Dr. Hakky on malleables

[duke_cicero]

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.

[fucked0ne]

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?

[duke_cicero]

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.

[fucked0ne]

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.

[duke_cicero]

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.

[fucked0ne]

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.

[LastHope]

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

For consealability - from easiest to hardest
Coloplast
Rigicon
Tactra

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.

Q5:
Some YouTube videos seem to indicate that the Coloplast Genesis, with its silver core, has weaker axial rigidity, lower durability, and higher fracture rates compared to the Boston Scientific Tactra, which has an advanced Nitinol alloy core. What has been your experience in this regard?

A:
Thank you for the message. While the silver core is weaker I have not seen that many fractures as both devices are quite durable. The nitinol coil has too much memory and in this the winner is Rigicon. Outside the us, they have a 14 mm diameter device.

Q6:
How do you handle post-op questions for overseas or out-of-state patients?

A:
We do virtual visits weeks 2 and 4, infection rates are under 0.25 percent.

Q7:
Does Rigicon Rigi 10 have any Bioflex antibiotics coating or not?

A:
Rigicon Rigi10 has hydrophilic coating like Coloplast Genesis, so it's surgeon dependent.

Q8:
There are complaints from folks having the Rigicon Rigi10 in public forums, saying it is a real pain to bend downwards once implanted. The same gripe is present with the Boston Scientific Tactra after implantation into the body. From an overall perspective, maybe the Coloplast Genesis is the best bet. Since Genesis is the softest of the 3 malleables from the POV of axial rigidity, do patients complain about its axial rigidity? Thank you.

A:
Yes, I get complaints. The 9.5 and 11mm ones can be a little soft, but workable. No complaints from the 13mm Genesis.

Q
How many years does it typically take before they need replacing because its rigidity has diminished due to wear and tear?

A:
Usually the semirigid devices last 15year plus!! Usually then loose their bendyness for lack of a better word at 15years in my experience and seeing them thru my career.

[FenderStrat_93]

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.

[ready2go]

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 .

[easymoney]

So much information twirling around out there .. like buying a car pros and cons to each brand .. I have a Rigicon ..I think ... lol .. Never had an IPP ao can't compare to it. I have had my 2nd one put in 6-2024 so I have had it about 7 months or so. Thedriver has had his Genesis for about 11 months after having 4 failed IPP's .. he posts he is quite happy with it .. I think a lot of misinformation out there from the people who make them ..the dr's themselves who may be prejudiced against a brand or type of implant. I know they have implanted 1,000's of Rigicon in India since they came out .. not sure if they were offered in India before offered in the US. I know India now has their own implant made there and sold there which is even cheaper than the Rigicon but it has no memory it's just 2 silicone rods. I think the more truth that is known ..and the more myths ..size loss .. hideability ..etc....etc .. are put to rest they may become more widely used.