Inflatables are so ridiculous pushed in the USA

The final frontier. Deciding when, if and how.
Rufian
Posts: 196
Joined: Sun Nov 20, 2022 10:28 pm

Inflatables are so ridiculous pushed in the USA

Postby Rufian » Sun Feb 04, 2024 5:24 pm

and the main reason is MONEY $$$ these surgeons and companies are not your friends, would they do revision surgery for free? It always comes down to the almighty dollar, they're so pushed here due insurance, the health market, politics, etc.

This is the only country where the inflatables are pushed as the main and only choice, the rest of the world, the malleables are the choice.

All the popular penile implanters in the USA, they rarely if never discuss malleable implants (tho they offer them) and maybe have a small section on their site that talks about it briefly.

If you go to Dr Clavell Youtube channel for example, all his videos by default are about the inflatables as if is the only choice. He hasn't made one single video about the tactra malleable which he offers, on what are the advantages, how is another option, etc.

Same for Dr Perito, not one video that he dedicates to the malleable, he has briefly mentioned it in some videos for a couple of seconds.

The reality is the inflatables do not last as long as advertised, and all it takes is one small part to fail and is over. The technology is simply not there yet, where all it takes is one pinhole (which could come from factory or develop later) for all the saline to leak out, that's terrible technology.

The surgery is very expensive 25-35k and not everyone has the luxury to be completely covered by medicare or insurance. Revisions are great for the surgeons and the manufacturers, that's why they push the inflatables.You or insurance will have to pay for every revision.

that's good for surgeons and the companies, not for the little guy trying to get his sex life back, trying to make a living, pay his rent or mortgage, student loan, credit cards, etc from a financial perspective, the malleables make more sense, not everyone qualifies for medicare yet and not everyone has amazing insurance where everything will be covered, considering the surgery costs 25-30k in the USA.

If you are going to fork out 25k for a penile implant, you might as well get one that is unlikely to fail.

Of course, the surgeons will tell you that failures are rare, that you will only see the people with failures posting online, that people without problems never post online, etc until it happens to YOU and you become an statistic. Literally is a like russian roulette, is pure luck.

The inflatables are more appealing for the average joe due to imitating a regular erection process, which is understandable, but the technology is not there yet, you need to be lucky for everything to go great and never need a revision in the advertised 15 years of life. What are the chances of that? Many people have revisions in the first 5 years.

From a financial and durability perspective, the malleables make more sense, could it fail? could it erode? yes, but the chances of failures a low to none due to no mechanical parts.

People look down on them because they don't want a bulge showing 24/7 and they want to have a normal erection process, on top of that, they want to be as BIG as they can be, etc

YOU HAVE ED, and you want everything? BRUH lol beggars can't be choosers, and it is for that greedy desire to have it all and be a pornstar, the reason why these inflatables fail, because the technology is not there yet.

The malleable will always work and be ready, despite a small size loss and concealability concerns. This is a price you pay for better durability and higher chances of NO revisions

But since they want it all and be pornstars, they look down on it as a "poor choice" only reserved for old men with manual problems.

Here Dr Carrion talks about how the inflatables are pushed and why the malleable is not a second inferior option
https://www.youtube.com/watch?v=k2dYbbcHkqo
Last edited by Rufian on Sun Feb 04, 2024 5:37 pm, edited 1 time in total.

Never_Enough
Posts: 176
Joined: Fri Nov 24, 2023 7:54 am

Re: Inflatables are so ridiculous pushed in the USA

Postby Never_Enough » Sun Feb 04, 2024 5:34 pm

The malleable has always sounded like a 'joke' to me.

The idea that you are permanently erect and just bend it one way or another is hideous.

Inflatables might go wrong more but functionally they sound light years superior.

Plus dont you lose far more size with those?
38 m UK

Psychogenic ED since forever fewer problems being fully erect alone.
2 kids, 3rd on the way. Long term partner.
Chronic pelvic pain pudendal neuralgia and muscle tightness in late 2023 onwards making ED worse.
Cialis 5 mg daily and 15 mg as prn

Rufian
Posts: 196
Joined: Sun Nov 20, 2022 10:28 pm

Re: Inflatables are so ridiculous pushed in the USA

Postby Rufian » Sun Feb 04, 2024 5:44 pm

Never_Enough wrote:The malleable has always sounded like a 'joke' to me.

The idea that you are permanently erect and just bend it one way or another is hideous.

Inflatables might go wrong more but functionally they sound light years superior.

Plus dont you lose far more size with those?


It's no superior in any way lol this technology to inflate a balloon with water or saline by pressing and depressing a pump, has existed forever in other applications.

The malleable was the first implant and it was created cause it just works.

The inflatable may be superior in the sense that it attempts to imitate a regular erection process, but the technology is not there yet. There are too many things that can go wrong and make the implant non functional.

The pump, the tubes, the reservoir, a leak, etc.

Just the fact that saline is used to fill and empty the rods in the penis is poor technology, as you are completely depending on the integrity of the reservoir holding the saline, the tubes transporting it, the pump which makes the saline move, etc

Now look at other applications that use pumps, they ALL require a pump replacement at some point, ALWAYS, at least every few years, a pump is not meant to last forever and its lifespan decreases with every pump you do. This applies to all applications including this one. Not only that, they requires some form of maintenance to preserve the life of pump as much as possible, you can't do maintenance with your penile implant.

The reason why failures happen is because the design attempts to imitate normal erections.

easymoney
Posts: 605
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Inflatables are so ridiculous pushed in the USA

Postby easymoney » Sun Feb 04, 2024 6:09 pm

Dr. Carrion does push the mallabble implants and it is just about all he pushes for. He was my Dr. and would only do a Rigicon mallabble on me for age and health history reasons. I don't know what his percentage is between the amount of mallabbles he dors vs the inflatable doe anyone else know?

Txagq8
Posts: 885
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Inflatables are so ridiculous pushed in the USA

Postby Txagq8 » Sun Feb 04, 2024 7:05 pm

You are certainly entitled to your own opinion.

What you aren’t entitled to is your own facts.

The mechanics of an erection are pretty much common knowledge. The 3-piece inflatable more closely emulates the process than anything else available.

If a man’s health condition doesn’t permit that, then yes, a malleable is probably a better option than celibacy.

I suppose you could always use a stick and some duct tape.

The overarching FACT is that the vast majority of men who get a 3-piece inflatable installed end up extremely pleased with their decision.
Age 68. Physically fit educated red neck in Texas. Very married. 23 cm (18+5) of LGX installed by Dr. Bryan Kansas 12/31/2019. I fought the ED and my wife & I won. I’m either full of shit or sound advice. You decide which.

Bluewhippet
Posts: 105
Joined: Wed Aug 22, 2012 7:19 am

Re: Inflatables are so ridiculous pushed in the USA

Postby Bluewhippet » Mon Feb 05, 2024 4:05 am

Not true. Inflatables are the norm in the UK under the NHS where there is no profit motive for the doctor and no cost to the patient for the implant or a revision.
80 year old Type2 diabetic, long term ED, pills then injections PGE1. After 4 years they became less effective. Implanted 20/3/2018 by NHS. AMS 700 CX 15+4 cm with MS pump. Never had any significant pain. Still working perfectly and used regularly.

Old Guy
Posts: 2700
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Inflatables are so ridiculous pushed in the USA

Postby Old Guy » Mon Feb 05, 2024 8:52 am

Another one who only reads the negative posts about implants. Please realize there are thousands of men out there with an implant who never say one thing about it and are just happily using it. How many of your close friends, co-workers and family have you told that your penis isn't working? Being anonymous on the internet makes it easier to speak out. Again, guys with a working implant who are happy with it won't be posting as much as someone with a problem.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

easymoney
Posts: 605
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Inflatables are so ridiculous pushed in the USA

Postby easymoney » Mon Feb 05, 2024 10:21 am

Pros and cons to most things in life including implants. Sadly many dr's have an opinion that they transmit to their patients and so the patients are led down the path of only an inflatable is worth implanting. This difference in opinion on implants will go on for as long as they continue to do penile implants.

cbinspok
Posts: 671
Joined: Wed Feb 03, 2021 7:45 pm

Re: Inflatables are so ridiculous pushed in the USA

Postby cbinspok » Mon Feb 05, 2024 10:32 am

As always, with txagq8, the 3 piece does a great job of mimicking the natural joy of having/ getting a hard on. Its a complete process of sex not to be disregarding the needed use of a malleable, there is room for both devices, some men just can’t imagine having a time bomb in their pants and others like me are ok with managing that risk.
I hope there is more debate here about the topic it’s good for new persons coming on the understand their choices.
Carry on gents. Lets be whole again.
67years,fighting ed for over twenty years. A sever break, vit E, pataba, Viagra, massage Ved cilas, and I'm tired- throwing in the towel, Op for implant Mar 18, 2021 AMS LGX 18 x12 + 1 3cm RTE, gained girth and length, very glad I took the hard step.

Journeyman
Posts: 603
Joined: Fri May 12, 2023 3:46 pm

Re: Inflatables are so ridiculous pushed in the USA

Postby Journeyman » Mon Feb 05, 2024 11:28 am

Sounds like someone doesn't have insurance and isn't happy with their Malleable....idk . Don't understand the venom coming from our stick dick brother. We all had choices. The only choice we didn't have was being ravaged by ED. Why the hate against inflatables.. . I don't get it . I'm extremely pleased with mine . That " balloon with saline " feels like a steel rod when inflated.... kinda like yours ( drops mic )
54 - Coloplast Titan 22cm , Implanted by Dr. Clavell in April 2023


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