FrankTalk.org

There is apparently a Malleable implant technique that aims to preserve as much of the original tissue as possible. One part of the technique seem to be implanting while the penis is in an engorged/ erect state (via injections). The benefit is that after implantation and healing stimulation and engorgement adds significant girth (but not length) to a penis with a malleable implant.

https://pubmed.ncbi.nlm.nih.gov/30773500/

Is anyone familiar with this technique or know for sure that they have had this technique done on them?
Is the above the new normal way that most surgeons follow or does it need to be requested specifically?

From the study seems that the technique is a reproducible technique meaning once a surgeon knows how to do it then he can follow the same steps with the same outcome on many patients.

Yep same for IPP
https://pubmed.ncbi.nlm.nih.gov/20092840/
https://academic.oup.com/jsm/article-ab ... 49/7012017

BOTH IPP's

I actually chatted with Dr. Hakky today and he tries to use this technique on all of his patients. One of his patients told me he can get half way erect naturally which is awesome.

For me, I get great engorgment maybe not half way but I am only 4 weeks out so If I am lucky with time I will

I would not expect your full tissue to do the full job though I could be wrong but you essentially have a hole in your corpra's that runs the whole length of your shaft.

Thanks for the reply. I feel like this is such an important topic and not enough known by both patients and many doctors it seems.

I ended up also talking to a high volume surgeon about this and asked him quite a few questions. If anyone would like to know more please post a reply but he basically said the following in a nutshell the way I understand it (keep in mind I asked about malleables)

It comes down to basically 3 things:
1. The amount of (remaining) blood flow you have naturally
2. The correct sizing of the implant especially as it pertains to diameter
3. The skill of surgeon/technique used when implanting.

An interesting point is that he said that choosing a malleable diameter that is too big diameter wise would actually inhibit this natural tumescence since there is no space left around the rods and also more likely to damage the tissue. Which is the opposite of what most patients / inexperienced doctors seem to try and do. Trying to shove a too large or too girthy rod in the penis to maximize lenght/girth is a mistake!!! (In this case)


So basically to optimize post operative tumescence you need the following:
1. Some natural blood flow or respond to PDE5s to some degree
2. No removal/Minimal damage to the tissue inside the penis during implantation
3. Rods that are not so big in diameter that they obstruct the natural blood flow.

So you basically need a surgeon that knows what he is doing.

This is consistent From what I can see from what other members have posted who have had malleables properly implanted. And that you could even take some PDE5 inhibitors to enhance this natural tumescence. Obviously for malleable this adds girth and glans engorgement but not length.

So we already know a too short rod could cause floppy glans
and too long rod could risk erosion
But also too wide diameter could inhibit natural tumescence

I get a natural erection good enough for oral sex. Pumped to max (40 for me) it's rock hard and then when aroused it looks and feels just like my cock did 35 years ago lol. My surgeon spared a lot of tissue.

I think that there is a lot of misunderstanding about the implant operation. Erectile tissue isn't removed. A tapered tool is pushed through it to make a passage. A deflated cylinder is pulled through this passage. It is inflated later.
It sure seems to me that inserting an inflatable implant does less damage than pushing a blunt, full size, solid malleable implant through the tissue.
I can understand not wanting to needlessly damage tissue. But if the tissue was capable of engorging very much. Why are you getting an implant?
Several members have reported having sex with a partial inflated implant & some residual penile engorgement. So I'm thinking this tissue sparing is already being done by most successful drs.

Gt1956 wrote:I think that there is a lot of misunderstanding about the implant operation. Erectile tissue isn't removed..

Amen. There are a number of men that think something is removed to make room for the cylinders, nothing is removed. The unengorged spongy tissue remains, although interrupted to some degree.

For me, I don't get much tumescence naturally. I chalk that up to venous leak. Why would the blood stay in my penis any more now than it did pre implant? It won't. However, when I use VED and pull the blood deeply into my inflated penis using vacuum, I have more girth and much more natural feeling to my penis than without, and it stays there for as long as I need it to.

This is not due to the skill or lack of skill of a surgeon. It's just me and how my body works.

Love or hate Dr Kramer. His YouTube videos were fairly educational.