How many implants can one have in a lifetime?

The final frontier. Deciding when, if and how.
Frenchie
Posts: 172
Joined: Sun Sep 11, 2022 11:14 am

Re: How many implants can one have in a lifetime?

Postby Frenchie » Sun Jan 08, 2023 8:52 pm

Lost Sheep wrote:Consider the question this way.

A 25 year old man unable to have sex faced with choosing to be able to have sex (with an implant) for 25 years and that's it. No reprieves.

Which to choose. Sex from the ages of 26 to 51 or sex from the ages of 51 to 76?

Put more succinctly, "Young sex or old sex"

Why wait?

Now, there may be reasons to wait. So consider if any of them apply to you.


But can you change to a malleable after having multiple revisions with ipp and you are older? They usually last longer and have low infection rate or will the penis be totally dead and cant install anything in there?
Venous like since I was 20 years old. Pills don't work too well. Thinking of implant in the future

frwmw1
Posts: 436
Joined: Thu Oct 01, 2020 7:38 am

Re: How many implants can one have in a lifetime?

Postby frwmw1 » Sun Jan 08, 2023 8:58 pm

Gt1956 wrote:
Bwtbbb wrote:Dr Eid recommends limiting to 3 - 4 implants:
Question: Debate erupts on our forum that young men (we have a surprising number) should delay an implant because of the number of revisions likely to be needed. Beyond just infection which you addressed, Is there any other damage that limits the number of revisions a man can have? What do you consider a maximum number? In what way if any will a penis suffer or degrade with a maximum number of revisions (aesthetics, sensation, size, etc.)
Answer: A tough question to answer. Pressure atrophy of the flesh of the penis and glans will occur over time if the implant is maintained partially inflated. This also can occur if the cylinders are oversized. This, of course, is more likely to occur with the malleable implants. What’s great about an inflatable implant is that it can be deflated and maintained deflate in order to spare the remaining erectile tissue and penile glans. This is a more important issue for the younger patient than the number of surgeries that one has. Revision surgery is more challenging for the doctor to do and the risk of infection and urethral injury are also greater. I would say that it is preferable to limit the replacements to 3 to 4 surgeries in one’s lifetime, not always possible. However, it is also unreasonable to expect a man to perform penile self-injection forever; quality of life matters. An implant gives one a permanent reprieve from the constant thought of having Erectile Dysfunction! There is nothing like it.
https://www.peyroniesforum.net/index.ph ... #msg104289

I have not read of that quote from Eid. I've read of several members that exceeded 4 implants. Although I'll agree that fewer surgeries would seem to be preferred.
I believe that Perito has said that wearing an implant continually inflated can lead to the reservoir having a "coffin" of scar tissue forming around it leading to the chance of not being able to deflate the implant.


I think Dr Eid is being conservative though honestly, because the system seems to be, that I'm seeing, is that the lower tier doctors do the initial implant then refer them up the chain upon further revisions.

Consequently, there seems to be many Surgeons who'd freak out at the possibility of four revisions.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: How many implants can one have in a lifetime?

Postby Lost Sheep » Sun Jan 08, 2023 9:14 pm

Frenchie wrote:But can you change to a malleable after having multiple revisions with ipp and you are older? They usually last longer and have low infection rate or will the penis be totally dead and cant install anything in there?

Depending on what damage your penis has sustained and the skill of the surgeon, there should be no bar to putting a stiffener into your penis.

If Carroll Shelby could put a 289 Ford V8 into an English roadster (AC Ace) and make it well-balanced on a road course, a good surgeon can repair a penis.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: How many implants can one have in a lifetime?

Postby Gt1956 » Sun Jan 08, 2023 10:11 pm

Lost Sheep wrote:
Frenchie wrote:But can you change to a malleable after having multiple revisions with ipp and you are older? They usually last longer and have low infection rate or will the penis be totally dead and cant install anything in there?

Depending on what damage your penis has sustained and the skill of the surgeon, there should be no bar to putting a stiffener into your penis.
If Carroll Shelby could put a 289 Ford V8 into an English roadster (AC Ace) and make it well-balanced on a road course, a good surgeon can repair a penis.

Yes, Caroll was an innovator. Remember those very early "289's" were really 260's. Then he stuffed an iron full skirt Ford 427 in a new car not much larger than the AC. He made money for Dodge before returning to Ford. To top it off he did most of his best work with a bad heart. Finally a transplant that lasted him 22 years.
If any car guys get to Las Vegas, you should visit his plant & museum. Worth the time & money.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Tokyo_123
Posts: 284
Joined: Tue Mar 01, 2022 3:02 am

Re: How many implants can one have in a lifetime?

Postby Tokyo_123 » Sun Jan 08, 2023 11:09 pm

Bwtbbb wrote:Dr Eid recommends limiting to 3 - 4 implants:


He said that it is "preferable." I admit I am a bit confused by his answer, as he states that it is not always possible, and certainly not possible if one had their 1st implant in their 20s. Also, he does not state why or give possible consequences.

To quote: "A tough question to answer. Pressure atrophy of the flesh of the penis and glans will occur over time if the implant is maintained partially inflated. This also can occur if the cylinders are oversized. This, of course, is more likely to occur with the malleable implants. "
Venous Leakage (which I believe caused by my overuse of the Bathmate VED)

Dr. Clavell, August, 2022. Titan One-Touch, 24cm XL cylinders and trimmed off 0.5cm

FMLFML85
Posts: 606
Joined: Thu May 10, 2018 12:18 am

Re: How many implants can one have in a lifetime?

Postby FMLFML85 » Sun Jan 08, 2023 11:19 pm

Lost Sheep wrote:Consider the question this way.

A 25 year old man unable to have sex faced with choosing to be able to have sex (with an implant) for 25 years and that's it. No reprieves.

Which to choose. Sex from the ages of 26 to 51 or sex from the ages of 51 to 76?

Put more succinctly, "Young sex or old sex"

Why wait?

Now, there may be reasons to wait. So consider if any of them apply to you.

Do you think theres a limit to how many implants a man can have in his life?

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: How many implants can one have in a lifetime?

Postby Lost Sheep » Sun Jan 08, 2023 11:59 pm

FMLFML85 wrote:
Lost Sheep wrote:Consider the question this way.

A 25 year old man unable to have sex faced with choosing to be able to have sex (with an implant) for 25 years and that's it. No reprieves.

Which to choose. Sex from the ages of 26 to 51 or sex from the ages of 51 to 76?

Put more succinctly, "Young sex or old sex"

Why wait?

Now, there may be reasons to wait. So consider if any of them apply to you.

Do you think theres a limit to how many implants a man can have in his life?

Of course there is a limit. But it is not a number. It is limited by the amount of damage there is to the penis. Only a clinical examination by an experienced surgeon would be able to tell if one more revision is possible or not. And a more skilled surgeon would have a positive answer where a less skilled surgeon would have a negative.

So, the answer is "It depends." And you will not know if you have hit your limit until you actually do.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

FMLFML85
Posts: 606
Joined: Thu May 10, 2018 12:18 am

Re: How many implants can one have in a lifetime?

Postby FMLFML85 » Mon Jan 09, 2023 12:25 am

Lost Sheep wrote:
FMLFML85 wrote:
Lost Sheep wrote:Consider the question this way.

A 25 year old man unable to have sex faced with choosing to be able to have sex (with an implant) for 25 years and that's it. No reprieves.

Which to choose. Sex from the ages of 26 to 51 or sex from the ages of 51 to 76?

Put more succinctly, "Young sex or old sex"

Why wait?

Now, there may be reasons to wait. So consider if any of them apply to you.

Do you think theres a limit to how many implants a man can have in his life?

Of course there is a limit. But it is not a number. It is limited by the amount of damage there is to the penis. Only a clinical examination by an experienced surgeon would be able to tell if one more revision is possible or not. And a more skilled surgeon would have a positive answer where a less skilled surgeon would have a negative.

So, the answer is "It depends." And you will not know if you have hit your limit until you actually do.

One day being denied receiving a new implant scares me. I have seen some pretty extreme repairs like the tips coming out of the penis head. I wonder if the top surgeons would be willing to tackle revisions a less experience one would. I also wonder if it’s harder for a MtF trans patient to receive multiple revisions because wear and tear is worse for them.

I would guess that younger men getting implanted is a more recent thing and the surgeons might not know the limits of replacements they could have. Sorry for rambling.

SwissTalk
Posts: 44
Joined: Tue Feb 22, 2022 11:51 pm

Re: How many implants can one have in a lifetime?

Postby SwissTalk » Mon Jan 09, 2023 7:48 am

I must confess, this is some disappointing and frightening news for me. I had video consultations with Eid and Hakky and neither of them pointed out this problem. They simply said "you will have to go through multiple revisions".

Maybe not many have reached the maximum yet, but there most be several people on this forum, who have already had 1-3 revisions. How was the outcome?
The persons would have to be on their last ride and their doctors would have made them aware of it.
35, ED due to venous leak caused by finasteride (PFS syndrome)
Implanted June 2023 by Dr. Hakky
Titan 22 cm, no RTE, penoscrotal

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: How many implants can one have in a lifetime?

Postby Lost Sheep » Mon Jan 09, 2023 12:05 pm

FMLFML85 wrote:(edited for focus)
I also wonder if it’s harder for a MtF trans patient to receive multiple revisions because wear and tear is worse for them.

From what little I know about transsexual surgery, MtF transsexuals (Male to Female) would not have a penile implant at all.

Color me confused?

Did you mean FtM?
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter


Return to “Implants”

Who is online

Users browsing this forum: No registered users and 62 guests