How I Feel After Two Years

[cautiouslyoptimistic]

Couldn’t agree more. I was duped into this by the much older men on peyroniesforum who talked about it was the greatest thing ever and kept repeating the phrase “nobody will notice unless you tell them” and praised these “high volume surgeons”. It all now seems like a giant scam, a business plan for these doctors to make money. Those words couldn’t have been further from the truth. I had a botched initial implant from Andrew Kramer. He ruined my life for a stretch of time. A massive cylinder aneurysm that he repeatedly told was all in my head, visible tubing everywhere, trips to the ER, multiple failed revisions, a cylinder that completely fell out into my scrotum, and ultimately a massive infection that almost killed me. Not only could a woman tell I had an implant, but it became a source of embarrassment much worse than peyronies disease ans y my natural penis ever were. I now have a malleable, and is it perfect? No. Far from it. But for the first time in years I feel like I have something resembling my natural penis back. I asked repeatedly for a malleable prior to infection and was told no. Why? Because the surgeons make less money from them, plain and simple. If i could go back in time I wouldn’t get an implant. Having had a Titan, a CX, and now a malleable, I would have gone with the malleable the first time and be done with it 100 times out of 100. Think hard before you make the leap guys.

[CigareVolant]

Your post made me realize how lucky I've been. I get good engorgement of my glans and the tissue along the urethra. The erect penis looks good. The flaccid penis is now a "shower", and looks a little weird if I fully squeeze out the fluid, but with a few pumps its not bad at all. I've had an active, pleasurable sex life in the two years or so since the implant. And at this point, it all just feels like a part of my body. Different than how it used to be, but my new normal.

I had been thinking that this was how it always (or at least usually) works. Your story paints a vivid picture of how different it can be for some people, and I really appreciate that. Thank you for the perspective.

[Rider1400]

I’ve really enjoyed this thread. I clearly see both sides. A very close friend of mine got diagnosed with stage 4 prostate cancer about the time I received my implant. Now 2-1/2 years later his cancer has continued to spread and life looks bleak for him. He has used a VED shots and pills the whole time but none are doing any good except the VED which he continues to use. He has told me a hundred times that if he gets thru this he just can’t wait til he can get implanted and get an erection! Said he don’t care if it’s oval, too short or anything else! He just wants a hard dick!
I had an easy recovery and have had great results w my implant! I still have to use a little cialis to get good engorgement but it’s worth it.
I totally agree with comments about satisfaction rate…. But…. In many of the videos on you tube by clavell Eid and Perito they comment that all they can insure that you will get is a hard erection sufficient for intercourse! And truthfully that’s all the implant can give you. It’s all it should be expected to give you. Many people on here answer questions posted by men considering an implant asking is it time….most commonly the answer is correctly given saying it’s a last resort! When nothing else works it’s definitely time! Some forgo injections and that's fine… for that person it was not worth it.An implant CAN NOT assist in engorgement, in some cases it could possibly hinder it by too much pressure on the vessels that provide blood for engorging. An implant CAN NOT in no way help sensitivity! In my case it killed my sensitivity for several months and it gradually came back over a year, which I was totally expecting from my research. I also have learned to play with the hardness of my pumping to get a better balance of sensitivity, hardness, and shape, when pumped up or when flaccid.
If asked about my satisfaction today I would give mine 95% or better! Mostly based on the fact that I couldn’t get hard without injections and that was taking massive amounts of juice and was very unreliable and at times very painful. I feel we as implanted men need to drive these points home to anyone getting an implant! It’s not by any means an end all to any issue you’re having with ED. An implant is simply a means of getting an erection sufficient for intercourse. If your blessed with good or acceptable engorgement or good sensitivity than you got an xtra bonus. As we age at least for me, my ability to orgasm has been all over the place. The implant in some ways helps this in that I’m not worrying about loosing my erection but now I’ve learned to relax and not rush and sometimes it just don’t happen. Most times my wife accepts that and at times it frustrates her. Oved time with age it’s normal to get less sensation in your shaft this is an age thing and not necessarily related to an implant.Over all I’m glad I have an implant and when it fails I’ll be getting another one ASAP!

[fucked0ne]

In many of the videos on you tube by clavell Eid and Perito they comment that all they can insure that you will get is a hard erection sufficient for intercourse! And truthfully that’s all the implant can give you. It’s all it should be expected to give you.

Yes, but I think it's ridiculous to create a device that prioritizes function over form. All men know--including urologists--just how sensitive men are about their penises. Why give a man something he'd ultimately be too embarrassed to use? It defeats the purpose, and then they claim it's your problem. This is especially unfair when the marketing of these products is deliberately misleading. Of course you're going to have the "wrong idea."

But, then again, what else is there? I had to get an implant because I had no other choice. It works--kind of--but I'm really not that happy with it. My implant is so buggy that I almost feel like the technology isn't quite there yet. Every day I think of swapping it out for a malleable.

[Mark1974]

Couldn’t agree more. I was duped into this by the much older men on peyroniesforum who talked about it was the greatest thing ever and kept repeating the phrase “nobody will notice unless you tell them” and praised these “high volume surgeons”. It all now seems like a giant scam, a business plan for these doctors to make money. Those words couldn’t have been further from the truth. I had a botched initial implant from Andrew Kramer. He ruined my life for a stretch of time. A massive cylinder aneurysm that he repeatedly told was all in my head, visible tubing everywhere, trips to the ER, multiple failed revisions, a cylinder that completely fell out into my scrotum, and ultimately a massive infection that almost killed me. Not only could a woman tell I had an implant, but it became a source of embarrassment much worse than peyronies disease ans y my natural penis ever were. I now have a malleable, and is it perfect? No. Far from it. But for the first time in years I feel like I have something resembling my natural penis back. I asked repeatedly for a malleable prior to infection and was told no. Why? Because the surgeons make less money from them, plain and simple. If i could go back in time I wouldn’t get an implant. Having had a Titan, a CX, and now a malleable, I would have gone with the malleable the first time and be done with it 100 times out of 100. Think hard before you make the leap guys.

Do you think Kramer is a good surgeon?

He comes across as extremely confident in his videos.

[Rider1400]

In many of the videos on you tube by clavell Eid and Perito they comment that all they can insure that you will get is a hard erection sufficient for intercourse! And truthfully that’s all the implant can give you. It’s all it should be expected to give you.

Yes, but I think it's ridiculous to create a device that prioritizes function over form. All men know--including urologists--just how sensitive men are about their penises. Why give a man something he'd ultimately be too embarrassed to use? It defeats the purpose, and then they claim it's your problem. This is especially unfair when the marketing of these products is deliberately misleading. Of course you're going to have the "wrong idea."

But, then again, what else is there? I had to get an implant because I had no other choice. It works--kind of--but I'm really not that happy with it. My implant is so buggy that I almost feel like the technology isn't quite there yet. Every day I think of swapping it out for a malleable.

I can’t understand why people think a malleable is going to fix problems that you’re having with a 3 piece? It’s a constant hard on that can not get flaccid. It is what it is at all times. Save some engorgement. Good luck with your decisions. For me I’m very satisfied with my implant and the day it fails be it next week or ten years from now I will immediately be getting another.

[fucked0ne]

I can’t understand why people think a malleable is going to fix problems that you’re having with a 3 piece? It’s a constant hard on that can not get flaccid. It is what it is at all times. Save some engorgement. Good luck with your decisions. For me I’m very satisfied with my implant and the day it fails be it next week or ten years from now I will immediately be getting another.

Rider1400,

This seems to be the only complaint people have when it comes to the malleable, that and being downsized by a centimeter (which, admittedly, in "dick math," is something). That said, as a more complicated system, the IPP is naturally susceptible to more complications, lending itself to more complaints. But, yes, it is concealable, and that's great for when I don't plan on using my dick.

Look, everyone is different. I sincerely think it's great that people are more than satisfied with the IPP. Some people on here, having had both, claim that they find the malleable superior to the IPP in terms of engorgement--which is cosmetically important--natural feeling, and, yes, even the constant erectile state (which they find more conducive to spontaneous intimacy).

But the IPP is still new to me; I have to admit that. Perhaps, in time, I'll learn to love it. Maybe not. I don't know yet. These are simply my initial impressions, and they might change.

[fucked0ne]

Couldn’t agree more. I was duped into this by the much older men on peyroniesforum who talked about it was the greatest thing ever and kept repeating the phrase “nobody will notice unless you tell them” and praised these “high volume surgeons”. It all now seems like a giant scam, a business plan for these doctors to make money. Those words couldn’t have been further from the truth. I had a botched initial implant from Andrew Kramer. He ruined my life for a stretch of time. A massive cylinder aneurysm that he repeatedly told was all in my head, visible tubing everywhere, trips to the ER, multiple failed revisions, a cylinder that completely fell out into my scrotum, and ultimately a massive infection that almost killed me. Not only could a woman tell I had an implant, but it became a source of embarrassment much worse than peyronies disease ans y my natural penis ever were. I now have a malleable, and is it perfect? No. Far from it. But for the first time in years I feel like I have something resembling my natural penis back. I asked repeatedly for a malleable prior to infection and was told no. Why? Because the surgeons make less money from them, plain and simple. If i could go back in time I wouldn’t get an implant. Having had a Titan, a CX, and now a malleable, I would have gone with the malleable the first time and be done with it 100 times out of 100. Think hard before you make the leap guys.

Do you think Kramer is a good surgeon?

He comes across as extremely confident in his videos.

I had Kramer and found him to be a great surgeon. Any complaints I have, have to do with the device itself, which I'm still getting used to.

[Discovernew]

I joined this community in January 2023. After receiving my Coloplast Titan Implant in 2022, one thing has consistently troubled me: the questions I get about my satisfaction with the implant. Each time I visit my urologist, I am given simplistic questionnaires that ask if I am satisfied with my ability to have an erection sufficient for intercourse. And each time, I mark up the forms, commenting that the question is far too narrow to capture my real feelings.

You would think after repeatedly crossing out these questions, my doctor might stop and ask why. But no. He never does. If these types of surveys are the primary tools for measuring patient satisfaction, it is no wonder satisfaction rates are high. I answer "yes" to the basic question because it is the only one, I am given and, technically, it is true. I can pump it up and have an erection whenever I need one. But that is just scratching the surface.

I do not blame my doctor personally for this, but it speaks of a larger issue in how society and the healthcare system view men's sexual health. In my experience, urologists often approach men with a simplistic mindset: "Get him hard again, and he’ll be happy." They cannot restore natural erections, but they can offer a prosthesis that mimics one.

However, this level of satisfaction would not be expected for any other kind of prosthesis—whether it is for a nose, an ear, a hand, or a foot. Research bears this out. There is nowhere near the same satisfaction rates for those prostheses as there are for penile implants. This raises concerns about the design of these satisfaction surveys. Men are human beings with complex feelings, and it seems perfectly natural to feel conflicted about needing a prosthesis for such an intimate function. But when it comes to penile implants, there seems to be an unrealistic expectation that we will all be thrilled with the result.

What really struck me recently was an article in the Oxford Academic Journal titled Managing the Difficult Penile Prosthesis Patient. It explained that the small percentage of patients who are dissatisfied despite “acceptable surgical results” are often labeled with the acronym CURSED—standing for Compulsive/obsessive, Unrealistic, Revision, Surgeon Shopping, Entitled, Denial, and Psychiatric. When I read this, I thought, "Wow, talk about shaming patients into silence." Who would feel comfortable being honest about their dissatisfaction if doing so risks being dismissed as "CURSED"?

This reminds me of something Nietzsche said about group criticism—he called it a manifestation of the "herd mentality." In this view, people conform to common values and suppress those who deviate from the norm, not to promote individual growth but to maintain mediocrity and safety. Some men may have a perfectly reasonable psychological and emotional reaction to a prosthesis, but their concerns are often sidelined.

I have been reading posts here for a while now, and I am constantly impressed by the courage many of you show in sharing your stories, both of success and vulnerability. However, I have also noticed (though not always—there are many empathetic members here) that when someone expresses dissatisfaction, they are sometimes told, “Be happy you can still have an erection,” as if that alone should soothe us. We know we are much more complicated than that.

In my own experience, I went through what I believe is the typical path for a 48-year-old prostate cancer patient at the time: normal sexual function, followed by a radical prostatectomy, which led to erectile dysfunction. I tried ED pills and injections, but eventually, neither worked. After a period of complete impotence, I chose to get a penile implant. Alongside this physical journey were significant challenges in my personal life—relationship struggles and breakups linked to erectile dysfunction, as well as battles with depression, anxiety, therapy, and sexual counseling. I'm still standing, but not without physical and emotional scars, along with lingering reservations.

It's a mixed experience for me. Some days, I’m thrilled that I can enjoy penetrative sex again. I work out 3 to 5 days a week, my endurance is great, and I can engage in long sessions without getting winded. On those days, I feel good about the functionality. But other days, I really dislike the way my penis looks. It has an odd, flat, oval shape, with an indentation running down the middle of the shaft that makes the tubing on both sides more noticeable. There's little to no blood flow, no natural tumescence, and the head of my penis remains small and doesn’t engorge. I use gels, vacuum erection pumps, and rings to trap blood, but honestly, it often ends up being painful. Many times, I have sex while dealing with discomfort or pain, which only adds to the frustration. After seeing multiple doctors, all of them have basically told me, “It is what it is,” and there’s not much more they can do.

Then there's the issue of anorgasmia. My sensitivity has decreased to the point where achieving orgasm has become incredibly rare. I’ve tried medications without success. I don’t take anything that would interfere with my ability to orgasm, but no matter how much I pump or attempt manual stimulation, I’m lucky if I can orgasm 1 out of 10-15 times. Whether it’s through intercourse or other forms of stimulation, it’s just not happening. I’ve seen excellent sex therapists and tried all kinds of approaches, but this is where I am now.

So, to put it plainly: Yes, I’m glad I got the implant. Yes, I love that I can have intercourse again and no longer have to worry about impotence. But at the same time, I struggle with accepting the prosthesis. I have issues with my body image, with how my penis looks, with depression and anxiety, and with the frustration of not being able to release my sexual energy through orgasm. I understand that sex is about more than just orgasms—it’s also about intimacy—and I show up for that. I don’t shy away from life, relationships, or sex.

I’m sharing this to emphasize that it’s complicated. We all know that. It doesn’t have to be all sunshine and rainbows, nor does it have to be darkness and gloom. For me, sometimes it’s both, and sometimes it’s neither. There are days when I don’t even think about it. And there are some days it's all I can think about. But I’ll admit, since prostate cancer, I think about my penis way more than I used to.

I want to encourage other men to be open, honest, and vulnerable about their low points, if they have them, without feeling labeled or CURSED. I’ve found that the high moments can balance out the lows, and making space for both feels like the most human thing to do.

Men's experiences with penile implants are multifaceted, and it's time the healthcare system acknowledges the emotional and psychological complexities that come with this journey. It is not just about functionality; it is about feeling heard and understood.

Thanks for Reading
Peace

Hi Lalo. I read your post and it is valuable. I also think it is worth noting that the implant does not fix blood flow issues with the glans of the penis, as the glans has a separate blood supply than the corpus cavernosa (where the implant goes). A lot of people go into surgery without knowing this.

Based on what you mention it seems that the implant itself is working, but the other issues are not the fault of the implant (the lack of engorgement for example). I know people tend to use cialis/viagra or even fillers to help with those issues. If you are not happy with the way your penis looks and feels, you can still look for options to make it look better. Don't give up. And don't be scared to get a second or third opinion from other doctors.

[Mark1974]

I can’t understand why people think a malleable is going to fix problems that you’re having with a 3 piece? It’s a constant hard on that can not get flaccid. It is what it is at all times. Save some engorgement. Good luck with your decisions. For me I’m very satisfied with my implant and the day it fails be it next week or ten years from now I will immediately be getting another.

The problem is the more surgeries you have the higher the risk of an infection or a traumatic complication.

My plan is to switch to malleable on the first revision and just adapt to it, because I don't want to take too many risks with my penis