For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over MPP?

The final frontier. Deciding when, if and how.
JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over MPP?

Postby JohnnyBorg » Fri Sep 05, 2025 4:06 pm

Hey everyone! I’ve just wrapped up an ultrasound with Dr Hakky’s team that confirmed I’ve had a venous leak - likely my whole life! I’m trying Trimix over the next few weeks but anticipate that I’m going to just pull the trigger on an MPP or IPP.

I’m in my early thirties - I haven’t had a chance to deep dive into the risks and long-term strategy of implant surgery with Dr Hakky just yet (I have my next appointment in early October) and I intend to ask him all the questions that I have… but until then, I wanted to get some thoughts and feedback from the guys here.

The big question: for younger guys who need an implant, does the MPP make more sense than an IPP? What are the arguments for and against for each, in the context of a younger patient who will need multiple surgeries throughout his lifetime?

Dr Hakky did tell me today that with the IPP - assuming no device issues - that a patient should GENERALLY anticipate needing a surgery every 8 - 12 years.

Assuming an IPP lasts me on the lower end (8 years ish), that’s 6 - 7 surgeries throughout my lifetime I’m anticipating (assuming I’m lucky enough to live to see my 80’s!). That’s a lot of surgeries - and I think it’s fair to assume that there WILL be some complication along the line (at least one of those IPPs might fail early, etc).

With the MPP, I know that it’s simpler and there’s way less risk surface area (less infection risk, less failure risk. Erosion risk may be marginally higher). Hakky implied these might last more like 15-20 years. That would only yield 3-4 surgeries throughout my lifetime. Not bad!

Taking into account a bit more significant recovery timeline required + a higher out of pocket cost if insurance won’t cover it, it has me wondering: is the juice worth the squeeze?

Make no mistake - I do suspect in my case, an IPP could be AMAZING. For starters, I’m on the smaller side both length and girth wise. Hakky did feel that I could actually improve my length and girth overall with an IPP, on account of the nature of my ED (the venous leak has likely prevented me from EVER reaching my full erection potential). This is a very attractive thing to me! I know the analogy on these forums tends to be that the IPP is the “Ferrari” of implants, whereas the MPP is the old reliable car that isn’t fancy but will get you there. I have to ask myself - would I be super happy with an MPP? Am I attracted to the potential gains from an IPP purely from an emotional standpoint? That I want to absolutely maximize the performance of my implanted penis after spending my whole life without “good wood” :D ? At this stage, it’s really hard to say - I’d feel obviously so bummed out if I pulled the trigger on an IPP only to have an early failure. At that point, I’d be REALLY wishing I had just gone for the damn MPP.

Then I know there’s the argument that the IPP is much easier to conceal. That all sounds fine, but to be honest that doesn’t worry me too much if I go with the MPP route, especially since I’m slightly smaller to begin with.

For my case personally, I do think there’s a chance that the implant is covered by insurance. I have Anthem BCBS PPO, I’ve tried pills, am trying shots, and have diagnostic proof that my ED is physiologic in nature. This definitely complicates things for me, because originally I was planning out of pocket payment and was leaning HEAVILY towards MPP. But if insurance would cover the IPP? That does make it more appealing to maybe take a chance on it.

Anyways, I’m sorry for the word-vomit gentleman. I’ve been obviously really thinking about all this today after my diagnostic appointment. It’s exciting and terrifying all at once! I read the success stories from both the IPP and the MPP bionic brothers, and it all seems very encouraging. I just want to make sure I adopt the right long term thinking and strategy. I know there’s no “one size fits all” when it comes to the implant strategy. Just need to really start weighing out the options and facts.


Thoughts?
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

Tuscan_Order
Posts: 47
Joined: Thu Nov 14, 2024 7:37 pm
Location: Iowa City

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby Tuscan_Order » Fri Sep 05, 2025 4:36 pm

JohnnyBorg wrote:For my case personally, I do think there’s a chance that the implant is covered by insurance. I have Anthem BCBS PPO, I’ve tried pills, am trying shots, and have diagnostic proof that my ED is physiologic in nature. This definitely complicates things for me, because originally I was planning out of pocket payment and was leaning HEAVILY towards MPP. But if insurance would cover the IPP? That does make it more appealing to maybe take a chance on it


I have Anthem BCBS PPO and my IPP was covered in-network. It did require pre-approval, which the doctor obtained. Since you have the diagnostic proof, that should not be an issue if you've also gone the pills/shots route. In my case, the shots worked, but I had had enough of them and they were causing scarring. I have heard that ED due to RALP is almost almost automatically covered by insurance, as was my case, but I have no personal knowledge. Good luck!
Iowa City. RALP 2020. Bi-mix scarring. 24cm Titan implant by Dr. Eid April, 2025.

JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby JohnnyBorg » Fri Sep 05, 2025 4:51 pm

Tuscan_Order wrote:
JohnnyBorg wrote:For my case personally, I do think there’s a chance that the implant is covered by insurance. I have Anthem BCBS PPO, I’ve tried pills, am trying shots, and have diagnostic proof that my ED is physiologic in nature. This definitely complicates things for me, because originally I was planning out of pocket payment and was leaning HEAVILY towards MPP. But if insurance would cover the IPP? That does make it more appealing to maybe take a chance on it


I have Anthem BCBS PPO and my IPP was covered in-network. It did require pre-approval, which the doctor obtained. Since you have the diagnostic proof, that should not be an issue if you've also gone the pills/shots route. In my case, the shots worked, but I had had enough of them and they were causing scarring. I have heard that ED due to RALP is almost almost automatically covered by insurance, as was my case, but I have no personal knowledge. Good luck!


That’s great to know, thanks Tuscan. Also what does RALP stand for? Is that for venous leak?

Best

EDIT: please disregard, I googled it!
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

Thisworld
Posts: 236
Joined: Sun Sep 06, 2020 3:01 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby Thisworld » Fri Sep 05, 2025 6:19 pm

This is the main question all young guys ask themselves. A potential strategy could be start with an ipp during young years and then when older switch to an mpp for avoid too much surgeries. I just wonder if there cuold be any flag in this reasoning
Hard flaccid syndrome since 2019. Trying to get better with conservative treatments but an implant is on my radar

LetoMan
Posts: 230
Joined: Tue Apr 09, 2024 1:25 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby LetoMan » Fri Sep 05, 2025 6:42 pm

JohnnyBorg wrote:I know the analogy on these forums tends to be that the IPP is the “Ferrari” of implants, whereas the MPP is the old reliable car that isn’t fancy but will get you there.


I think that analogy regularly comes from an account that does a Foghorn Leghorn cornpoke routine. It’s likely an alt account using AI of a notorious anti-IPP troll on this board. This topic is fairly likely to produce some crazy anti-IPP responses, which will unfortunately make it difficult to discern valid advice from craziness.

If I were you, I would talk to Hakky about the pros and cons, and ignore the advice, either for or against. There’s too much axe grinding (and a lot of it appears to be done by one dude with multiple accounts).

Be well,
Leto
50. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

User avatar
Wooody
Posts: 133
Joined: Mon Jan 27, 2025 3:04 pm
Location: Bay Area, CA

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby Wooody » Fri Sep 05, 2025 7:04 pm

Thisworld wrote:This is the main question all young guys ask themselves. A potential strategy could be start with an ipp during young years and then when older switch to an mpp for avoid too much surgeries. I just wonder if there cuold be any flag in this reasoning


I think this is a good option, especially to try to gain or at least maintain size for the first and potential future revision implants (IPP or MPP). And who knows, maybe he gets lucky and the IPP lasts 20+ years ;-)
Titan Classic 22cm + 1cm RTEs - 2/25 - Dr Karpman, Bay Area CA

User avatar
tooyoung
Posts: 281
Joined: Sat Feb 01, 2025 12:46 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby tooyoung » Fri Sep 05, 2025 7:23 pm

JohnnyBorg wrote:Hey everyone! I’ve just wrapped up an ultrasound with Dr Hakky’s team that confirmed I’ve had a venous leak - likely my whole life! I’m trying Trimix over the next few weeks but anticipate that I’m going to just pull the trigger on an MPP or IPP.

I’m in my early thirties - I haven’t had a chance to deep dive into the risks and long-term strategy of implant surgery with Dr Hakky just yet (I have my next appointment in early October) and I intend to ask him all the questions that I have… but until then, I wanted to get some thoughts and feedback from the guys here.

The big question: for younger guys who need an implant, does the MPP make more sense than an IPP? What are the arguments for and against for each, in the context of a younger patient who will need multiple surgeries throughout his lifetime?

Dr Hakky did tell me today that with the IPP - assuming no device issues - that a patient should GENERALLY anticipate needing a surgery every 8 - 12 years.

Assuming an IPP lasts me on the lower end (8 years ish), that’s 6 - 7 surgeries throughout my lifetime I’m anticipating (assuming I’m lucky enough to live to see my 80’s!). That’s a lot of surgeries - and I think it’s fair to assume that there WILL be some complication along the line (at least one of those IPPs might fail early, etc).

With the MPP, I know that it’s simpler and there’s way less risk surface area (less infection risk, less failure risk. Erosion risk may be marginally higher). Hakky implied these might last more like 15-20 years. That would only yield 3-4 surgeries throughout my lifetime. Not bad!

Taking into account a bit more significant recovery timeline required + a higher out of pocket cost if insurance won’t cover it, it has me wondering: is the juice worth the squeeze?

Make no mistake - I do suspect in my case, an IPP could be AMAZING. For starters, I’m on the smaller side both length and girth wise. Hakky did feel that I could actually improve my length and girth overall with an IPP, on account of the nature of my ED (the venous leak has likely prevented me from EVER reaching my full erection potential). This is a very attractive thing to me! I know the analogy on these forums tends to be that the IPP is the “Ferrari” of implants, whereas the MPP is the old reliable car that isn’t fancy but will get you there. I have to ask myself - would I be super happy with an MPP? Am I attracted to the potential gains from an IPP purely from an emotional standpoint? That I want to absolutely maximize the performance of my implanted penis after spending my whole life without “good wood” :D ? At this stage, it’s really hard to say - I’d feel obviously so bummed out if I pulled the trigger on an IPP only to have an early failure. At that point, I’d be REALLY wishing I had just gone for the damn MPP.

Then I know there’s the argument that the IPP is much easier to conceal. That all sounds fine, but to be honest that doesn’t worry me too much if I go with the MPP route, especially since I’m slightly smaller to begin with.

For my case personally, I do think there’s a chance that the implant is covered by insurance. I have Anthem BCBS PPO, I’ve tried pills, am trying shots, and have diagnostic proof that my ED is physiologic in nature. This definitely complicates things for me, because originally I was planning out of pocket payment and was leaning HEAVILY towards MPP. But if insurance would cover the IPP? That does make it more appealing to maybe take a chance on it.

Anyways, I’m sorry for the word-vomit gentleman. I’ve been obviously really thinking about all this today after my diagnostic appointment. It’s exciting and terrifying all at once! I read the success stories from both the IPP and the MPP bionic brothers, and it all seems very encouraging. I just want to make sure I adopt the right long term thinking and strategy. I know there’s no “one size fits all” when it comes to the implant strategy. Just need to really start weighing out the options and facts.


Thoughts?


Actual young guy here.

Pick whichever option will give you less buyer’s remorse—because truthfully, both will come with some.

If you go with an MPP, you might regret not choosing the IPP, since it’s often proclaimed as the “gold standard.” That comparison might linger in the back of your mind. The best way to avoid that is to set realistic expectations with the malleable and be convinced that its pros outweigh its cons.

If you go with an IPP, you might regret living day by day with your fingers crossed, wishing you’d bought peace of mind with an MPP instead. The best way to avoid that is to be inherently that guy who lives in the moment, not worrying about tomorrow. There are guys like that—but I doubt that’s you, since you’re young and have a whole life ahead of you: career, family, savings, etc. But if you can cultivate that mindset, then the IPP is a valid option.

There’s a lot to be said about this dilemma. Check out my previous posts—most of them revolve around it.

Lastly, take your time (but not too much :lol: ) before taking the plunge. That’ll help reduce the chances of buyer’s remorse. Also, bear in mind—and I’m sure you already do—that an implant is a necessity, not a choice. Taking time to decide doesn’t change that.

Also, I like Dr. Raphael Carrion’s verdict on mpp vs ipps in this video. He's Hakky's mentor.
https://youtu.be/k2dYbbcHkqo?si=ABO45LYrE3biulHU

User avatar
AussieGuy81
Posts: 75
Joined: Sun Apr 13, 2025 12:28 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby AussieGuy81 » Fri Sep 05, 2025 7:40 pm

I knew it wouldn't be long before 'Tooyoung' would be here with his anti IPP sentiments.

I don't have an implant, yet, I'm waiting for my insurance to clear next year so I can't give you advice.
'Tooyoung' doesn't have one either so I would take his recommendations about MPP's with a grain of salt. All his posts are anti IPP, I'm sure he'll reply to this with the same anti big pharma rhetoric we've all heard before
Remember, he doesn't have an implant, just take advice from the guys that do
43, ED since late 20's, Pills on and off since then increasing strengths with inconsistent results. Now 5mg Cialis daily and either 20mg Cialis or 100mg Viagra
Not sure if it's Psychological or Physiological, long-term use of SSRI's probably hasn't helped

User avatar
tooyoung
Posts: 281
Joined: Sat Feb 01, 2025 12:46 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby tooyoung » Fri Sep 05, 2025 7:53 pm

AussieGuy81 wrote:I knew it wouldn't be long before 'Tooyoung' would be here with his anti IPP sentiments.

I don't have an implant, yet, I'm waiting for my insurance to clear next year so I can't give you advice.
'Tooyoung' doesn't have one either so I would take his recommendations about MPP's with a grain of salt. All his posts are anti IPP, I'm sure he'll reply to this with the same anti big pharma rhetoric we've all heard before
Remember, he doesn't have an implant, just take advice from the guys that do


Does hakky have the implant ? :lol:

You are repeating the same very stupid argument everytime.

What's wrong with being anti something ? Aren't you anti tooyoung ? :lol:

Anyways you reminded me
Here's a group of malleable implantees...anyone is welcome to join..you can be anti anything there :lol: and you won't be bombarded.
https://chat.whatsapp.com/FJYnpIGClI98x ... H?mode=r_c

User avatar
ElbowRoom
Posts: 443
Joined: Mon Mar 17, 2025 1:58 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby ElbowRoom » Fri Sep 05, 2025 9:13 pm

Tuscan_Order wrote:
I have Anthem BCBS PPO and my IPP was covered in-network. It did require pre-approval, which the doctor obtained.


Same insurance and same result. Hakky got it covered and I’m scheduled for Oct. 21.
58yo Coloplast Titan implant scheduled for 10/23/2025 with Dr. Hakky. Pre-op erect measurements:
8.5"L and 6.5"C


Return to “Implants”

Who is online

Users browsing this forum: AhrefsBot, amazonbot, ClaudeBot, Google [Bot] and 92 guests