Can anyone share more light about Malleables causing deterioration and thinning of penile flesh over the long-term?
Dr. J. Francois Eid, MD:
"What we’ve learned from the experience with rigid or semi-malleable implants is that over time the layer of scar tissue that forms around the cylinders, the pseudo-capsule will become looser, and so the erection will loosen up, it will wobble. The space inside the cavernosa chamber where the cylinder is located will expand from the motion of the patient. There is an atrophy that occurs of the flesh of the penis. There is actually an atrophy also of the glans penis."
Source:
https://www.renalandurologynews.com/exp ... y-options/
Malleable and Penile Tissue Atrophy
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wilsonmill
- Posts: 248
- Joined: Mon Mar 11, 2019 9:50 am
- Location: Raleigh NC
Re: Malleable and Penile Tissue Atrophy
Good read, makes me question bicycling whether that could cause some issues
Age 64, type 1 diabetic, Married 20+ years, Titan implant 23 cm 27Feb2019, Duke Medical Hospital, Dr Lentz, failed March of 2024, revision 25Jun24 AMS700 LGX 18cm 5rte's Dr Andrew Chang associated urology Raleigh NC, Rex Hospital
Re: Malleable and Penile Tissue Atrophy
This is the issue with the malleable. Pressure atrophy. I've seen Eid talk about it on a video that I can no longer find. Either he speaks about it in the video or on the comment section, but what he said was substantially the same as was quoted in the article.
I think this[i][/i]is the reason most of the top implant surgeons don't even bring up malleables. And I can't see a way around it, the physics of it are unfortunate.
I think this[i][/i]is the reason most of the top implant surgeons don't even bring up malleables. And I can't see a way around it, the physics of it are unfortunate.
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
Re: Malleable and Penile Tissue Atrophy
Mark1974 wrote:This is the issue with the malleable. Pressure atrophy. I've seen Eid talk about it on a video that I can no longer find. Either he speaks about it in the video or on the comment section, but what he said was substantially the same as was quoted in the article.
I think this[i][/i]is the reason most of the top implant surgeons don't even bring up malleables. And I can't see a way around it, the physics of it are unfortunate.
Dr. Eid talks about that here:
https://youtu.be/7GRU1GrgW1M?si=DU_7Jb0xD3tYUySw
I've reviewed some papers on malleables, and it seems we lack sufficient long-term study data. I believe countries such as those in South America, Africa, Middle East and South Asia where malleables have a significant market share, would be ideal locations for conducting such studies on long term tissue atrophy.
Re: Malleable and Penile Tissue Atrophy
That's the one!
It's pretty brutal
It's the best argument against the malleable
It's pretty brutal
It's the best argument against the malleable
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
Re: Malleable and Penile Tissue Atrophy
Mark1974 wrote:That's the one!
It's pretty brutal
It's the best argument against the malleable
Thanks for bringing his video up. I should revisit this as it has been a while. It would be great if we had a video that delved into this topic for an hour. If this penile atrophy were a significant concern, the FDA would likely withdraw its approval for Malleables for virgin implant or non-salvage cases. I guess it can't happen as there aren't still people with arthritis who don't want to do all that inflatable pumping. I'm curious whether Dr. Eid has a very conservative stance on this matter or if it's genuinely as serious as he suggested!
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frank66665
- Posts: 1467
- Joined: Wed Mar 25, 2020 11:18 am
Re: Malleable and Penile Tissue Atrophy
this article dates back to 2014, in any case it doesn't talk about malleables, it refers to inflatables with extenders, kindly point me to the point where he talks about malleables in that article
56, ED since 2010, pills work but not always and well, trt in progress improved but not so much, myocardial infarction january 2016, new stent september 2016, hypertension, venous on 1/23/23 titan one touch 22, no rte dottor Gabriele Antonini Italia
Re: Malleable and Penile Tissue Atrophy
One again this is one dr's opinion ...even thought he is a good dr. well experienced I'd like to see if his view has changed since 2014 when that video was made. I have skin in this game since I have had a Rigicon since 6-2023.
Re: Malleable and Penile Tissue Atrophy
frank66665 wrote:this article dates back to 2014, in any case it doesn't talk about malleables, it refers to inflatables with extenders, kindly point me to the point where he talks about malleables in that article
You can find the section under this header:
What is the downside of getting a penile implant? [06:44]
Re: Malleable and Penile Tissue Atrophy
easymoney wrote:One again this is one dr's opinion ...even thought he is a good dr. well experienced I'd like to see if his view has changed since 2014 when that video was made. I have skin in this game since I have had a Rigicon since 6-2023.
I'm seriously considering getting a Malleable as I can't afford the revisions that come with the unreliable IPP.
His stance didn't seem to change. His practice website says the same: "Causes deterioration and thinning of penile flesh over the long-term."
https://www.urologicalcare.com/types-of ... -implants/
