Malleables revisited

[tobenormalagain]

I am a very healthy 57yo, fit man with long-standing ED and normal Testosterone. I began seriously thinking about an implant several years ago after failing all of the conventional treatments (Cialis/Viagra, VED, PT-141, Trimix/Quadmix. Unfortunately, I eventually came to the point that I was completely unable to have achieve any type of erection even with max doses (and a little more of Cialis and Quadmix). Anyway, after extensive research, I went with a Tactra malleable. I know inflatables are said to have a higher satisfaction rate but the incidence of infection and component failure, seemed to me unacceptably high and I truly wonder if the purported life span of IPPs is largely exaggerated. That said, in my research, I found a complete dearth of information (and lots of disinformation) on the internet, even here, with the exception of a few gentleman who post regularly. My recovery was a piece of cake and I could have easily have returned to work after 4-5 days. I've found that ncealability is not a problem at all and thankfully, did not lose any size or girth. The best part is that I now have the ability to have intercourse again without pills, shots, VEDs.. and without the constant worry of many of the problems that IPPs are prone to. I'm asking myself now, why all the hate and bad information for MPPs?

[LastHope]

Congratulations on getting a malleable!

Asking about malleables in a USA-based forum is like asking about inflatables in an India-based forum. It's just how it is—those of us interested in malleables are in the minority especially in the US. I still love my inflatable brothers.

I'm a fan of malleables and plan to get one real soon. I get my inspiration from the threads of mbambo and thedriver. Two amazing individuals who have been very helpful in sharing their real world experiences. Easymoney is another awesome user of malleable in this forum and I think he got his implant from a top malleable surgeon in the US.

What made you choose the Tactra over other options like the Indian Shah, Rigi10, Genesis, ZSI 100, and Promedon? I'm honestly impressed that Tactra passed the 100,000 bend cycle test in their lab. That's impressive engineering and metallurgy.

Who was your surgeon, and what type of incision did you have?

[frank66665]

congratulations tobenormalagain, do you see your penis as round or oval with tactra? It would be nice to see some photos

[Mark1974]

Do you know the diameter of the rods?

I'm getting an IPP in December, but I think I will eventually end up with a malleable, because I won't tolerate too many surgeries. I may even get one on the first revision

One big problem with malleables, though, is the potential for pressure atrophy

[easymoney]

potential for pressure atrophy from what I read is rare and only happens when there is a patient tissue issue or the sizing was done wrong ..

[LastHope]

tobenormalagain,

I recently consulted with a surgeon who expressed concern about Tactra implant's bend memory, citing a lack of it in a sample device he had.

Given this, I'm wondering about your experience with the implant's bend memory. After bending, it sprang back straight in his office.

Could it be that he had a defective sample?

[LastHope]

Are inflatables susceptible to potential pressure atrophy?

"Penile prostheses form a pseudocapsule after implantation[26]. For the inflatable component of the implant, inflation of the implant allows the material to fill the entire space within the pseudocapsule. However, anecdotally, we have found that the pseudocapsule around the non-expanding rear tips gradually dilates over time, and pressure atrophy with gradual compression of the surrounding cavernosal muscle and tunica thins out the flesh of the penis. The dilation may cause the device to “wobble” proximally, more so if more rear tips are used. In our experience, this phenomenon is more pronounced with malleable penile prostheses."

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559880/
The Rear Tip Extender for Inflatable Penile Prostheses: Introduction of “Rigidity Factor” and Review of the Literature
Nannan Thirumavalavan, MD,1 Billy H. Cordon, MD,2 Martin S. Gross, MD,3 Jeffrey Taylor,4 and Jean-Francois Eid, MD5

[LastHope]

potential for pressure atrophy from what I read is rare and only happens when there is a patient tissue issue or the sizing was done wrong ..

I agree. Until we have proven research studies comparing large numbers of patients from both groups in the same study, I remain skeptical of the pressure atrophy "theory." I've heard about malleable pressure atrophy theories from a prominent IPP specialist, and I'm interested in the perspectives of MPP specialists from other parts of the world. It's akin to generalizing based on few anecdotal clinical experiences. Just because some Teslas caught fire, it doesn't mean all Teslas will catch fire.

[thedriver]

Oh your going to love the malleable brother, no worries of failure and ready to go right now, I felt a lot of pressure for about 3 weeks after surgery, after that everything seems to fall into place, and now my dick feels completely natural, concealment is never a problem here either.
I didn't loose any length either, and I lost about a 1/2 inch in girth which I'll gladly trade for all the pro's of having a MPP, and not worrying about the next failure that (WILL) eventually happen with the IPP.
Enjoy brother..............

[tobenormalagain]

Congratulations on getting a malleable!

Asking about malleables in a USA-based forum is like asking about inflatables in an India-based forum. It's just how it is—those of us interested in malleables are in the minority especially in the US. I still love my inflatable brothers.

I'm a fan of malleables and plan to get one real soon. I get my inspiration from the threads of mbambo and thedriver. Two amazing individuals who have been very helpful in sharing their real world experiences. Easymoney is another awesome user of malleable in this forum and I think he got his implant from a top malleable surgeon in the US.

What made you choose the Tactra over other options like the Indian Shah, Rigi10, Genesis, ZSI 100, and Promedon? I'm honestly impressed that Tactra passed the 100,000 bend cycle test in their lab. That's impressive engineering and metallurgy.

Who was your surgeon, and what type of incision did you have?

Yes, no disrespect to anyone desiring an inflatable model. My biggest complaint however, was that outside of a few firsthand reviews on Frank Talk, there was mostly disinformation and many opinions; "malleables are inferior technology", "why ride a bike when you can drive a car", "they're impossible to conceal"... Regarding your other questions, I had my surgery (sub-coronal approach) at the University of Virginia by Dr. Oritiz. I actually would have preferred a Rigicon Rigi 10 malleable implant but the Boston Scientific Tactra was the only MPP offered at that facility. So far, I am very happy with my decision!