LastHope wrote:easymoney wrote:Seems like maybe over time there will be more and more in the "mallabble clan" ..
Found a t shirt for the clan
How long will my malleable last? I’m 24 now
LastHope wrote:easymoney wrote:Seems like maybe over time there will be more and more in the "mallabble clan" ..
Found a t shirt for the clan
duke_cicero wrote:IndianRasputin wrote:Malleable clan!!
The Malleable Clan: We Will Bend, But Never Break
IndianRasputin wrote:How long will my malleable last? I’m 24 now
thedriver wrote:duke_cicero wrote:IndianRasputin wrote:Malleable clan!!
The Malleable Clan: We Will Bend, But Never Break
NICE !!! We have a quote.
We Will Bend, But Never Break
LastHope wrote:IndianRasputin wrote:How long will my malleable last? I’m 24 now
Hard to come up with a number. I've heard Dr. Eid, who has done 7000+ implants mention the word "lifetime" for malleables. Fractures are extremely rare.
To give you a perspective from an older study that included the following pre-2000 Malleables:
Acu-Form Mentor (Coloplast acquired Mentor urology in 2006)
Small-Carrion
AMS 600–650
Finney
Jonas
Of the 393 malleables that were implemented in a study between August 1975 and December 2000 - There were 2 rod fractures, one after 6 years (Acu-Form Mentor) and another after 9 years (AMS 600).
That's a 0.5% mechanical failure rate in 1-25 years of follow-up.
Source:
British Journal of Urology International 97: 129-133.
MINERVINI, A., RALPH, D.J. and PRYOR, J.P. (2006), Outcome of penile prosthesis implantation for treating erectile dysfunction: experience with 504 procedures.
I'm guessing the fracture depending on the situation can lead to injury to the tissue?
LastHope wrote:I'm guessing the fracture depending on the situation can lead to injury to the tissue?
Yes. Here's a case report for a scary-looking fracture of the 90s AMS 650 where the stainless steel core has fractured and come out of the silicone sheath. Even in this scary case, the tissue seems to be intact. The surgical capsule that forms over the rods acts like a jacket and protects the rods from displacing in crazy ways we can imagine. Yes, tissue injury is possible, depending on the severity of trauma as with accidents in general.
Case report:
A 36-year-old man with organic erectile dysfunction due to corporeal veno-occlusive dysfunction came to our clinic for treatment with an AMS 650 malleable penile prosthesis in 1999. His postoperative follow-up was uneventful and he had been satisfied with the device for 14 years. In 2014, he complained of a decrease in penile rigidity, bending of the penis to the left side and a crackling sound during sexual intercourse lasting for the preceding 6 weeks. On physical examination, the left and right rods were instable at 1/3 proximal and 1/3 distal parts, respectively. There was no edema, local tenderness or erythema on the sites of instability. The broken part of the left rod was confirmed by plain X-ray film. On further questioning, the patient stated that he did not have any vigorous intercourse or any trauma that may have caused the breakage. Surgical exploration was performed through a midline penoscrotal incision. The corporal bodies were intact. After the removal of both rods, we implanted a new malleable device during the same session.
Multiple Site Fracture of Both Rods in a Malleable Penile Implant
Case Rep Urol. 2016 Mar 15;2016:9564904
https://pmc.ncbi.nlm.nih.gov/articles/PMC4811081/
nuance wrote:LastHope wrote:IndianRasputin wrote:How long will my malleable last? I’m 24 now
Hard to come up with a number. I've heard Dr. Eid, who has done 7000+ implants mention the word "lifetime" for malleables. Fractures are extremely rare.
To give you a perspective from an older study that included the following pre-2000 Malleables:
Acu-Form Mentor (Coloplast acquired Mentor urology in 2006)
Small-Carrion
AMS 600–650
Finney
Jonas
Of the 393 malleables that were implemented in a study between August 1975 and December 2000 - There were 2 rod fractures, one after 6 years (Acu-Form Mentor) and another after 9 years (AMS 600).
That's a 0.5% mechanical failure rate in 1-25 years of follow-up.
Source:
British Journal of Urology International 97: 129-133.
MINERVINI, A., RALPH, D.J. and PRYOR, J.P. (2006), Outcome of penile prosthesis implantation for treating erectile dysfunction: experience with 504 procedures.
I'm guessing the fracture depending on the situation can lead to injury to the tissue?
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