Mechanical failure study...very interesting..

The final frontier. Deciding when, if and how.
Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Mechanical failure study...very interesting..

Postby Mark1974 » Thu Jan 11, 2024 9:41 pm

https://www.auajournals.org/doi/abs/10. ... 0003352.10

This is a study involving 1105 implants. It's only one study, but that is a big sample

2 things of significant interest to me were that
(a) median time to revision for AMS was only 2 years and average time for Coloplast was only 4 years
(b) Coloplast was twice as durable as the AMS

Again, it's just one study, but I wasn't expecting those results
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH

Franklin22
Posts: 158
Joined: Sun Apr 16, 2023 1:40 pm

Re: Mechanical failure study...very interesting..

Postby Franklin22 » Thu Jan 11, 2024 10:14 pm

This is interesting. Sounds like the 10 year expectation of an implant lasting is nothing more than a pipe dream. It makes sense, still haven’t seen anyone on this site post with an implant 10 years older or more.
42 distal corporal fibrosis., Have used viagra, Cialis, and injections. Implanted 7-12-23 apart of the #Clavellnation
Titan
22 cm

Craigohbig
Posts: 290
Joined: Sun Aug 22, 2021 7:03 am

Re: Mechanical failure study...very interesting..

Postby Craigohbig » Thu Jan 11, 2024 10:21 pm

I’m youngish…I can’t imagine going through the 10-12 week recovery 10-12 more times
42 ED for 9 years vl after a fall. Pre implant 8 1/4 bp x 6 1/8 ish
Clavell titan 26+1 rte…post op very excited: 8 5/8” x 6 1/4” (7” base)
Starting to lose some length

Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Mechanical failure study...very interesting..

Postby Mark1974 » Thu Jan 11, 2024 10:29 pm

I agree

However one must clarify that out of 1105 surgeries 76 of those were mechanical failure revisions and that is averages that they determined

Of those 76 the numbers were as stated above

I was going in the direction of AMS CX for my first implant, but I think this changed my mind
Last edited by Mark1974 on Thu Jan 11, 2024 10:43 pm, edited 2 times in total.
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH

Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Mechanical failure study...very interesting..

Postby Mark1974 » Thu Jan 11, 2024 10:35 pm

Craigohbig wrote:I’m youngish…I can’t imagine going through the 10-12 week recovery 10-12 more times

I would try to use your implant conservatively

I wouldn't over-cycle after the initial recommended period, do VED or pump it up to masturbate more than once-twice a week or have sex more than maybe 3x a week

I'm going to try to research if there are ways to mitigate pump failures in Titans. It sounds like AMS have multiple failure points that make them even more vulnerable
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH

ThailandBound
Posts: 966
Joined: Fri Dec 16, 2022 5:32 pm

Re: Mechanical failure study...very interesting..

Postby ThailandBound » Thu Jan 11, 2024 10:50 pm

Interesting. Dr. Clavell mentions in one of his videos that the devices (not sure which) are lab tested to 55,000 cycles. He goes on to mention how most men in their lifetimes will not come close to this number.

This forum has been here for years with hundreds of guys getting implants, writing their stories, then disappearing. My speculation is that many would be eager to come here for revision support, but we just don’t see that many. Some, just not an amount that would reflect 2 - 4 year failures. Anecdotal, i know.
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.

newbie443
Posts: 1930
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Mechanical failure study...very interesting..

Postby newbie443 » Thu Jan 11, 2024 10:54 pm

Franklin22 wrote:This is interesting. Sounds like the 10 year expectation of an implant lasting is nothing more than a pipe dream. It makes sense, still haven’t seen anyone on this site post with an implant 10 years older or more.



Guess you need to read back farther. As I remember a guy with over 20 years on the old Ambicor. And other members with over 10 years on an implant. Mine is 6 years old. I did have a perforation repair but all the original parts were kept. That study is fairly small. Seems to have been done for the men who were operated on by low volume low skilled doctors.

This study has 15K men in it and is much larger than the one referred to above. So I have to believe it and posts by high volume doctors around the world of a 10 year life span. https://www.garber-online.com/pdf/Highe ... ctions.pdf If you scroll down to figure 3 on page 227 (don't worry the paper starts on page 223) you will see the life span of implant as it relates to case volume of doctor. In this even the low volume doctors still had over 90% survival at 10 years.

That report listed by the original poster should be questioned as it goes against all other published data on life span of a Penile Implant.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

RoboCock69
Posts: 219
Joined: Wed Sep 08, 2021 9:31 pm

Re: Mechanical failure study...very interesting..

Postby RoboCock69 » Thu Jan 11, 2024 11:59 pm

Mark1974 wrote:https://www.auajournals.org/doi/abs/10.1097/JU.0000000000003352.10

This is a study involving 1105 implants. It's only one study, but that is a big sample

2 things of significant interest to me were that
(a) median time to revision for AMS was only 2 years and average time for Coloplast was only 4 years
(b) Coloplast was twice as durable as the AMS

Again, it's just one study, but I wasn't expecting those results


You're misinterpreting the study. Out of those 1,105 implants, fewer than 100 even had mechanical failures. Those are the ones for which time to failure was documented.
Born 1982. Implanted with Coloplast Titan 22cm in August 2021 by the great Dr. Perito in Miami. 6.125" BPEL, 5.25" EG. "It's the girth that gets her off."

Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Mechanical failure study...very interesting..

Postby Mark1974 » Fri Jan 12, 2024 12:22 am

RoboCock69 wrote:
Mark1974 wrote:https://www.auajournals.org/doi/abs/10.1097/JU.0000000000003352.10

This is a study involving 1105 implants. It's only one study, but that is a big sample

2 things of significant interest to me were that
(a) median time to revision for AMS was only 2 years and average time for Coloplast was only 4 years
(b) Coloplast was twice as durable as the AMS

Again, it's just one study, but I wasn't expecting those results


You're misinterpreting the study. Out of those 1,105 implants, fewer than 100 even had mechanical failures. Those are the ones for which time to failure was documented.

No. They did 1105 procedures and of those 1105 procedures 76 of them were revisions
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH

Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Mechanical failure study...very interesting..

Postby Mark1974 » Fri Jan 12, 2024 12:23 am

Mark1974 wrote:
RoboCock69 wrote:
Mark1974 wrote:https://www.auajournals.org/doi/abs/10.1097/JU.0000000000003352.10

This is a study involving 1105 implants. It's only one study, but that is a big sample

2 things of significant interest to me were that
(a) median time to revision for AMS was only 2 years and average time for Coloplast was only 4 years
(b) Coloplast was twice as durable as the AMS

Again, it's just one study, but I wasn't expecting those results


You're misinterpreting the study. Out of those 1,105 implants, fewer than 100 even had mechanical failures. Those are the ones for which time to failure was documented.

No. They did 1105 procedures and of those 1105 procedures 276 of them were revisions and of those 76 were revisions for mechanical failures
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH


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