Injections still work. Pull the implant trigger?

The final frontier. Deciding when, if and how.



splitpeach
Posts: 141
Joined: Fri Nov 22, 2024 7:43 pm

Injections still work. Pull the implant trigger?

Postby splitpeach » Tue Mar 18, 2025 10:35 pm

For those who have trialed both if injections still worked would you have still gotten an implant?

Injections still work for me, but they're an inconvenience. And I'm totally reliant on them. If I can't get hold of them I'm useless.

I have an option to get an implant this year. What's everyone's advice on whether to do it or keep going with injections?

The stories of shortening, flattening surf board look, glans not engorging, and multiple revisions (I'm mid 30s) are making me second guess.
Mid 30s. UK. ED since mid teens. Done the pills, injections, P Shot, Gainswave, ESWT shockwave.

Now preparing to take the plunge under care of Professor Ralph at UCLH. Planning on a Rigicon Infla10 AX with Pulse pump.

sambalamba
Posts: 173
Joined: Tue Jul 02, 2024 9:31 am

Re: Injections still work. Pull the implant trigger?

Postby sambalamba » Tue Mar 18, 2025 11:14 pm

splitpeach wrote:For those who have trialed both if injections still worked would you have still gotten an implant?

Injections still work for me, but they're an inconvenience. And I'm totally reliant on them. If I can't get hold of them I'm useless.

I have an option to get an implant this year. What's everyone's advice on whether to do it or keep going with injections?

The stories of shortening, flattening surf board look, glans not engorging, and multiple revisions (I'm mid 30s) are making me second guess.


I'm using Bimix and it still works. But becoming a huge hassle for me. Also sometimes same amount doesn't work as well and other times works a bit too well giving me hours of erection. Then I have to be stuck waiting for my erection to calm down. I'm ready to take the leap very soon.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant. 6.4 inches bone pressed length to tip, 5 inches girth base, 4.5 inches girth mid-shaft.

adkd124
Posts: 50
Joined: Sun Aug 13, 2023 1:44 am

Re: Injections still work. Pull the implant trigger?

Postby adkd124 » Tue Mar 18, 2025 11:19 pm

I would stay on injections. I regret that I don't try injections. Lifespan of ipp really questionable. I think real Lifespan around 5-7 years. Mpp also not great, without good arousal your dick will be skinny. So I think better have deal with injections than with modern implants. Technology and quality of modern implants really poor.
30 yo. Get tactra in 30, 11mm rods. Lost 5mm in length and 5mm in width. Regret about getting implant.

LGXDownunder
Posts: 64
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: Injections still work. Pull the implant trigger?

Postby LGXDownunder » Wed Mar 19, 2025 12:55 am

Sorry that you've been going through this at such a young age. It's a really difficult one to answer.
I know there are a number of younger guys on here who seem very happy with their implants.
For the period that injections worked for me I found them pretty good. Sometimes too good.
But like you, for me they were very inconvenient, and I also had zero erectile function without them.
And then eventually they didn't work at all due to a build up of scar tissue. I couldn't find an injection site that worked.
I would not have continued with them long term anyway. I was using them temporarily, hoping my erectile function would return naturally post RRP.
I'm only 2 weeks post IPP surgery but really looking forward to using the implant as it will hopefully give me back what I lost.

Now retired but I had a very analytical job so tend to approach problems and decisions that way.
FWIW my suggestion is to take a sheet of paper, spreadsheet or whatever media you prefer.
Make columns for Pros and Cons of going down the implant road, or staying with the injections. But also have a second column for each to add a weighting, say out of ten for example. List all the pros and cons you can think of, then give each one a score based on its importance to you. Sum the weightings columns and see where things fall. The highest number gives an indication of what might be best, but it's still very subjective, and only you can decide. The main thing at your age I think is the possibility of multiple revisions throughout your life, as the implants wear out eventually. You would need to be comfortable with that. Best of luck whatever you decide.
70 y.o. married from Sydney Oz. PC and nerve sparing RRP 2022, but still profound ED since. Tried pills, injections, shockwave therapy, VED. Finally implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal.
Now dealing with recovery.

markwal6
Posts: 46
Joined: Fri Sep 16, 2022 7:44 pm

Re: Injections still work. Pull the implant trigger?

Postby markwal6 » Wed Mar 19, 2025 2:25 am

I couldn't do injections because i was the lucky guy that got to go to the er :roll: Man did that hurt! I've had my ams cx 700 for going on 3 yrs...I didn't know this website existed. Anyways, what your build is what id consider on what type or brand. I'm longer and fatter now.. Wife just grins from ear to ear. I did have some nerve damage done from the inphrapubic method. I can still get there but lost some sensation in the head. But if it was me, id do it again in a sec!!! You will have the time of your life trust me. Just find a high volume surgeon and your off to the bionic brotherhood. :D
Implanted June 2022..Ams cx 24cm 2 rt EX

bp1111
Posts: 46
Joined: Mon Mar 01, 2021 2:52 pm
Location: Houston, TX

Re: Injections still work. Pull the implant trigger?

Postby bp1111 » Wed Mar 19, 2025 3:34 am

Injections still worked for me when I got the implant, but I was sick of the hassle and limitations. I wasn’t satisfied with my situation so I decided to fix it. Get checked out by a competent urologist including the ultrasound to determine if you have venous leak. For me, once I found that out, it was an easy decision to move forward with the implant. Venous leak doesn’t get better. Then the key to avoiding your various concerns like size, look, longevity, etc., is finding a top implant surgeon. It may be a little flatter if not aroused, but you have a dick that works reliably and it’s convenient. I’m happy with the way it looks and way it works. Take a look at some of my update posts which include more details and some pictures. I will certainly have to deal with revisions in my lifetime, but it also seems that the recovery for most is easier for the revision. Potentially the risk of infection could be higher with revisions, but still very low and lower with a high volume surgeon.
Implanted 2/14/24 at age 50 w/ a 22cm Titan, no RTE's, classic pump by Dr. Clavell after 9+ years of worsening ED. I tried everything from pills to injections. Venous leak confirmed 2/2/24. Healthy, fit and active.

2435tjklAS
Posts: 666
Joined: Tue Nov 30, 2021 10:17 pm

Re: Injections still work. Pull the implant trigger?

Postby 2435tjklAS » Wed Mar 19, 2025 8:50 am

Don't listen to any "stories of shortening, flattening surf board look" because the people who loudly share their stories did something wrong and feel like sharing their troubles so everyone knows their apparent disasters. Shortening is proven to no longer be a concern, despite some dude claiming he lost size. I don't know what surfboard looks means but it's probably something else to not listen to.
40. AMS 700 LGX, 21+3. Nov. 2, 2021. Replaced Titan Classic Jan. 14, 2025.

Idiot who abused alcohol for brain injury, abused viagra for implant.

Pre-op dick size: 8.75" x 5.7"

Current: Smaller

Goal: 10+" x 6+"

CanGetItUpButNotOff
Posts: 240
Joined: Mon Sep 20, 2021 1:34 pm

Re: Injections still work. Pull the implant trigger?

Postby CanGetItUpButNotOff » Wed Mar 19, 2025 9:33 am

I'm injecting very successfully but it's with the awareness that I'm only 4 months into it so things could change radically. I reserve the right to change my opinion. I don't understand the complaint of inconvenience for injecting. I find it to be extremely convenient. My syringes are preloaded in the fridge and when I need to go it's literally a two minute operation where I excuse myself. If you have an unaware wife or a new girlfriend, I could see where that might make a difference. I'd go further and say that the convenience of injecting is much better for me than using pills because they required some planning around meals and timing etc. The bottom line, is that any permanent change from which there is no retreat, like an implant, is the last ditch resort that I would only go to if I had no other option that could conceivably work.
Last edited by CanGetItUpButNotOff on Wed Mar 19, 2025 5:47 pm, edited 3 times in total.
Born 1954. Diabetes, hypertension and atherosclerosis. Sildenafil is iffy. Tri-Mix (30/3/20 Pap/Phen/PGE1) a godsend pending long-term efficacy. Daily Cialis. Tried LiESWT, Botox, PT-141, Eroxon, QST, DUS, Vertica, cabergoline, psychotherapy+hypnotherapy.

Thisworld
Posts: 204
Joined: Sun Sep 06, 2020 3:01 pm

Re: Injections still work. Pull the implant trigger?

Postby Thisworld » Wed Mar 19, 2025 9:36 am

adkd124 wrote:I would stay on injections. I regret that I don't try injections. Lifespan of ipp really questionable. I think real Lifespan around 5-7 years. Mpp also not great, without good arousal your dick will be skinny. So I think better have deal with injections than with modern implants. Technology and quality of modern implants really poor.

What's your main reason of regret?
Hard flaccid syndrome since 2019. Trying to get better with conservative treatments but an implant is on my radar

Old Guy
Posts: 2840
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Injections still work. Pull the implant trigger?

Postby Old Guy » Wed Mar 19, 2025 11:17 am

The decision to implant is a tough one to make. It is the final step, no going back. One thought that has always been on my mind is the lack of erections possibly leads to loss of length. If you aren't waking up with morning wood the occasional erection induced by drugs isn't enough to maintain size.
Being so young makes this decision even tougher. I feel for you to be confronted with having to make it. If you do it now there will be revisions down the road, but future IPPs might be better and surgery techniques improved.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me


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