Higher failure on malleables?

[ragingbull]

Inflatables seem to have a 1% failure rate according to the answer below. Can someone please share the higher failure rate we know for malleables?

[Fidelio]

I thought I'll share this study:
https://pubmed.ncbi.nlm.nih.gov/31155387/

A sample of 883 patients with the following results:
The mean age and follow-up period of the patients were 57.74 ± 9.59 years and 67.81 ± 49.11 months, respectively. The couples' satisfaction rates were significantly higher in the 3-piece implant group than in the malleable group (P < .001), but there was no significant difference between the 2-piece and 3-piece implant groups. There was no difference in terms of couples' satisfaction according to the brand of the implants. Of the patients who had malleable implants, 27 (7.7%) underwent 3-piece penile prosthesis implantation due to dissatisfaction; however, only 1 (0.2%) of the patients with a 3-piece implant was switched to a malleable implant (P < .001). The highest rate of revision surgery due to penile corporal perforation was in the malleable group (2.6%), whereas the highest rate of revision surgery due to penile implant malfunction occurred in the 3-piece implant group (5.5%) (P = .021 and .001, respectively). To analyze risk factors, using multivariate analysis, presence of complication was the only predictor that might cause couples' dissatisfaction (P = .003).

Mechanical failure rates will always be higher in 3-pieces since it's, well, a 3-piece implant Two more possible sources of failures - pump and tubing, since I am yet to see a reservoir failure. Study points out to possible corporal perforation when implanted with a malleable and that's what future implantees should consider too. There is no significant difference in infection rate in inflatable or malleable penile prostheses, according to other studies.

[easymoney]

The dates on many of theses studies are quite old ... before the more modern mallabble implants ..

[LastHope]

How old is too old? The study was published on 30 May 2019.

[ready2go]

Inflatables seem to have a 1% failure rate according to the answer below. Can someone please share the higher failure rate we know for malleables?

hahaha . the only issue with malleables is if the doctor does not put in the right size or there is a infection . the same as ipp , then the ipp the pump , the tubes , the cylinders . more $$$ for ipp's to be implanted .

[easymoney]

My understanding is was published in 2019 but much of the information and facts were gathered before then ..

[LastHope]

This 15 year study was conducted on patients who had surgeries between 2003 and 2018.

This was the era of AMS Spectra (2009-2018) and Coloplast Genesis (2004-present).

The potential erosion possibilities (2.6%) with malleables and mechanical malfunctions (5.5%) of inflatables are obvious concerns, but those arguments are not new discoveries.

Patient satisfaction was 90.9% for inflatables and 70.8% for malleables. Partner’s dissatisfaction rates were 3.3% with inflatables and 11.2% with the malleables.

What could objectively explain the 20% lower patient satisfaction scores and 8% higher partner dissatisfaction scores with malleables compared to inflatables?

Could lower axial rigidity and girth size/expansion limitations be a factor for lower satisfaction scores on malleables?

[TheDongDangler]

Inflatables seem to have a 1% failure rate according to the answer below. Can someone please share the higher failure rate we know for malleables?

hahaha . the only issue with malleables is if the doctor does not put in the right size or there is a infection . the same as ipp , then the ipp the pump , the tubes , the cylinders . more $$$ for ipp's to be implanted .

If the doctor doesn’t put in the right size can that be fixed

[easymoney]

Since I have a mallabble Rigicon which just came to the market in 2019 and have never had a IPP to compare it to it's hard for me to compare the difference. I think many of these "studies" are subjective to many factors. I think members like thedriver who had 4 failed IPP's and then put in a Genesis which he seems very happy with. Would be nice to get objective feedback from members who have perhaps had one or both types as information coming from the horse's mouth so to speak and not a study with unknown parameters. Just throwing my 2 cents out there.

[Fidelio]

What could objectively explain the 20% lower patient satisfaction scores and 8% higher partner dissatisfaction scores with malleables compared to inflatables?

Could lower axial rigidity and girth size/expansion limitations be a factor for lower satisfaction scores on malleables?

You know LH, I wouldn't concentrate much on partner satisfaction score since there's more to sex than a hard dick which both inflattables and malleables provide. We gotta remember that often women ain't satisfied with man's natural equipment if his confidence and approach are messed up. We got actual pornstars using malleables and that should speak for itself - implants are just GREAT for sex.

I let myself copy-paste this comment from reddit user QuickExit123 (https://www.reddit.com/user/QuickExit123/), who talked some more on pros and cons of his malleable. This young guy (in his 20s) had phalloplasty done and got a malleable, which later fractured in multiple places - he eventually had to change it to inflattable due to this very reason after 3 years of using his malleable:

My experience with the malleable was:

Pros:
- Great for rough sex
- Great or PIV sex
- Always ready to go, so took away a lot of the pressure and could be there in the moment with my partner
- Simple device, I never questioned if it was going to break while getting ready for sex...as long as it was hanging the same way I knew it was fine

Cons:
- Not good for anal sex
- Concealable only by changing to tight briefs and pointing straight to my hip on either side, very uncomfortable
- Constant pressure, no relief (this was exacerbated by the fact mine was too long)
- Couldn't wear boxer briefs or boxers anymore
- Gave up a lot of sports I liked (snowboarding/rock climbing/biking


And I think the concealing problems and - as per his words - muting certain aspects of his life are why patient satisfaction scores are lower for one pieces.