From IPP to malleable experiences?

The final frontier. Deciding when, if and how.
FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: From IPP to malleable experiences?

Postby FinallyBionic » Wed Mar 01, 2023 11:22 am

Well said Goodwood!
I would add to the reasons why people go for malleable implants the cost of the implant and expertise of surgeons. We know that even in the USA where there are reputable surgeons in the inflatable implants technology, we see a lot of failing surgeries due to lack of competence.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

GermanGuy
Posts: 37
Joined: Tue Dec 20, 2022 3:22 pm

Re: From IPP to malleable experiences?

Postby GermanGuy » Wed Mar 01, 2023 1:25 pm

Thank you for your answers! I look forward to every post.

"Your problem seems to be a surgeon's problem, not an implant technic one."

I agree. It is still very difficult to accept when such a mistake affects you. I had a preoperative phase of about one year, paid a lot of money out of my own pocket and then meticulously followed all the recommendations after the operation. The technique of the implants should be as good as possible. Actually like an emergency parachute or airbag at 100%. Anything else would be cheating. And even with high-volume operators, the error rate is not negligible. It's just not easy because the ordeal was already so extreme and then you dream of salvation which brings peace but it doesn't actually get any better, in many cases the real hell is just beginning (not for me but see other reports from principles etc.).

"Second, I dont think you will be happier with a malleable because its not as convenient as the three piece because can not deflate and you have the known risk of erosion over time. Also you'll likely have less girth and length."

I don't want to rush. I would like to consider it as an alternative and inform myself about it. There are some aspects that sound really attractive. Of course they are far from perfect. But if their hardness should be good why not think about it. An operation, no pump and reservoir in the body, no pumping up, no fear of surprise blowjobs, etc., really always be ready and best of all: no revisions. But of course a permanent erection which is definitely annoying. But I think it really depends on your own size. I have a normal sized one and I'm very glad I don't have a monster like many. It may sound stupid, but I've found that most women want hardness and thickness and it quickly becomes too big.

"And on your con list, I wouldn’t call an IPP a “ticking time bomb” because it will eventually wear out"

this is of course exaggerated. But as I said, there should actually be 0 failures if they worked initially. But there are many reports of failures after 2, 3, 4, 5 years etc.

It is my dream to find more testimonials about the malleables. This year - depending on how much capacity I find - I will try to talk to many doctors who do not earn their money by operating on IPPs, what they think of the malleables, in order to perhaps get more unbiased information...
28, Titan Touch 3/22. Length + girth back. ED all life. Feeling underfilled. Only 6-7 pumps until pump stays depressed. Hardness acceptable but not very strong. Thinking about malleable implant.

Pamen116
Posts: 280
Joined: Tue Dec 03, 2019 7:33 pm

Re: From IPP to malleable experiences?

Postby Pamen116 » Wed Mar 01, 2023 4:00 pm

The thing I DONT like about Franktalk is a lot of times when someone ask a SPECIFIC question people here feel the need to ignore the question and bring irrelevant information to the thread.


AGAIN if you’re reading this and are thinking of replying,
the original question is —->if you had an 3 piece IPP before and moved to a malleable what is your experience. STOP asking “well who is your surgeon” “Is your implant broke” “ don’t you think you need to talk to your surgeon and he should own up to his mistake”

If you feel the need to interject your thoughts instead of answering OPs question just PM him! A lot of people waste time going through 100s of pages and pages to find information and it’s just people addressing none relevant info on a post that has a specific ask.


It’s annoying and someone had to say this.
30 yrs old. Current IPP failed in 2022. Waiting revision. No insurance. I’ve had both Titan & AMS.

sswinsfba
Posts: 572
Joined: Sat Jan 07, 2023 3:08 pm

Re: From IPP to malleable experiences?

Postby sswinsfba » Wed Mar 01, 2023 4:36 pm

I don't know anything about switching from an IPP (inflatable) to an MMP (malleable) penile implant but I found the following article that speaks to this topic that may be of use/interest to the OP and others:

https://www.nature.com/articles/s41443-020-00376-6
Last edited by sswinsfba on Thu Mar 02, 2023 1:22 pm, edited 1 time in total.
Age 73. Started taking 5 mg Cialis daily in 2000. Minor ED started in 2021. Major ED problem started in 2022. Coloplast Titan (20 cm w/1cm RTE) implanted infrapublicly on 01/24/2023 by Dr. Edward Karpman (El Camino Urology Medical Group, Mt. View, CA).

Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: From IPP to malleable experiences?

Postby Mark1974 » Wed Mar 01, 2023 5:13 pm

I've been looking really close at the Tactra, because it is the most state of the art malleable and has corrected some of the problems of earlier malleable models.

1) Hardness..Previous malleables were vulnerable to buckling and bending during sex, but the new design of the Tactra with the nitinol core has created a malleable that can rival the hydraulic implants in rigidity.

2) Natural feel...The Tactra is designed to feel more like natural physiology instead of obvious flexible rods

3) Rounded tips..The Tactra has more rounded tips to reduce glans erosion


But, of course there are still a lot of challenges that can't yet be solved.

1) Length and girth will be severely compromised

2) Concealability is still a major challenge and maybe even more challenging with the Tactra due to it's rigidity

3) Erosion can still be a possibility for the urethra and the tunica. Usually these risks can be mitigated with smaller diameters, but that compromises girth


So there are no easy answers. But I understand your concerns about multiple revisions. I'm 48 and have the same concerns
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH

GermanGuy
Posts: 37
Joined: Tue Dec 20, 2022 3:22 pm

Re: From IPP to malleable experiences?

Postby GermanGuy » Thu Mar 02, 2023 3:57 am

Yes, it's really not easy... there are good arguments for but also against. It's like many things in life: there is no such thing as a 100% perfect solution and you always have to make some kind of compromise. For various reasons, if I have to have another operation, I tend towards a malleable implant.

My favorite at the moment is the Rigicon Rigi10 implant. The mixture of good hardness and flexibility up to 135 degrees sounds really good! And what's more, a lifetime guarantee or long durability!

As Pamen has already written above, this topic is unfortunately ignored by most or there is no interest in exchanging ideas about it. Since the IPPs don't last long anyway and cost a lot more, it would also be an option to simply try a malleable implant for a few years. In the worst case, you switch back to an IPP.
28, Titan Touch 3/22. Length + girth back. ED all life. Feeling underfilled. Only 6-7 pumps until pump stays depressed. Hardness acceptable but not very strong. Thinking about malleable implant.

Gt1956
Posts: 3042
Joined: Fri Apr 05, 2019 2:47 pm

Re: From IPP to malleable experiences?

Postby Gt1956 » Thu Mar 02, 2023 12:24 pm

Germanguy, if you are not satisfied with a maleable & decide to go to an inflatable implant? Who do you think will pay the cost? Perhaps in Germany your system might cover the cost. But I'm very sure, at least here in the USA, that removing a working implant of any model just to get a different model will be the patients responsibility. That change would cost you $20,000 usd here. Even then, you might have trouble finding a doctor to operate on a working prosthetic device.
Whereas, if you have an inflatable implant that fails. Most insurance companies would be willing to cover the cost of a maleable implant.
The lack of the failure of the maleable is the deciding factor. So to speak, a $20,000 factor.
Pamen's main problem is that he does not currently have insurance. That fact changes the picture entirely. If Paman had the money to pay for a maleable he could just get another inflatable. I doubt that there is much of a price difference because all the hospital & doctor fees would be very similar.
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

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: From IPP to malleable experiences?

Postby FinallyBionic » Thu Mar 02, 2023 1:37 pm

GermanGuy wrote:As Pamen has already written above, this topic is unfortunately ignored by most or there is no interest in exchanging ideas about it. Since the IPPs don't last long anyway and cost a lot more, it would also be an option to simply try a malleable implant for a few years. In the worst case, you switch back to an IPP.

About a year ago, there was very little info about malleable implants. There weren't any members with malleables who post here. Thanks to some members who got malleable implants and created journals. We now know a lot more about this implant than we used to a year ago. I would rather say that the malleable implants aren't covered enough because there are no experiences with them. The members with malleables can be counted with one hand, while thousands of FT members have the 3-piece.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

GermanGuy
Posts: 37
Joined: Tue Dec 20, 2022 3:22 pm

Re: From IPP to malleable experiences?

Postby GermanGuy » Thu Mar 02, 2023 3:10 pm

@Gt1956
a) I have a Coloplast Titan OTR implant
b) I paid all costs myself (21.000€)
c) The implant is not working properly and I am considering getting a malleable implant (Rigicon Rigi10) as a self-payer

@FinallyBionic
Yes, I know the existing reports (and am deeply grateful for them, especially from mbambo, for example). Right now I'm waiting most longingly for the report from principles. I hope the brother is doing well so far.
28, Titan Touch 3/22. Length + girth back. ED all life. Feeling underfilled. Only 6-7 pumps until pump stays depressed. Hardness acceptable but not very strong. Thinking about malleable implant.

Gt1956
Posts: 3042
Joined: Fri Apr 05, 2019 2:47 pm

Re: From IPP to malleable experiences?

Postby Gt1956 » Thu Mar 02, 2023 6:03 pm

GermanGuy wrote:@Gt1956
a) I have a Coloplast Titan OTR implant
b) I paid all costs myself (21.000€)
c) The implant is not working properly and I am considering getting a malleable implant (Rigicon Rigi10) .......

You get my congratulations for being able to self pay for so much medical work. I do not recall reading of a member that was able to do so much.
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


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