Welp, I've finally made it here.

[Gt1956]

Fyi, the 6 week recovery is over stated by quite a bit. Its normally 6 weeks to the follow up appointment where you're released for sex. Some drs use a shorter timeline. The pain, at least in my case, was only for a week. The next 5 weeks was basically treading water waiting for the follow up. The cycling afterwards for sizing & breaking in the bulb & implant might have discomfort for another month or two. Easy solution. Take an ibuprofen an hour before cycling. I think a 100 pill bottle of generic is around $3 at Walmart. Best money you'll spend.

There are solutions to all of these complaints. Very few men have long term pain during recovery. But it does happen. That is why you need a bottle of acetaminophen & a bottle of ibuprofen. Those are the only two otc pain relievers that can be taken together. Actually you alternate between them. Don't buy either with additional ingredients. All you need is something in case it hurts more than you're willing to bear. I think I took two ibuprofens at bedtime for awhile. Just in case I slept on it funny.

Lots of wild claims are made about malleables longevity. Oddly, most of the prophets of them are from countries that don't have health insurance. If you're paying cash in a country with low wages then of course malleables start to look pretty good. But consider a few things. We don't have long term owners of malleables in these countries to report back on how long they really did last. These owners are happpy as all heck cause they got an implant on the cheap. Then there is the permanent erection issue.

I wanted a prosthesis that mimics my natural dick. My dr gave me that. Its ready in less than a minute. It lasts until I tell it that the job is done.

Read my signature line. Search my post history back to my surgery date. I've had it for 13 months now. No regrets. Please be careful who you listen to in your journey. Sometimes you'll find men with an agenda that doesn't match yours. Good luck.

[duke_cicero]

Fyi, the 6 week recovery is over stated by quite a bit. Its normally 6 weeks to the follow up appointment where you're released for sex. Some drs use a shorter timeline. The pain, at least in my case, was only for a week. The next 5 weeks was basically treading water waiting for the follow up. The cycling afterwards for sizing & breaking in the bulb & implant might have discomfort for another month or two. Easy solution. Take an ibuprofen an hour before cycling. I think a 100 pill bottle of generic is around $3 at Walmart. Best money you'll spend.

There are solutions to all of these complaints. Very few men have long term pain during recovery. But it does happen. That is why you need a bottle of acetaminophen & a bottle of ibuprofen. Those are the only two otc pain relievers that can be taken together. Actually you alternate between them. Don't buy either with additional ingredients. All you need is something in case it hurts more than you're willing to bear. I think I took two ibuprofens at bedtime for awhile. Just in case I slept on it funny.

Lots of wild claims are made about malleables longevity. Oddly, most of the prophets of them are from countries that don't have health insurance. If you're paying cash in a country with low wages then of course malleables start to look pretty good. But consider a few things. We don't have long term owners of malleables in these countries to report back on how long they really did last. These owners are happpy as all heck cause they got an implant on the cheap. Then there is the permanent erection issue.

I wanted a prosthesis that mimics my natural dick. My dr gave me that. Its ready in less than a minute. It lasts until I tell it that the job is done.

Read my signature line. Search my post history back to my surgery date. I've had it for 13 months now. No regrets. Please be careful who you listen to in your journey. Sometimes you'll find men with an agenda that doesn't match yours. Good luck.

Thank you, Gt1956. This is incredibly helpful. You make some really solid points. I've always been curious about why there were so many doctors from seemingly exclusively India pushing the malleable implants so hard. There's virtually no discussion of the malleable implants in the US, unless (as a footnote) they mention something about not having the dexterity to push the pump bulb. But if I'm feeling particularly conspiracy-minded, then of course I think of the Medical Industrial Complex and figure that, of course doctors in the West are pushing the IPP because of the massive insurance payouts and other kickbacks from device manufacturers.

But maybe it's really the case that the IPP is just that much better and I really don't need to worry at all.

Of course my fear is that I'll go through all of this and then the device just won't work at all and I'll be stuck with this dead pump inside me, constantly going in for minor revision surgeries and not doing the thing that I want to do — have sex with a functioning penis.

[Gt1956]

Make two lists of implant surgery steps. One for IPP's & one for MPP's. Basically ALL the same steps are done in each surgery. True, placing the reservoir & pump takes a bit of time but we're not talking much time. In surgery, time is money. The only real cost savings in the process that I can see is that the rods are far away cheaper to make vs cylinders, reservoir & pump. Remember each of those items get a lot of inspection time during the manufactiring process. It all adds up. Malleable rods are likely extruded, a very simple & cheap process. Think of like pasta noodles.

The money savings for a MMP is principally because all of this usually takes place in a lower cost area of the world. Does that make them better to an American? Let the insurance company worry about the costs. Even if you self pay. You're making more money per year than most men in the far east. Compare apples to apples. Just get yourself the best implant for you. Worrying about some medical conspiracy isn't revelent. It isn't doing you any good because you're here, not there. Its based on cost differences in the world economies.

The same logic applies to revisions. You see over & over that most guys say if their IPP fails they'll be at the drs office the next day. These men have learned that the pain & recovery time is not anywhere as bad as they had feared.

Trying to screw the medical industry out of some money is a fools errand. Don't be that fool. Get whats best for you.

[Gt1956]

Just to add another point. There are lots of pefectly functioning IPP's in Americas cemeteries. You don't hear much about them. Its a valid piont to say you only hear about the implants that have problems. How much weight does my perfectly working implant carry? Everyone remembers the problem ones.

Lets go into the way back machine. I remember a girl in high school that claimed she got pregnant the very first time she had sex. I'm standing there thinking well that sucks. I banged my girlfriend daily. Sometimes twice a day. For two solid years using the pull out method. Yes, my oops is now 52 yo. Different people = different results.

[Gt1956]

viewtopic.php?f=6&t=24307&p=231237#p231237

Hopefully this link works. Click on his name to open his profile info page. This member lives in the USA. He is getting a second MMP one year after the first one was placed. You'd have to read his post history to get the full story. At least on the surface it doesn't sound like he is having great luck with his cheap superior malleable. Is his experience normal. Probably not. But shit does happen with either implant.

[Rider1400]

Only thing I will disagree on is IPP 3 piece is by FAR the most common of the implants. There’s probably only a half dozen guys on here with malleable implants but the rest are all 3 piece. Not trying to suggest either one but don’t get caught up on opinions of a couple guys who have no doubt had bad luck with 3 piece IPPs. Continue research and you’ll find there is a risk of erosion, and a lot of times length lose and most definitely girth lose! Especially if your over 5-1/2” girth. I definitely see the advantage of malleable….. but!, I couldn’t imagine having a boner ALL the time. Also when I pump up my IPP it’s absolutely rock hard in length and rock hard in diameter. There’s no way a malleable could fill my dick as full or as hard as an IPP. But again it’s an individual choice! Good luck with your decision and hope it all works out! Still as with any implant surgery it’s best to use a Dr who specializes in sexual health and has dedicated his practice specifically to implants and issues specifically with the penis!

This is a pretty glowing review, Rider. I guess I didn't realize the 3-piece was so incredibly popular compared to the malleable. But! Isn't there a risk of erosion with the IPP, too? I mean, you still have tubes stuck in your corporal bodies.

There in lies the issue. With a 3 piece the cylinders are only stretching hard into your gland when pumped up, giving your penis time to relax when not hard inflated. I’m 5-1/2 length when deflated and 6-3/4 plus when pumped to the max! Also giving my tissues time to relax more like a natural erection does when not inflated.My girth is 5-1/4” when deflated and a little over 6 when pumped so I get the natural relaxed when not pumped and the rock hard when maxed out. With a malleable you need a dr that does them enough to get you perfectly sized. Too much and you will get erosion, too little and you get floppy glands. Also whatever girth you get with the malleable is all you got except any engorgement that you might get. With my IPP I pump up and gain almost an inch of girth and then engorgement kicks in when turned on and I get a good round soft to the touch on the outside but rock hard just below the skin and engorgement.
It’s totally an individual decision. I rolled the dice and hope mine lasts at least 6-8 years and possibly the 8-10 that is advertised. If I were in my 30s maybe I would have considered a malleable but I’m in late 50s so took my chances. If I had several revisions in a short time I would definitely go to a malleable but for now I’m 3 piece and will make decisions about changes when the time comes. Good luck .

[duke_cicero]

I guess I am firmly (ha!) convinced that if given the opportunity to get an IPP, that I will take it. Thanks for all the help and tough love, guys! Your clarity and reassurance was extremely helpful. I can't wait to go bionic and have Terminator Dick! I'll be back...

[Gt1956]

Just my opinion. It seems that tubing failure, normally involving a splice. Is the most common reason for an IPP failure. This is a tricky issue to work around for a dr. A pre assembled pump & cylinder system is the most logical answer. But now your anatomy comes into play. I have a deep proximal measurement. Some of my more persistent discomfort after surgery & early cycling was near my perineum. Basically my asshole area was tender. Not my glans area. Measure back from your glans 21cm or 22cm. You'll be surprised where the rear tips are. Now the tubing on a pre assembled IP has to come forward to exit the corpra then travel over to the pump. My long proximal means that I run short of tubing. Thus my pump is high. It can't go any lower even tho I diligently pulled on it. A fellow member that got the exact implant as me from the same dr a few months later has a low riding pump. The theory is that AMS had just released a pump with a slightly longer tubing. Thus his pump hangs lower. Also, his proximal might be less but I'm not sure. So to reduce the chance of tubing failures. Scarfices are made. My dr has offered to lower my pump but he doesn't think he cam lower it by much.

In the big picture. In my case it might be better to live with a high pump vs introducing a splice. But on the other hand. I'm 68 years old. A revision wouldn't be earth shattering to me.

I've given OP lots of points to consider. Make a list, any points that concern you need to be discussed with your dr. Its been awhile since the forum has reminded members about the importance of your surgeon selection. Experience & skill on how to handle all these things is key to your outcome. Don't screw it up, talk about it.

Good luck. Gt1956, a happy IPP owner.

[duke_cicero]

Haven't had my consultation yet but did some research on my insurance website and discovered that my insurance isn't going to cover this procedure. I have no idea what to do anymore. Especially if I end up needing revisions, which I will then have to pay for entirely out of pocket. It feels like my life is completely over at 34. I am totally crushed.

[LetoMan]

Change your insurance whenever you have open enrollment. In the meantime figure out which insurance covers it, and research doctors and the procedure generally. So you miss a few months. Lick some pussy and take some pills in the meantime, whatever works. You are young still, lots of good years to come. Don’t just give up, there are solutions. ED, particularly life-long ED, makes you want to give up sometimes. But don’t! You live in the 21st century, when fixing it is a matter of switching insurance or saving a bit of money. Imagine you lived just 60 years ago, when there were no options whatsoever. You can figure this out! Then you’ll have a hard dick to enjoy.