Dr. Hakky on malleables

The final frontier. Deciding when, if and how.
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duke_cicero
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Re: Dr. Hakky on malleables

Postby duke_cicero » Sat Dec 21, 2024 1:31 pm

1day2Bbionic wrote:Why cant the genesis have a smoother arc/radius at the front tip? That is the only downside to it. And why can't the rigicon have a smoother end or nose cap on the back side for smoother transition? Both of those seem obvious you would think


To be fair, I'm only 10 days out from my surgery, but my malleable feels so comfortable that I barely recognize it's even there apart from noticing that I have a 24/7 erection. I think it's possible that the arc of the implant tip has more of an effect if your surgeon isn't as familiar with the procedure. Just my speculation. Obviously Hakky is one of the best of the best and he's probably trying to optimize every last one hundredth of one percent of quality. But I wonder if it really matters in the grand scheme.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

fucked0ne
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Re: Dr. Hakky on malleables

Postby fucked0ne » Sun Dec 22, 2024 10:53 am

duke_cicero wrote:
1day2Bbionic wrote:Why cant the genesis have a smoother arc/radius at the front tip? That is the only downside to it. And why can't the rigicon have a smoother end or nose cap on the back side for smoother transition? Both of those seem obvious you would think


To be fair, I'm only 10 days out from my surgery, but my malleable feels so comfortable that I barely recognize it's even there apart from noticing that I have a 24/7 erection. I think it's possible that the arc of the implant tip has more of an effect if your surgeon isn't as familiar with the procedure. Just my speculation. Obviously Hakky is one of the best of the best and he's probably trying to optimize every last one hundredth of one percent of quality. But I wonder if it really matters in the grand scheme.


How's the cosmetic result, duke_cicero?
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

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duke_cicero
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Re: Dr. Hakky on malleables

Postby duke_cicero » Sun Dec 22, 2024 11:27 am

fucked0ne wrote:How's the cosmetic result, duke_cicero?


Looks good, honestly. Every day it gets a little better. My penis is very sensitive to temperature fluctuations, and obviously I've been looking at my penis a lot more than I normally would these days. But it's basically the same as it ever was. Granted, it's not like it was when I was 18 years old and harder than quartz countertops. But it's great.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

fucked0ne
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Re: Dr. Hakky on malleables

Postby fucked0ne » Sun Dec 22, 2024 11:56 am

duke_cicero wrote:
fucked0ne wrote:How's the cosmetic result, duke_cicero?


Looks good, honestly. Every day it gets a little better. My penis is very sensitive to temperature fluctuations, and obviously I've been looking at my penis a lot more than I normally would these days. But it's basically the same as it ever was. Granted, it's not like it was when I was 18 years old and harder than quartz countertops. But it's great.


Would you be opposed to sharing a photo with us when you're all healed up? I'm strongly considering a malleable revision, but I would like a visual idea of what to expect, and there aren't too many people here willing to share anonymous images of their MPP--that is, aside from the usual trio (thedriver, easymoney, and... I forgot the last one's handle). Others just talk about how great their malleable is but come up with some truly eccentric excuses for not wanting to share on a faceless forum... which makes me generally suspicious of malleable results.
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

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duke_cicero
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Re: Dr. Hakky on malleables

Postby duke_cicero » Sun Dec 22, 2024 11:59 am

fucked0ne wrote:
duke_cicero wrote:
fucked0ne wrote:How's the cosmetic result, duke_cicero?


Looks good, honestly. Every day it gets a little better. My penis is very sensitive to temperature fluctuations, and obviously I've been looking at my penis a lot more than I normally would these days. But it's basically the same as it ever was. Granted, it's not like it was when I was 18 years old and harder than quartz countertops. But it's great.


Would you be opposed to sharing a photo with us when you're all healed up? I'm strongly considering a malleable revision, but I would like a visual idea of what to expect, and there aren't too many people here willing to share anonymous images of their MPP--that is, aside from the usual trio (thedriver, easymoney, and... I forgot the last one's handle). Others just talk about how great their malleable is but come up with some truly eccentric excuses for not wanting to share on a faceless forum... which makes me generally suspicious of malleable results.


Yeah, I think I'll probably show a photo when I'm all healed up. I wouldn't be suspicious of malleable results especially since there's already so many good examples. But this sounds like the kind of thing where maybe no amount of evidence is going to persuade someone. Especially since every penis is so different.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024. Read my implant journal here.

fucked0ne
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Re: Dr. Hakky on malleables

Postby fucked0ne » Sun Dec 22, 2024 12:04 pm

duke_cicero wrote:But this sounds like the kind of thing where maybe no amount of evidence is going to persuade someone. Especially since every penis is so different.


This is very true.
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

LastHope
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Re: Dr. Hakky on malleables

Postby LastHope » Sun Dec 22, 2024 12:53 pm

Some interesting Q and A so far from his YouTube comments:

Question 1:
Can't find the question but it seems to be related to the classic girth complaints with malleables and the reason behind it...

Dr. Hakky:
The manufacturers make them skinnier for easier insertion as they only come in 13 mm diameter which is less than the inflatable 18 mm Boston Scientific and 23 mm Coloplast.

Question 2:
About how much will one downsize with a malleable to offset erosion? I often hear a centimeter at best. How do you determine whether to downsize by either 1 or 2 cm. I'm assuming diabetic would be 2cms?

Dr. Hakky:
I usually downsize 1-2 cm. As a rule, most surgeons will aim for this size drop. I determine using tissue elasticity and is patient diabetic or on steroids. Yes, diabetics would be better with 2 cm off.

Question 3:
Thank you for this informative demo! How would you rank these 3 malleable implants in terms of axial rigidity?

Dr. Hakky:
Subjectively - from most rigid to least
Rigicon
Boston Scientific
Coloplast

For flexibility - from hardest to easiest to bend.
Boston Scientific
Rigicon
Coloplast

I plan on doing an axial loading test for data in the future.

Question 4:
Thanks a lot for your videos. After three 3-piece failures in just 4 years (two AMS CX for defective pumps and a Titan Touch for tubing rupture), I'm currently on my fourth 3-piece, again Titan Touch because in my country the classic pump is not available. Since I'm just 34 years old, I'm definitely considering a malleable for my next revision but my biggest fear is not being able to ride bicycles anymore with a malleable (I'm a semi-pro cyclist on both road and mountain bike and I ride about 10/15 hours per week). Do you think it will be possible to still ride with this type of implant?

Dr. Hakky:
Yes, you can ride a bike but you will need to get a malleable that you can conceal or bend, so Rigicon or Coloplast.
Born early 80s. Congenital ED. Pills worked great for a while. Jan 2025 - Coloplast Genesis. 22cm (1cm RTE)-13mm.

FenderStrat_93
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Re: Dr. Hakky on malleables

Postby FenderStrat_93 » Fri Dec 27, 2024 4:19 pm

Glad Hakky made this - and really interesting to see his transparency regarding sizing. I’m very interested in getting a malleable and there’s some mixed literature on sizing impacts - so to hear from him that he typically will undersize them 1-2 cms to help mitigate erosion risks is great info.

Honestly - if it helps to mitigate the risk of erosion, those 1-2 cms wouldn’t be missed (in my opinion)! I’d rather be safe than sorry.
31 years old. ED for majority of my life - pills effectiveness highly limited. Looking to get a malleable implant sometime in Summer 2025!

ready2go
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Re: Dr. Hakky on malleables

Postby ready2go » Fri Dec 27, 2024 9:45 pm

LastHope wrote: Some interesting Q and A so far from his YouTube comments:
, I'm definitely considering a malleable for my next revision but my biggest fear is not being able to ride bicycles anymore with a malleable (I'm a semi-pro cyclist on both road and mountain bike and I ride about 10/15 hours per week). Do you think it will be possible to still ride with this type of implant?[/b]

Dr. Hakky:
Yes, you can ride a bike but you will need to get a malleable that you can conceal or bend, so Rigicon or Coloplast.

hmmm . i have the tactra and ride my bicycle 15 miles a day every other day ,so thats not an issue. but the rigi10 looks good .


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