thickness of rods plays into the equation also. I have 13mm rods which is one step under 14mm which is the largest size rigicon makes. When asked about size loss etc .. I tell guys to get some tubing that measures 13mm or 12 ...or 11mm tape two pieces together with a chopstick in between and it will give you an idea of girth size.
Rigicon since 6-2023 happy to share my experience and do show and tell

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

Re: Revision from Genesis to Tactra Malleable

Postby LastHope » Fri Mar 21, 2025 1:11 pm

easymoney wrote:I think any brand malleable will work as good as any other in the end. I think cock size and thickness of rods plays into the equation also. I have 13mm rods which is one step under 14mm which is the largest size rigicon makes. When asked about size loss etc .. I tell guys to get some tubing that measures 13mm or 12 ...or 11mm tape two pieces together with a chopstick in between and it will give you an idea of girth size.


Agree 100%. On the flipside, if undersized by a surgeon, even the most rigid malleable will feel floppy either on the glans or on the base.

jwitten567
Posts: 101
Joined: Thu May 25, 2023 12:24 pm

Re: Revision from Genesis to Tactra Malleable

Postby jwitten567 » Fri Mar 21, 2025 3:26 pm

LastHope wrote:
jwitten567 wrote:would you recommend tactra over an inflatable implant (700 series)?

i got infection 2 months ago and now with genesis. Am offered surgery date in 3 weeks to go back to a inflatable implant, but contemplating options.


Hi, jwitten567, sorry to hear this. Hope everything works out soon. Just for context, may I ask what you don’t like about your Genesis? Is it the rigidity aspect, or was it a conservative sizing choice by your surgeon to let your infection heal with less corporal pressure?


i think the sizing is appropriate in terms of length, it goes to the middle of the glans similar to my inflatable implant before. the Girth is the biggest thing. I got 11 mm now and that may have been because of the infection. I'm figuring out whether to ask for the malleable to 13 mm size (either tactra or rigicon) or go back to inflatable. I had ams and titan before, and the ams was much more natural and i liked. I'm leaning towards going back to inflatable, but always worried about infection since this will be my 4th implant now.
Radical Prostatectomy in 2015; failed pills, straight to Coloplast Titan in 2019 by Dr. Valenzuela; Replaced with AMS 700 CX in 2022 by Dr. Patel in San Diego. Infection after fat grafting injections in Mexico - now with Genesis Malleable, 2024.

tooyoung
Posts: 7
Joined: Sat Feb 01, 2025 12:46 pm

Re: Revision from Genesis to Tactra Malleable

Postby tooyoung » Fri Mar 21, 2025 3:42 pm

jwitten567,

How's your experience with the 11mm genesis? Are you able to penetrate without much buckling ? Are different positions feasible ? Have you recieved any comments from your partner about girth ?

Thanks in advance for you feedback!

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

Re: Revision from Genesis to Tactra Malleable

Postby LastHope » Fri Mar 21, 2025 4:42 pm

jwitten567 wrote:
LastHope wrote:
jwitten567 wrote:would you recommend tactra over an inflatable implant (700 series)?

i got infection 2 months ago and now with genesis. Am offered surgery date in 3 weeks to go back to a inflatable implant, but contemplating options.


Hi, jwitten567, sorry to hear this. Hope everything works out soon. Just for context, may I ask what you don’t like about your Genesis? Is it the rigidity aspect, or was it a conservative sizing choice by your surgeon to let your infection heal with less corporal pressure?


i think the sizing is appropriate in terms of length, it goes to the middle of the glans similar to my inflatable implant before. the Girth is the biggest thing. I got 11 mm now and that may have been because of the infection. I'm figuring out whether to ask for the malleable to 13 mm size (either tactra or rigicon) or go back to inflatable. I had ams and titan before, and the ams was much more natural and i liked. I'm leaning towards going back to inflatable, but always worried about infection since this will be my 4th implant now.


If I got infected today and had to choose between Rigicon and Tactra, I’d pick Rigicon for its hydrophilic coating, which studies show reduces the odds of infection by a greater percentage.

However, if you are really really bent on getting another IPP, I want to share something that is encouraging by Dr. Clavell. Please see attached.
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duke_cicero
Posts: 248
Joined: Tue May 28, 2024 2:58 pm

Re: Revision from Genesis to Tactra Malleable

Postby duke_cicero » Fri Mar 21, 2025 6:23 pm

LastHope wrote:
jwitten567 wrote:
LastHope wrote:
Hi, jwitten567, sorry to hear this. Hope everything works out soon. Just for context, may I ask what you don’t like about your Genesis? Is it the rigidity aspect, or was it a conservative sizing choice by your surgeon to let your infection heal with less corporal pressure?


i think the sizing is appropriate in terms of length, it goes to the middle of the glans similar to my inflatable implant before. the Girth is the biggest thing. I got 11 mm now and that may have been because of the infection. I'm figuring out whether to ask for the malleable to 13 mm size (either tactra or rigicon) or go back to inflatable. I had ams and titan before, and the ams was much more natural and i liked. I'm leaning towards going back to inflatable, but always worried about infection since this will be my 4th implant now.


If I got infected today and had to choose between Rigicon and Tactra, I’d pick Rigicon for its hydrophilic coating, which studies show reduces the odds of infection by a greater percentage.

However, if you are really really bent on getting another IPP, I want to share something that is encouraging by Dr. Clavell. Please see attached.


10th revision? Holy shit!
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

ready2go
Posts: 384
Joined: Fri Aug 25, 2023 7:47 pm

Re: Revision from Genesis to Tactra Malleable

Postby ready2go » Fri Mar 21, 2025 11:42 pm

easymoney wrote:I think any brand malleable will work as good as any other in the end. I think cock size and thickness of rods plays into the equation also. I have 13mm rods which is one step under 14mm which is the largest size rigicon makes. When asked about size loss etc .. I tell guys to get some tubing that measures 13mm or 12 ...or 11mm tape two pieces together with a chopstick in between and it will give you an idea of girth size.


well that gives you the girth of the rods ,but you need to add in the flesh of the penis surrounding the rods . Which you can not calculate and the reason for
loss of girth is the method of the implant insertion .
the diolators destroy the corpora cavernosa .
Personally, i can feel that from 25% above the lower shaft there is little left of that material .
on the diameter of the rods , you can add the 2 together and look up the circumference in mm then change to inches . If i remember right , 2x13 -26 mm into inches is 3.21 inch girth . yikes who wants that ? 2 -14 mm rods is 3.46 . 1/4 of an more, which actually makes a significant amount of difference on a penis .
But then the guessing game of what left over of the flesh surrounding the rods after the implant .
i tried to find a recommended rod size to match current penis girth before I had the implant, and I don't think there is such a calculation chart available

jwitten567
Posts: 101
Joined: Thu May 25, 2023 12:24 pm

Re: Revision from Genesis to Tactra Malleable

Postby jwitten567 » Mon Mar 24, 2025 4:09 pm

LastHope wrote:
jwitten567 wrote:
LastHope wrote:
Hi, jwitten567, sorry to hear this. Hope everything works out soon. Just for context, may I ask what you don’t like about your Genesis? Is it the rigidity aspect, or was it a conservative sizing choice by your surgeon to let your infection heal with less corporal pressure?


i think the sizing is appropriate in terms of length, it goes to the middle of the glans similar to my inflatable implant before. the Girth is the biggest thing. I got 11 mm now and that may have been because of the infection. I'm figuring out whether to ask for the malleable to 13 mm size (either tactra or rigicon) or go back to inflatable. I had ams and titan before, and the ams was much more natural and i liked. I'm leaning towards going back to inflatable, but always worried about infection since this will be my 4th implant now.


If I got infected today and had to choose between Rigicon and Tactra, I’d pick Rigicon for its hydrophilic coating, which studies show reduces the odds of infection by a greater percentage.

However, if you are really really bent on getting another IPP, I want to share something that is encouraging by Dr. Clavell. Please see attached.


i actually met with the doctor today and decided to move forward with another AMS 700 implant. Scheduled for surgery next month. Been doing a lot of questioning recently about my choices and think its the right thing for me.

I have no problem undergoing the revision surgery. The infection stemmed from my own doing (getting fat injections in Mexico that went south). All faith in my surgeon after a very detailed discussion of malleable vs inflatable and the different brands (coloplast, ams, rigi con). For me the AMS makes the most sense. wish me luck its been quite a journey this year!
Radical Prostatectomy in 2015; failed pills, straight to Coloplast Titan in 2019 by Dr. Valenzuela; Replaced with AMS 700 CX in 2022 by Dr. Patel in San Diego. Infection after fat grafting injections in Mexico - now with Genesis Malleable, 2024.


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