The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet wiki

The final frontier. Deciding when, if and how.
TANGERINE
Posts: 856
Joined: Wed Feb 15, 2017 11:10 pm

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby TANGERINE » Wed Jan 15, 2025 11:36 pm

8 year report:

Wow, so much has happened in the last years. My dad once said that life happens in 7 year increments. IE, you become a significantly different person, or face a significantly different life circumtance/experience/reality. For me this has been true. I turned 65 just now, and I must say that the last seven years have been some of my happiest and best.

The reason for this is that my self-esteem and zest for life and willingness to engage with people is centered around my ability and knowledge that “I can make an amazing, relaxed, sensual, memorable sex performance for any woman that I meet’ ; in turn, that makes meeting and interacting with new women an interesting and fascinating encounter. Towards that end, I have optimized my physical appearrance, got a hair transplant , aggressively controlled my weight, and have done everything to make my body look scrumptious (ie, gym work, peloton work, diet control). I have taken dance lessons because it is a way to hold and impress women; and I am interested in hobbies. The impact of being a sexually strong male is life changing, and as I have said before, that quote from a franktalk member named LMcatman rings in my ears: “knowing I can f…k her vigorously is life changing, will she let me is a whole other thing”

Of course, I am married, so that other quote that I have heard also rings true here on franktalk: “with great power comes great responsibility.” Meaning that you need to be careful to be faithful and proper in your marriage. That being said, my marriage is so much better now with the implant. Back before implant, my wife would complain that I am not very affectionate, and that bothered her. Well, we all know why that was: if a guy with ED gets affectionate, it might lead to something, but with ED, that something is nothing. In turn, the relationship starts to become ho hum, a little like two room-mates coexisting, and the magic goes away. After I was implanted, I started planning elaborate fun vacation trips with the wife—things that were reminiscent of the life depicted in a viagra or cialis commercial. I knew that if I shelled out the money and effort to plan and show her a good vacation time, she will feel the pressure to put out in the bed room, and yes, that has indeed happened. In fact, it is true that now sex has become a habit for her (she is not particularly sexual), she puts up with sex, sometimes really likes it, but does enjoy the effort and attention I put into it since most of her women friends in her age do not get that wooing and courting). And importantly, the implant and consistent spontaneous sex has changed her as well.

There was a post be a franktalk member “ROBERT1966 who quotes his wife’s opinions . Those posts were really valuable and the change in a wife is profound after the implant. Here is what his wife, Mrs Robert states:
“Mrs Robert
…What I did not expect as a result of the changes to our sexuality was the impact on my emotional state. My sexuality is a strong part of my identity and only after many years did I realize that my unconscious perception of our bonding as a couple was affected, and this impacted on my self-esteem and my feeling of stability in our relationship. Be willing to talk about what you’re experiencing and ask your partner what she needs too to feel okay about whatever stage you are going through….

We discussed the option of an implant and I was initially fearful for Mr Robert, but this fear was based on lack of understanding. Mr Robert shared the research he did on the implant, the surgery and the outcomes with me, and this along with my own investigation enabled me to comprehend the benefits for Mr Robert (his ability to be reflexively sexual and feel sexy) and the then obvious benefits for me….”




This change in self esteem in the man is obvious to us (as LMcatman stated above) but the change to the woman is important to realize and is something to see. My wife is beautiful, she works really hard to stay beautiful and to keep her body nice and to wear dressy attractive clothes. We went on a cruise, and she looked amazing in cruise formal gowns with high heals, because, she cares about her appearance, because, she is still a sexually active woman. So many men and women just let themselves go, because, well, there is no sex, so why bother being sexy looking.

I know you all wonder what it is like for a woman to have sex with a man with implant, here Mrs Robert (as quoted by franktalk member Robert1966 helps with an honest opinion:
“Mrs Robert:
…For me the penis feels entirely normal to view and touch in an erect state and is a larger package in a deflated state. We have both made his “extra testicle” a source of pleasure. I yet to use the pump to inflate by my own hand but we plan to bring this into our foreplay. Mr Robert’s erect penis works wonderfully well for penetrative sex as he does not have to concentrate on maintaining an erection and can just concentrate on enjoying the pleasure. The ability to dial up erection size and firmness is also unexpected fun and pleasure which of course can now keep going on and on for both of us….


This has been our experience as well. Dial up is a good option (though she never does the actual puimping) Unlimited lasting power is a good option. Having no worries about losing the erection means that I can focus on the sensual aspect of sex, the words which describe me in the sex act are: “relaxed, fun, long lasting, and sensual”

Here is a true story:

It was Christmas Eve, my married kids in their thirties were visiting, and family was around. For some reason in the middle of the might, I felt foot play going on (she says I started it, but I think she started it — maybe because she thought she got me a undervalued present—whatever the reason, we started passionate kissing for sex (she said we needed to stay quiet since the house was full), ..the fore play progressed and she was darn wet, so the penetration began at 80 %. We have learned to love the deep penetration with stick in and hold deep with a little rocking producing clitoris pressure. I have also loved to sense her breathing and she likes to hold my butt to adjust the penetration depth. We did the tight missionary rocking for a while with occasional longer thrusts, and then I was going to ask her to rub herself on the clit while I was in, and she said “that’s OK, I have already come twice”. I then said I was getting close and was moving towards coming, I jacked up to 95% which maybe was a bit much for her and gentling thrusted. It was hot and her apple watch started alarming because her heart rate was through the roof (so, I have no concern that she was faking an orgasm). I came and it was awesome, and we then rolled over and cuddled and went to sleep. Best XMAS present ever.

That was one of our better sex stories of the year, there are maybe 2 other over the last 12 months that come close, but you get the point…Life is good living in a viagra commercial.

With regards to a few bits of advice and experience and opinion I can give you at this 8 year point:
1) it works as great at year 8 as it did at year one
2) length is the same at year eight as at year one
3) girth is bigger (though not a bunch) at year 8 compared with year 1
4) Regarding techniques to keep it working for another decade, I have asked two implant experts; Dr Karpman says, “just like a car, cycle the system once a week to keep things running. ALSO, do not do positions that might bend it such as reverse cow girl) and Dr Eid says: use it only when you need it (it is a mechanical device with a cycle count which can wear out) and when pumping, try not to flex the tubes as they attach to the bulb because with titan , the failure point is where the tubes enter the bulb.
5) Do not do jack hammer sex (women do not necessarily like it. Look at the internet site “omgyes” and look at my franktalk discussion titled “advanced techniques for bionics” to learn how to use the implant. For me, the key is to put it in super slow, to stay in, to keep pressure on the clitoris, to maintain deep eye contact, to not rush at all, and to truly savor the experience (and tell your women that you want to go slow and savor this and to fully experience and savor the closeness to her). Try to get her or you to stimulate the clit while you are inside her because coming on a hard cock is “AMAZING” for a woman
6) regarding the flacid state: remember mrs robert comment above about “ and is a larger package in a deflated state .” This is an important comment. It seems that women do not necessarily desire a big erect cock—that can be scary and painful for them, BUT, they do like to look at a guy with a big package that is in the deflate state. I noticed this with my dance teacher (she is a real hottie who just says whatever without filter), when I had some specially selected dance black pants that were kind of stretchy and a little flattering around the cock. When looking at how I was moving my hips she blurts out “hey those are really nice pants” and I just shyly smiled, like a teenage girl, and said “…uh, thanks..” Some of us capitalize on this by having a partial inflation while wearing jeans because it is a nice look. Now of course, having a big cock package that shows is not always appropriate, so it is indeed easy to hide if you wear undersized tight jocky style under wear or even tight jockey underwear plus a jockstrap, but those times are unusual for me since I just like “showing the package”

7) regarding worrying about revisions: “life is what happens while you are making other plans” I would have made a “faustiann Bargain with the devil” to get these seven years. They have been great, and if I lose the implant now, I will try to get it back, but if it does not happen, I will so remember these seven years as per shakespere’s notion that “it is better to have loved and lost than to never have loved at all”

8) regarding my prostate cancer. Good news, I am in a remission, and there is a chance I may have beat that cancer (though not certain). While I was on androgen deprivation, my libido was zero, but I was able to have sex with the wife to keep the relationship somehat normal. Now that it is all over (I had Radiation plus ADT)It is as if nothing ever happened because the implant has protected me from the horrible erectile dysfunction of prostate treatment. As Dr Karpmann once told me: “you know, the thing that really bothers guys about prostate cancer is the erectile dysfunction afterword. For you, you are protected from that.”

9) So, my advice to you all: “get the implant if you have ED. It is a surgical cure” For me, it has been life changing, and I am loving life because I have a nice cock that works anytime, anyplace, and in any mood.
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

Courage
Posts: 103
Joined: Thu Oct 26, 2023 8:51 pm

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby Courage » Thu Jan 16, 2025 1:14 am

TANGERINE wrote:8 year report:


Wow. Thanks for the update. When I was beginning my journey with the idea of surgery last May, I found your condensed journal on the Peyronie's forum website and read it while taking the train back from seeing Eid. I waited a while and made some different decisions on care, but your journal was really valuable in getting my mind wrapped around this.

Best wishes on another great year and thank you for sharing your experience!
Middle-aged SGM with lifelong ED. IPP Implanted January 2025. IPP explanted due to infection February 2025 and replaced with salvage malleable. Looking to get revision.to IPP.

Martin25
Posts: 164
Joined: Sun May 29, 2022 9:19 pm

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby Martin25 » Thu Jan 16, 2025 3:26 pm

Congratulations on being cancer free! I found your journal on the web several years ago and that led me to this site. I’m sure you have helped many men, but I want to thank you personally.
I finally got my implant one month and three days ago, also by Dr. Eid, and I am still adjusting. I remember from your journal that you had a seamless textbook recovery. I had the opposite, but it is behind me now.

You mentioned a Dr. Karpman saying not to bend the penis or do reverse cowgirl? I don’t get it. All these other guys on here are talking about the “Perito method” of bending the penis (his video demonstration is scary). It also seems like Dr. Eid differs from Dr. Karpman, who says to cycle it once a week, while Dr. Eid says to only use it for having intercourse after the early stages of cycling. Seems to me that there is no single correct way, each doctor has his own opinion or idiosyncrasies. As common as ED is, there is so much conflicting information and only a handful of doctors who have any deep knowledge.

Anyway, thank you again and continued good health!
64 years old, pills stopped working; Struggled with injections and restriction bands for past 4 years, minimal success. Implanted 12/13/24, by Dr. Eid, classic Titan. My journal:
viewtopic.php?f=6&t=25672#p243128

LastHope
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Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby LastHope » Fri Jan 17, 2025 12:35 am

Thank you so much, Tangerine, for sharing these books. A Facebook member shared them with me last year, and I’m pasting the links here/attaching files again from your 1st post of this thread for the benefit of those who may have missed them

download/file.php?id=8239

download/file.php?id=8238
Attachments
part 2 - Penile implant information pamphlet wiki. THE ROAD TO BECOMING BIONIC (1).pdf
(860.68 KiB) Downloaded 37 times
part 1 - Penile implant information pamphlet wiki. THE ROAD TO BECOMING BIONIC (1).pdf
(889.74 KiB) Downloaded 26 times
Early 40s. Lifelong ED. Jan 2025 - Coloplast Genesis 22cm-13mm.

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SWorks17
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Location: Garden Ridge, Texas

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby SWorks17 » Fri Jan 17, 2025 10:50 am

8 year report:

Great update TANGERINE, it's always good to hear from FrankTalk men who are still going strong with their implant and that they are living their best life especially in the bedroom.
Great Christmas story with your best ever Christmas present ;) :!:
I'm glad that your prostrate cancer is in remission, I can't imagine how tough that has been for you and your wife.
I'm just a few years older than you and the implant has been life changing for me also, because I don't have to worry about when to take a pill and what did I eat that might affect the pill. It's just good to be able to say to my wife, hey :!: do you think we could roll in the hay tonight, knowing that all I have to do is pump up and I'm ready to go.
My wife likes for my dick to be super hard to rock against her clit, she just loves it. One of the things that I do once I cum and my dick becomes a little numb from climax, I'll reach down and grab the base of my dick and pull it back and forth against her clit and that will make her toes curl as she cums :!: :D
My wife started getting hormone therapy pellets a year ago and now we are making love more than when we got married 36 years ago :D
She gets super wet now and we don't need lube :!: She gets her next round of pellets at the end of January and I'm looking forward to lots of sex :D :!:

Keep hard TANGERINE :!:
SWorks
Age 67, Garden Ridge Texas, Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18cm with 3cm RT's installed 5 Nov 2021 by Major Dr Shane Barney, BAMC, San Antonio, Texas, Married 36 years.
DOD Pg 131, Faces Pg 27

HikerMan
Posts: 307
Joined: Sun Aug 14, 2022 9:33 am

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby HikerMan » Fri Jan 17, 2025 3:21 pm

[quote="TANGERINE"]As a way of giving back to this highly useful, supportive, and informational franktalk site, I wrote a pamphlet about my opinions, literature searches, and experiences with the penile implant. The pamphlet, actually a mini-book, is available as two attachments, part 1 and part 2, that are part of this post (see below

-snip-

Tangerine, this is absolutely outstanding.

I was desperately trying to find a subject you DIDN'T cover.
I couldn't!

Well done, brother.

We all owe you a beer!
:mrgreen:
AMS 700 installed 12/22/22
REAR TIP Extender 5.0CM MR Conditional
AMS 700 SPHERICAL RESERVOIR 100 ML.
AMS 700 LGX INFRA PUBIC 18 cm
Dr. Jeffrey Loh Doyle- USC KECK
Prostate cancer survivor- RP performed 8/20
56, Marathon runner, John Muir Trail fanatic.

TANGERINE
Posts: 856
Joined: Wed Feb 15, 2017 11:10 pm

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby TANGERINE » Sat Jan 18, 2025 8:55 pm

Martin25 wrote:......You mentioned a Dr. Karpman saying not to bend the penis or do reverse cowgirl? I don’t get it. All these other guys on here are talking about the “Perito method” of bending the penis (his video demonstration is scary). It also seems like Dr. Eid differs from Dr. Karpman, who says to cycle it once a week, while Dr. Eid says to only use it for having intercourse after the early stages of cycling......


Thanks for bringing this up Martin. I discuss implant longevity and "using it vigorously" (which you should) in Chapter 38 of my pamphlet/mini book cited above (discussion is on page 75). But there is a recent paper from 2023 that did go into failure mode analysis between Coloplast and Boston Scientific (aka AMS). The key info from that paper supports what has been discussed over the last many years.

The point of failure is different depending on if you got coloplast or AMS.

FOR COLOPLAST USERS:
As per the 2023 paper, Coloplast NEVER failed due to the cylinders having a problem. So, I interpret this to mean that you can be as rough and have as much rough sex with a coloplast (ie, reverse cowgirl, super vigorous jackhammering, lots of bending in flacid and in semi erect) and you will be just fine with the Coloplast, because those cylinders are super strong and do not tear or break. In other words, the perrito method is fine for coloplast, and rough sex is fine for coloplast. BUT, the failure point is the small tubing as it enters the inflation bulb that you squeeze. So, anything that leads to frequent flexing of your scrotum and frequent movement of the inflation bulb will lead to fatigue of the little tubes and failure. So, I interpret this to mean that bike riding or horseback riding or riding bouncy tractors will lead to quicker failure for coloplast guys. (Note, I like my peloton, and use it every day, but I never sit on the seat, I am always in standing on pedals mode, and I wear tighter underwear so my scrotum and balls do not bounce around)

FOR AMS Boston Scientific BSCI users:
As per the 2023 paper, failure occurs pretty evenly between the little tubing, or the big cylinder or the pump or the reservoir. Both Dr Eid and Dr Karpman have seen cylinder failure with AMS where the cylinder failed due to really rough sex (eg reverse cowgirl where girl lets it slip out and then slams down with all her weight). So that is the reason Karpman says to watch out with reverse cowgirl. Certainly with man on top sex, the forces are never severe enough to cause a problem (ie, you can be quite rough if you are on top). With regards to the perrito method of bending , I think that is OK for AMS (though realize perrito is a 90% coloplast implanter)

The data from the 2023 paper by Ashton Smelser* analyzed 68 failed penile prostheses. Of those 68, 46 (67%) were AMS/Boston Scientific and 22 (32%) were Coloplast; so although one might suggest that Coloplast has a lower failure rate, YOU CANNOT MAKE THAT CONCLUSION from the study. The study was designed only to figure out how the various devices failed. In other words, both AMS and Coloplast are great, and they are similar in reliability, just different.

Maybe, the take home message is, "If your lifestyle requires that you ride horse, bicycles, bouncy tractors--then maybe you are better off with AMS." In contrast, "if your lifestyle requires that you're having sex with acrobatic out of control passionate women or men reverse spinning on your rock hard rod", then you are better off with coloplast

hope this clarifies, and I hope that you all use your implants frequently and vigorously ! .... tangerine


Reference*

The Journal of Sexual Medicine, Volume 20, Issue 7, July 2023, Pages 1044–1051, https://doi.org/10.1093/jsxmed/qdad064
Published: 15 May 2023
Mechanical indications for inflatable penile prosthesis revision: analysis and implications for revision surgery
Ashton M Smelser et al

Abstract
Background: Despite technical advancements, inflatable penile prostheses (IPPs) are inherently at risk of mechanical failure given their nature as hydraulic devices.

Aim: To characterize IPP component failure location at the time of device revision and stratify by manufacturer: American Medical Systems (Boston Scientific [BSCI]) and Coloplast (CP).

Methods: A retrospective review of penile prosthesis cases from July 2007 to May 2022 was conducted, identifying men who underwent revision surgery. Cases were excluded if documentation did not denote the cause of failure or the manufacturer. Mechanical indications for surgery were categorized by location (eg, tubing, cylinder, or reservoir leak; pump malfunction). Nonmechanical revisions were excluded (component herniation, erosion, or crossover). Categorical variables were assessed with Fisher exact or chi-square analysis; Student t-test and Mann-Whitney U test were used for continuous variables.
Outcomes: Primary outcomes included specific location of IPP mechanical failure among BSCI and CP devices and time to mechanical failure.

Results: We identified 276 revision procedures, 68 of which met inclusion criteria (46 BSCI and 22 CP). Revised CP devices were longer than BSCI devices (median cylinder length, 20 vs 18 cm; P < .001). Log-rank analysis revealed a similar time to mechanical failure between brands (P = .096). CP devices failed most often due to tubing fracture (19/22, 83%). BSCI devices had no predominant site of failure. Between manufacturers, tubing failure was more common in CP devices (19/22 vs 15/46 for BSCI, P < .001), while cylinder failure was more common among BSCI devices (10/46 vs 0/22 for CP, P = .026).

Clinical implications: The distribution of mechanical failure is significantly different between BSCI and CP devices; this has implications regarding the approach to revision surgery.
Strengths and limitations: This is the first study to directly compare when and where mechanical failure occurs in IPPs and to compare the 2 main manufacturers head-to-head. This study would be strengthened by being repeated in a multi-institutional fashion to provide more robust and objective evaluation.

Conclusion: CP devices commonly failed at the tubing and rarely elsewhere, while BSCI devices showed no predominant failure site; these findings may inform decision making regarding revision surgery.
Keywords: penile implant; penile prosthesis; prosthesis failure; prosthesis survival.
© Published by Oxford University Press on behalf of The International Society of Sexual Medicine [2023]
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

Time2Change
Posts: 458
Joined: Sun Sep 13, 2020 7:32 am

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby Time2Change » Mon Jan 20, 2025 7:23 am

TANGERINE wrote:
Martin25 wrote:......You mentioned a Dr. Karpman saying not to bend the penis or do reverse cowgirl? I don’t get it. All these other guys on here are talking about the “Perito method” of bending the penis (his video demonstration is scary). It also seems like Dr. Eid differs from Dr. Karpman, who says to cycle it once a week, while Dr. Eid says to only use it for having intercourse after the early stages of cycling......


Thanks for bringing this up Martin. I discuss implant longevity and "using it vigorously" (which you should) in Chapter 38 of my pamphlet/mini book cited above (discussion is on page 75). But there is a recent paper from 2023 that did go into failure mode analysis between Coloplast and Boston Scientific (aka AMS). The key info from that paper supports what has been discussed over the last many years.

The point of failure is different depending on if you got coloplast or AMS.

FOR COLOPLAST USERS:
As per the 2023 paper, Coloplast NEVER failed due to the cylinders having a problem. So, I interpret this to mean that you can be as rough and have as much rough sex with a coloplast (ie, reverse cowgirl, super vigorous jackhammering, lots of bending in flacid and in semi erect) and you will be just fine with the Coloplast, because those cylinders are super strong and do not tear or break. In other words, the perrito method is fine for coloplast, and rough sex is fine for coloplast. BUT, the failure point is the small tubing as it enters the inflation bulb that you squeeze. So, anything that leads to frequent flexing of your scrotum and frequent movement of the inflation bulb will lead to fatigue of the little tubes and failure. So, I interpret this to mean that bike riding or horseback riding or riding bouncy tractors will lead to quicker failure for coloplast guys. (Note, I like my peloton, and use it every day, but I never sit on the seat, I am always in standing on pedals mode, and I wear tighter underwear so my scrotum and balls do not bounce around)

FOR AMS Boston Scientific BSCI users:
As per the 2023 paper, failure occurs pretty evenly between the little tubing, or the big cylinder or the pump or the reservoir. Both Dr Eid and Dr Karpman have seen cylinder failure with AMS where the cylinder failed due to really rough sex (eg reverse cowgirl where girl lets it slip out and then slams down with all her weight). So that is the reason Karpman says to watch out with reverse cowgirl. Certainly with man on top sex, the forces are never severe enough to cause a problem (ie, you can be quite rough if you are on top). With regards to the perrito method of bending , I think that is OK for AMS (though realize perrito is a 90% coloplast implanter)

The data from the 2023 paper by Ashton Smelser* analyzed 68 failed penile prostheses. Of those 68, 46 (67%) were AMS/Boston Scientific and 22 (32%) were Coloplast; so although one might suggest that Coloplast has a lower failure rate, YOU CANNOT MAKE THAT CONCLUSION from the study. The study was designed only to figure out how the various devices failed. In other words, both AMS and Coloplast are great, and they are similar in reliability, just different.

Maybe, the take home message is, "If your lifestyle requires that you ride horse, bicycles, bouncy tractors--then maybe you are better off with AMS." In contrast, "if your lifestyle requires that you're having sex with acrobatic out of control passionate women or men reverse spinning on your rock hard rod", then you are better off with coloplast

hope this clarifies, and I hope that you all use your implants frequently and vigorously ! .... tangerine


Reference*

The Journal of Sexual Medicine, Volume 20, Issue 7, July 2023, Pages 1044–1051, https://doi.org/10.1093/jsxmed/qdad064
Published: 15 May 2023
Mechanical indications for inflatable penile prosthesis revision: analysis and implications for revision surgery
Ashton M Smelser et al

Abstract
Background: Despite technical advancements, inflatable penile prostheses (IPPs) are inherently at risk of mechanical failure given their nature as hydraulic devices.

Aim: To characterize IPP component failure location at the time of device revision and stratify by manufacturer: American Medical Systems (Boston Scientific [BSCI]) and Coloplast (CP).

Methods: A retrospective review of penile prosthesis cases from July 2007 to May 2022 was conducted, identifying men who underwent revision surgery. Cases were excluded if documentation did not denote the cause of failure or the manufacturer. Mechanical indications for surgery were categorized by location (eg, tubing, cylinder, or reservoir leak; pump malfunction). Nonmechanical revisions were excluded (component herniation, erosion, or crossover). Categorical variables were assessed with Fisher exact or chi-square analysis; Student t-test and Mann-Whitney U test were used for continuous variables.
Outcomes: Primary outcomes included specific location of IPP mechanical failure among BSCI and CP devices and time to mechanical failure.

Results: We identified 276 revision procedures, 68 of which met inclusion criteria (46 BSCI and 22 CP). Revised CP devices were longer than BSCI devices (median cylinder length, 20 vs 18 cm; P < .001). Log-rank analysis revealed a similar time to mechanical failure between brands (P = .096). CP devices failed most often due to tubing fracture (19/22, 83%). BSCI devices had no predominant site of failure. Between manufacturers, tubing failure was more common in CP devices (19/22 vs 15/46 for BSCI, P < .001), while cylinder failure was more common among BSCI devices (10/46 vs 0/22 for CP, P = .026).

Clinical implications: The distribution of mechanical failure is significantly different between BSCI and CP devices; this has implications regarding the approach to revision surgery.
Strengths and limitations: This is the first study to directly compare when and where mechanical failure occurs in IPPs and to compare the 2 main manufacturers head-to-head. This study would be strengthened by being repeated in a multi-institutional fashion to provide more robust and objective evaluation.

Conclusion: CP devices commonly failed at the tubing and rarely elsewhere, while BSCI devices showed no predominant failure site; these findings may inform decision making regarding revision surgery.
Keywords: penile implant; penile prosthesis; prosthesis failure; prosthesis survival.
© Published by Oxford University Press on behalf of The International Society of Sexual Medicine [2023]


TANGERINE,

Thanks for the update. I'm glad you are well.

And your post is inspiring. I can relate to much of what you wrote.

Since I have a Titan implant, I appreciate the information and ideas you've shared on how it may fail.

Bicycling was the cause of my ED. And my instinct with the implant has been to never get on a bicycle again. You've reinforced that belief for me.
56; ED for 23+ years; Coloplast Titan implant on 10/26/20; Dr. Martin Gross; Happy to share my experiences in private messages

Martin25
Posts: 164
Joined: Sun May 29, 2022 9:19 pm

Re: The Road to Becoming A Bionic Male: Answers to Questions, Concerns, and Hopes. (Penile implant Information pamphlet

Postby Martin25 » Mon Jan 20, 2025 11:12 am

TANGERINE wrote:
Martin25 wrote:......You mentioned a Dr. Karpman saying not to bend the penis or do reverse cowgirl? I don’t get it. All these other guys on here are talking about the “Perito method” of bending the penis (his video demonstration is scary). It also seems like Dr. Eid differs from Dr. Karpman, who says to cycle it once a week, while Dr. Eid says to only use it for having intercourse after the early stages of cycling......


Thanks for bringing this up Martin. I discuss implant longevity and "using it vigorously" (which you should) in Chapter 38 of my pamphlet/mini book cited above (discussion is on page 75). But there is a recent paper from 2023 that did go into failure mode analysis between Coloplast and Boston Scientific (aka AMS). The key info from that paper supports what has been discussed over the last many years.

Maybe, the take home message is, "If your lifestyle requires that you ride horse, bicycles, bouncy tractors--then maybe you are better off with AMS." In contrast, "if your lifestyle requires that you're having sex with acrobatic out of control passionate women or men reverse spinning on your rock hard rod", then you are better off with coloplast

hope this clarifies, and I hope that you all use your implants frequently and vigorously ! .... tangerine

Thank you, Professor Tangerine! You were a help to me through your pamphlet before I even found this site. I’m still getting the hang of my Titan…had sex for second time last night, had to get creative with positions because my inflated implant is at 3:00…it’s an adjustment for my girlfriend as well—unfortunately, I have the flat, surfboard appearance—when I inflate, it just gets wider & expands sideways, my gf has found it a little uncomfortable, so we had to quit before orgasm, but I know it will take some trial and error and maybe adjusting how much I inflate. I hope I can eventually get back some of the half inch length I lost. I also used Dr Eid, but didn’t have the best outcome (so far).
Regards,
Martin
64 years old, pills stopped working; Struggled with injections and restriction bands for past 4 years, minimal success. Implanted 12/13/24, by Dr. Eid, classic Titan. My journal:
viewtopic.php?f=6&t=25672#p243128


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