From Titan to Titan to Tactra to Titan to Tactra in 3 years

[principles]

Rough journey.
Timeline similar to my signature.

1st Procedure:
08/2020 Virgin Titan 22+3 implant. First 3 weeks Post-op rough as hell. Having a hard dick to play with anyone anytime is life changing.
10/2022 Tubing Failed. I like to think I outfucked my Titan. Truth is, I, ofc, expected more reliability.

2nd Procedure:
11/2022 Revision to a Titan 24+2. Post op was ok until week 4, then hell, infection, 30 days taking IV AB's in the hospital, still wasn't able to save it. Didn't really use but it was thicker than the 22 and beautiful.

3rd Procedure:
01/2023 Salvage to a Tactra 13mm 23cm. Post op was a breeze. Lost 3-4cm (1.5"). Lost alot of girth, rigidity was crappy. From the infection, my previous right titan tip extruded the Tunica but not the skin. That wasn't corrected during the salvage procedure and I ended up with a Tactra that was already close to extruding the skin. And to make things worst, the left Tactra tip descended another 1" due to extrusion of the proximal left tunica. So it was very unstable. It's hard for me to judge the Tactra or the malleable because my situation was so unique. I'd like to have tried the Tactra without the infection constraints and see it to it's full sexual potential.

4th Procedure:
08/2023 Revision to a Titan 20+3 to address extrusions and erection quality. That's where I'm at. Week 2 was a breezy, recovery was perfect, Week 3, I have light yellow discharge from scrotum incision (that doesnt smell), very similar to the infection of the 2nd procedure. I'm currently in the hospital, will take another 5 days of AB's and if no improvement's, then it's another salvage (a 5th procedure) back to a malleable but hopefully this time with tips and extrusion properly addressed.

5th Procedure:
Scheduled for this saturday 30/09. Infection is confirmed, Infectologist don't want the TItan in even though I'm clinically well with no symptons other than secretion through the unhealed incision. It'll be a salvage to yet another Tactra. I'd like to have it in 13mm with properly placed tips and maintain the previous tactra size of 23cm, and no reinfection. That's the current objective. More updates soon.

[principles]

People ask me for advice of if I'm regretful of being implanted given all the revisions and surgeries and pros and cons.
Here's a reply I sent to one friend from FT addressing his question:

Hey friend!

Apologies for not getting back to you sooner. I'm mostly logged off of FT from now for several reasons. I'll be doing some posting these days as I've been going through yet another revision. Yes, be scared, but yet, do not, you want to have sex right? good sex? life changing sex? The first thing you'll need is the confidence that your toy will provide you with. It'll be there for you when you need it, AKA IPP (Unless it breaks, but let's face, it will break in one sexual encounter out of 1000, or 10000, let's assume your raging hard on reliability 99.9%, beats every other regular human out there.

THE BAD:
Malfunctions, we are fed daily with stories of about early breakages. My first titan served me gracefully for 26 months before it failed.

THE ULTRA BAD:
Infections, after your first IPP unit gets trashed, you'll need a revision, and with each revision, due to previous biofilm, bacteria, scar tissue and other things, infection risk increases from a mere 1-3% for a virgin implantee all the way to 20-30, even 40%. The more revisions you have, the higher is your chance of getting infected.

The malleable:
Won't make you feel like a superman, won't let you explore all positions you've imagined, it will buckle, it will make you feel the same anxiety as when you go limp. Going to suck a bit. BUT, it will work fine in certain key positions according to your own anatomy combined with your partner's anatomy too.

The pills:
They will stop working, you don't trust them, how could you. It's a mental russian roullete of emotions.

Injections/Gels:
Might be the last best thing before fully commiting. I haven't had much experience with them so I'll skip commenting. It'll definitely make you feel handicapped though if you don't have a refrigerated lunchbox nearby.


Now, to your questions.
I have done 4 surgeries and about to get the 5th done in a period of 3 1/2 years.

I have had the best sex life of my 31 years during my active Titan Days, how can one regret that? Nature/genetics weren't on our side, but tech is, with plenty of caveats, but if you want to live a fullfulling life, how can one male skip sexing? There is no other way but this way and in a way, I think we can remember that in 2023 we have options, non perfect options, but still, there are options.

You as a virgin implantee should get an inflatable device if pills give you shills and you don't want to inject.

If you have an early break, consider the malleable, it will hardly ever break or infect. But fucking is limited compared to the IPP.

My opinion is that you have no choice but to go through this procedure if you indeed desire a fullfilling sex life despite all of it's potential pitfalls. I'll post about my current situation soon enough. Maybe there'll be more info that might be of interest to you.

Thanks for reaching out and sorry for the delayed reply. Got get hard, get a good cardio if possible, some creativity, and go outfuck your Titan.

Cheers!!!!

[ThailandBound]

My heart goes out to you brother. You’ve endured a lot of disappointment and your matter of fact approach to it is remarkable. All of us hope to be that guy whose implant is still going strong at the 10 year+ point, but obviously there are these stories too.

Best wishes and keep up that optimism. I’m sure all of us won’t have to hear another fixer-upper story and hope to be reading some salacious stories of your impending success.

[New_Member]

Wow, what an insane journey. So sorry to hear you’ve gone through so many surgeries, and all the respect to you for the strong attitude you’re having about it.

Is there any medical predispositions you have that might be contributing to the infections you’re getting? Diabetes, etc.? Unbelievable to me that you keep needing replacement after replacement.

[principles]

It's not really an attitude; it's a reality. I'd be completely devoid of sex by now had I not gotten implanted in the first place, since pills wouldn't give me the confidence boost to even be in a relationship or look out for partners.

ED is multifactorial in the sense that the less historically performant you've been, the less confident and likely you are to seek out those encounters. Now (not exactly now, per se) but when I had a functional implant, I'd look at a woman and know deep in my heart that I could make her deeply sexually satisfied in ways that she likely hadn't experienced before.

At the peak, I can't imagine how a human could compete sexually in performance and/or confidence. Yes, you've seen porn, they're always hard during those 20-30 minutes. Can they be highly sexually performant 3 to 5 times a day, maintain intensity without a hiccup for 30 minutes? Very few men can achieve that consistent level of performance. That's why I say, good cardio/flexibility, a quality prosthesis, some creativity, and grooming will make any woman's day.

That level of confidence and consistency, a regular well-functioning natural penis could never achieve. But yes, those are my own benchmarks, and not everybody views the ability to have sex indefinitely as a significant plus. It's just the mentality I was able to achieve due to the consistency of performance with my Titan at its peak that I could've never achieved naturally. So, disregarding the financial and surgical discomfort associated with the surgeries (which does take a massive toll), I'd not have had sex and/or maintained a relationship if not for the implants. I'm an advocate of technology in all forms, and a penile implant is certainly one of them.

I'm a healthy 31-year-old with zero comorbidities and in good shape/VO2 max. The most severe "comorbidity" that drastically increases infection risk is the number of revisions/surgeries you've had. And you either get a revision because of an improper installation (due to anatomical constraints and/or team surgical experience) or you experience a device malfunction. I faced the malfunction 26 months in. That was my "comorbidity" since then.

Here's an exerpt from a paper explaining this: (very good paper on infections):
https://www.ncbi.nlm.nih.gov/pmc/articl ... 37-276.pdf

6. Revision surgery
Surgical failure can be attributed to device malfunction and/or infection. IPP revision surgery, whether due to either cause, comes with increased risk of postoperative infection. Estimates of infection rates following revision surgery have been as high as 10.0% to 13.3% compared to 0.46% to 2.00% in virgin cases [17-21].
...
In a small, retrospective series (n=44), Montgomery et al [23] noted a step-wise increase in rate of postoperative infection after stratifying patients
by the number of prior IPP surgeries: 1 (6.8%; 3/44), 2
(18.2%; 4/22), 3 (33.3%; 4/12), 4 (50.0%; 4/8), and 5 (100%;
2/2). The increased incidence of postoperative infection
following revision surgery is likely multifactorial with
scar formation, reduced host resistance, and biofilms
each playing a role.

So, according to this study, which utilized a limited sample size, having undergone four surgeries places me at a 50% likelihood of infection during the fifth procedure, with the probability nearing 100% by the sixth. The study postulates that the augmented incidence of postoperative infection following revision surgery can be multifactorially attributed to factors such as scar formation, compromised host resistance, and the presence of biofilms.
each playing a role.

[jessie24]

It's not really an attitude; it's a reality. I'd be completely devoid of sex by now had I not gotten implanted in the first place, since pills wouldn't give me the confidence boost to even be in a relationship or look out for partners.

ED is multifactorial in the sense that the less historically performant you've been, the less confident and likely you are to seek out those encounters. Now (not exactly now, per se) but when I had a functional implant, I'd look at a woman and know deep in my heart that I could make her deeply sexually satisfied in ways that she likely hadn't experienced before.

At the peak, I can't imagine how a human could compete sexually in performance and/or confidence. Yes, you've seen porn, they're always hard during those 20-30 minutes. Can they be highly sexually performant 3 to 5 times a day, maintain intensity without a hiccup for 30 minutes? Very few men can achieve that consistent level of performance. That's why I say, good cardio/flexibility, a quality prosthesis, some creativity, and grooming will make any woman's day.

That level of confidence and consistency, a regular well-functioning natural penis could never achieve. But yes, those are my own benchmarks, and not everybody views the ability to have sex indefinitely as a significant plus. It's just the mentality I was able to achieve due to the consistency of performance with my Titan at its peak that I could've never achieved naturally. So, disregarding the financial and surgical discomfort associated with the surgeries (which does take a massive toll), I'd not have had sex and/or maintained a relationship if not for the implants. I'm an advocate of technology in all forms, and a penile implant is certainly one of them.

I'm a healthy 31-year-old with zero comorbidities and in good shape/VO2 max. The most severe "comorbidity" that drastically increases infection risk is the number of revisions/surgeries you've had. And you either get a revision because of an improper installation (due to anatomical constraints and/or team surgical experience) or you experience a device malfunction. I faced the malfunction 26 months in. That was my "comorbidity" since then.

Here's an exerpt from a paper explaining this: (very good paper on infections):
https://www.ncbi.nlm.nih.gov/pmc/articl ... 37-276.pdf

6. Revision surgery
Surgical failure can be attributed to device malfunction and/or infection. IPP revision surgery, whether due to either cause, comes with increased risk of postoperative infection. Estimates of infection rates following revision surgery have been as high as 10.0% to 13.3% compared to 0.46% to 2.00% in virgin cases [17-21].
...
In a small, retrospective series (n=44), Montgomery et al [23] noted a step-wise increase in rate of postoperative infection after stratifying patients
by the number of prior IPP surgeries: 1 (6.8%; 3/44), 2
(18.2%; 4/22), 3 (33.3%; 4/12), 4 (50.0%; 4/8), and 5 (100%;
2/2). The increased incidence of postoperative infection
following revision surgery is likely multifactorial with
scar formation, reduced host resistance, and biofilms
each playing a role.

So, according to this study, which utilized a limited sample size, having undergone four surgeries places me at a 50% likelihood of infection during the fifth procedure, with the probability nearing 100% by the sixth. The study postulates that the augmented incidence of postoperative infection following revision surgery can be multifactorially attributed to factors such as scar formation, compromised host resistance, and the presence of biofilms.
each playing a role.

This study was here before, it was on small scale of people which is making their % results useless on huge scale, names of surgeons weren´t know and no one knows how experienced they were, what techniques they used and its few years back and things evolved so far, Dr. Eid published his infection rates on revisions and it was 26% by 5th revision, which is drastical difference in two studies, 26% vs 100% is crazy, also there are many guys with 4th revisions without getting infected, I´m sorry for your trouble and wish you happy ending in this story so you can have normal sexual life till old age, since you seems to be emotionally okay might I ask you what those revisions and infections
are doing with your size shape, sensitivity, pain? I always tought infection = extreme shrinkage, cold, numb penis afterwards

[principles]

This study was here before, it was on small scale of people which is making their % results useless on huge scale, names of surgeons weren´t know and no one knows how experienced they were, what techniques they used and its few years back and things evolved so far, Dr. Eid published his infection rates on revisions and it was 26% by 5th revision, which is drastical difference in two studies, 26% vs 100% is crazy, also there are many guys with 4th revisions without getting infected, I´m sorry for your trouble and wish you happy ending in this story so you can have normal sexual life till old age, since you seems to be emotionally okay might I ask you what those revisions and infections
are doing with your size shape, sensitivity, pain? I always tought infection = extreme shrinkage, cold, numb penis afterwards

Absolutely, that study's sample size is tiny, and self-published data can be questionable too. But the intuition here seems to be clear - the more revisions or surgeries one goes through, the higher the infection risk due to the factors mentioned above.

Length: Loss of ~1.3-1.5", so far.

Girth: Didn't measure the loss, however, with enough engorgement and specifically with a cockring, I didn't notice much difference. I definitely intend to continue using a cockring with malleables, it makes the experience much better in many different ways, makes the penis feels very natural and engorged.

Sensitivity (and orgasm) : Absolutely nothing changed and I'm very thankful for that since some folks here report having trouble with it. My libido, ejaculatory volume and sensitivity remained the same throughout the entire timeline. As far as coldness, numbness, none of that as well, fortunaly.

Pain: After the healing periods, not really. However, during the peak of my previous infection, the pain was severe, particularly at my penis's tip, where the right titan tip protruded my tunica (not the skin). With my current infection, I feel no pain, but it's worth noting I'm on extensive IV antibiotics. The primary concern now is the lingering secretion and unhealed incision.

[principles]

Titan will be removed and through a Salvage a Tactra should be installed.
Procedure scheduled for tomorrow (saturday 30/09) pending insurance authorization.

[aussiePeyronies]

My heart really goes out to you my friend, you've endured a lot and stayed strong throughout the whole process.

Please keep us updated, and also let us know your doctors details?

It's a bit daunting that us younger guys have to deal with multiple revisions.

I pray for all of us, that as time goes on, technology and infection risk is improved with new advancements in medicine and technology.

All the best,
J

[principles]

Even though I sincerely appreciate all the kind wishes I've received from all of you, I also want to say that this is not a "plea for sympathy" type of thread. I'm honestly just sharing facts that I myself might need to review in the future.

After 4 surgeries, I can tell you it's useful logging and journaling each experience just in case you find yourself in a similar situation in the future. I also know this information will help other people looking to make the decision as to whether get implanted or not.

I have no regrets about my decision, and I wholeheartedly recommend thorough research and consideration of implantation for individuals dealing with ED-related issues