agree with lost sheep---"never buy version 1 of anything".
Also agree with others comments on here regarding allthe possible problems with an implant that is self inflating by bluetooth. it seems like there is just so much to break, and the complexity (and thus number of failure points) goes way up.
Really, having to pump with your hand is a non-event. Having to fiddle with your bluetooth device to control the impant seems awkward and too "robot like"
An orthopedic surgeon once stated, regarding knee joint implants, that "when it comes to parachutes and diving equipment--you should choose the one that is completely tested and tried and true, even if it is older tech" just like a parachute or joint replacement, you defiitely do not want to get the latest fad. The current devices can give you 15 years of service, and the world just will not know if the new high tech device can give that level of reliability.
I just looked at a paper from 2020 titled
The future of penile prostheses for the treatment of erectile dysfunction
John P. Lindsey, II, Tom F. Lue, and Alan W. Shindel
Here is a quote from that paper:
Aside from innovation that may reduce costs, future IPP may include more durable and/or flexible components. The realm of material’s science is in constant evolution, with newer substances introduced on a regular basis. Whether these innovations can influence the design or composition of existing implants is unclear, particularly since the financial incentives for companies producing prosthetic devices may not be aligned with incremental improvements in durability.
Several ideas that have been suggested in the past include “remote controlled” penile prostheses that may be activated without the need for manual compression of a pump (8). In a more whimsical vein, some have proposed that the incorporation of elements to enhance partner pleasure may be desirable; this is most typically suggested in the form of a “vibrating” penile implant that may convey vibratory stimulation to a partner. Aside from the clear technical difficulties involved in implanting and maintaining a charge on a device that is placed inside the penis and is simultaneously powerful enough to produce external vibrations, the utility of such a device to a sexual partner remains somewhat ambiguous.
The above paragraphs reminded me of a couple things.
(1) manufacturers would be more interested in making an implant that lasts 5 years and costs twice as much as one that lasts 15 years---so financial pressure is to build something complicated that has a built in life span
(2) it looks like devices that have electric motors and batteries are currently "just ideas" that are likely more than 5 years out.
bottom line:
Do not wait, the high tech version will take at least five years to get on the shelf of your hospital, anad there is a real chance that it will proove to be a limp dud .