How many revisions should a 35 year old expect?

[aslanglobal]

Perfectly said. I got my implant this year, at 36, for damn good reasons. I do not care if I will need a few revisions during my lifetime. The prime years are right now, and I was missing out.

I am seriously thinking of getting implant but scared about what it would entail.

I heard life span of 10 years per implant so am I looking at 6 revisions or more?

I heard that the chance of infection goes higher after each revision and it can literally mean game over in some cases.

Short answer: As many as you need.

Here are my thoughts on the matter of whether or not to get an implant and the effect that revisions have on that decision.

If you still get usable erections, by whatever means, you are ill-advised to get an implant, even if it were certain to outlive you.

If you are at the point that you have nothing erectile to lose, your decision is made. You get the implant and deal with revisions if and when they occur.

Life is too short to miss the joys of sex and too long to endure its absence. Your years between 35 and 45 are prime for enjoying a sex life. Use them wisely.

Ask yourself this question. "If I could choose only a single decade of erectile capacity, which decade would I choose? 34-45? 34-55? 55-65? 65-75? 75-85?" Which decade are you best served by?

[Jack1104]

Thinking this through, what fails first on the implant? Is it the cylinders, the connector tubes or the valve? Is it an absolute time frame or is it number of uses? People report using their implants 2-3 times a week but how about for the people who are using it once or twice a day? Does the valve only have a certain number of activations built into it before it gives out?

[Lost Sheep]

Thinking this through, what fails first on the implant? Is it the cylinders, the connector tubes or the valve? Is it an absolute time frame or is it number of uses? People report using their implants 2-3 times a week but how about for the people who are using it once or twice a day? Does the valve only have a certain number of activations built into it before it gives out?

No, the devices do not have a limit on the number of activations/uses or a calendar built into them. There is no odometer in them any more than there is an odometer built into your penis at birth. Planned obsolescence is for cars of the '50s, not medical devices.

Yes, more uses may translate into a shorter service life (measured in months/years). Mechanical devices do wear out. By the same token, non-use may shorten the moving parts' lifespan (this is a speculation on my part).

Dr Eid wrote to me (a few years ago) that (historicaly) the Coloplast cylinders are more robust than the AMS cylinders, but the Coloplast tubing connectors tend to fail before the cylinders do. With AMS, the cylinders tend to fail before the other components. He also wrote that the service life of the devices are about the same. Both makers are constantly improving their products, so comparisons of the service lives of the various devices will change.

An AMS rep told me that the LGX (being of a different weave, to allow for lengthening when inflating and shortening when deflating) is a bit shorter -lived than the CX.

In any event, choosing an implant is more a matter for determining which is a better fit for YOU. Service life and what fails first is of secondary consideration, in my opinion.

[Gt1956]

I would suggest that many members think about revisions too much. As told by several members that have had revisions done. The recovery seems to be relatively easy. I don't recall anyone complaining about insurance not covering a revision. Although I believe it might happen.
Other phosetics do have failures or just plain wear out. My SIL had to have her pacemaker replaced. My DIL is on her second heart valve. I worked with a man that had terrible luck with a knee replacement. He had a total of 5 knees in one leg. The other leg worked great with the first one. I've had old tooth fillings wear out.
Why do people think penis implants should last forever when the other things don't?

[TANGERINE]

based on long term studies, the mechanical failure rate is something like 2 or 3 percent per year.

in one paper they state:
"the overall 5 year mechanical survival rate for AMS 700CX is 91% and for Titan it is 87%"

in another paper they conclude:
"16 years after surgery 68% of AMS were still working"

So, at ten years, there is something like 70 to 80 percent chance it will still work
and , at 20 years, there is something like 40 percent chance it will still work

This assumes you get through the first year or two with no infections or no immediate issues (eg, tube kink or break that surfaces in first two years)

Some of us on franktalk state that you should figure on getting replaced every ten years; but as we all know, some have had 3 replacements in four years and others no replacements at 20 years. In other words, three percent per year means exacty that: "at year one, you have a 97% chance that the implant is still good, at year 20, that chance is roughly 40% likelihood that the implant is still good" the trouble is that you have no way of predicting whether you will be in the lucky group or the unlucky group.

stating and looking at this from another perspective, there are some surgeons who will guarantee you ten years. if you need to come back before then, they might waive the surgical fee. I suppose that suggests that you should "expect" the implant to last ten years. If longer then ten years, you are lucky, if less than ten years, bad luck.

All that being said, I would go for it, even if it meant five revisions in your life. It is great to have great sex in your thirties and forties, so do not miss out on that.