Revision from Genesis to Tactra Malleable

[cautiouslyoptimistic]

For those in my dms asking me questions, here’s my story: They put in a Genesis malleable about 8 months ago after I got a bad infection during a revision (a urologist was trying to fix the 2nd of two botched implants done by that arrogant, asshole, hack Dr. Andrew Kramer). The Genesis felt thin and weak, and would flop down when I pointed it up. I also had an area of thinning tissue near the base that was sore and needed repair. Despite that, not having tubing and a pump felt like such a relief. I felt normal again for the 1st time in years. The IPP never once felt comfortable to me. Yes it made my penis larger and harder, but it wasn’t for me. With the malleable it felt like my old erections. I still get a ton of blood flow, so when I’m aroused it feels like my old natural erection. Masturbation and sex felt good, but I knew with fixing some minor issues and a more rigid implant I would really be happy finally.

I opted to go with the Tactra for the revision because the hospital doesn’t offer the RIGI10. Had it done last week and I’m extremely happy. The Tactra is exactly what I expected. The tips are so round and comfortable, you hardly feel them. These should be the tips on every implant, they are amazing. I HATED those hard, pointy implant tips on the ipp as well as the Genesis. The Tactra is much more rigid, it stays up much better than the Genesis, but also bends down just fine. A pair of tight boxer briefs and it’s concealed just as well as a Genesis, and probably better than my previous IPP’s. Is it perfect, of course not, but I’m very happy. It’s an 11mm diameter by the way. I’ve read the 13mm can be more difficult to bend, but I can’t speak to that. Bending and concealment have not been an issue for me though. I would take this over an IPP 100 times out of 100.

[adkd124]

Really glad for you. I also have tactra with 11mm rods. In the doctor's office I held in hands tactra 11mm and genesis 11mm. Tactra had much better axial rigidity and round tips. Genesis 11mm was wobbly. So I decided to go with tactra. When I aroused it similar to my preop. I only don't like about malleabale that it look skinny when I'm not aroused. If I understand correctly ipp also will be look not ideal if you just pump it on max without you own blood flow It will be look oval.

[ragingbull]

Congratulations.

What rod length did you have originally and what's the rod length now?

[ragingbull]

Really glad for you. I also have tactra with 11mm rods. In the doctor's office I held in hands tactra 11mm and genesis 11mm. Tactra had much better axial rigidity and round tips. Genesis 11mm was wobbly. So I decided to go with tactra. When I aroused it similar to my preop. I only don't like about malleabale that it look skinny when I'm not aroused. If I understand correctly ipp also will be look not ideal if you just pump it on max without you own blood flow It will be look oval.

You also seem to indicate that you regret getting an implant. Could you please explain or DM me the reasons?

You don't like your malleable because it looks skinny? Are you able to have penetrative sex with your malleable?

[ragingbull]

For those in my dms asking me questions, here’s my story: They put in a Genesis malleable about 8 months ago after I got a bad infection during a revision (a urologist was trying to fix the 2nd of two botched implants done by that arrogant, asshole, hack Dr. Andrew Kramer). The Genesis felt thin and weak, and would flop down when I pointed it up. I also had an area of thinning tissue near the base that was sore and needed repair. Despite that, not having tubing and a pump felt like such a relief. I felt normal again for the 1st time in years. The IPP never once felt comfortable to me. Yes it made my penis larger and harder, but it wasn’t for me. With the malleable it felt like my old erections. I still get a ton of blood flow, so when I’m aroused it feels like my old natural erection. Masturbation and sex felt good, but I knew with fixing some minor issues and a more rigid implant I would really be happy finally.

I opted to go with the Tactra for the revision because the hospital doesn’t offer the RIGI10. Had it done last week and I’m extremely happy. The Tactra is exactly what I expected. The tips are so round and comfortable, you hardly feel them. These should be the tips on every implant, they are amazing. I HATED those hard, pointy implant tips on the ipp as well as the Genesis. The Tactra is much more rigid, it stays up much better than the Genesis, but also bends down just fine. A pair of tight boxer briefs and it’s concealed just as well as a Genesis, and probably better than my previous IPP’s. Is it perfect, of course not, but I’m very happy. It’s an 11mm diameter by the way. I’ve read the 13mm can be more difficult to bend, but I can’t speak to that. Bending and concealment have not been an issue for me though. I would take this over an IPP 100 times out of 100.

You had mentioned:

Is it perfect, of course not, but I’m very happy.

What exactly do you think is not good with Tactra? Is it the bend memory?

You also mentioned:

I also had an area of thinning tissue near the base that was sore and needed repair.

How did the surgeon repair this erosion?

[pumpless_mtfckr]

Congrats! I’m thrilled for you. I’m waiting on my insurance pre-authorization and planning to get a malleable. Your objective comparison will help many of us younger folks opting for a malleable for its superior mechanical reliability and revision-free lifespan.

I strongly suspect your less-than-ideal experience with the Genesis stems from undersizing by your initial incompetent surgeon. We have satisfied Genesis users in the forum.

If you’re comfortable sharing, could you let us know the trimmed rod lengths for both the Genesis and Tactra?

[Mark1974]

Thank you for this.

I go in for my pre-operation consult a week from today and I was originally scheduled for an AMS. I decided months ago that I was going to change to an MPP for the reasons you described. So I will need to make my desires known at the consult.

I was pretty sure I would opt for the Coloplast Genesis, but this has opened my mind about a potential 11mm Tactra

BTW I had an exchange with Dr Kramer on one of his Youtube videos and he said he would never put a a semi-rigid in a 50 year old man (with no dexterity issues) even if they asked for it. It seems other surgeons of equal fame give their patients more input.

He also said he does a lot of revisions and revisions are nothing to worry about

[LastHope]

Glad you’re happy with your new Tactra toy. Your comparative, experience-based review will help a lot of folks decide between the Genesis and Tactra, going beyond the surgeon’s office demo:

"Look, this is how these rods bend!"

Maybe it’s time for 2004 Genesis to move on from the "tried and true" trophy to a more comfortable distal tip and a more rigid core.

The Tactra seems to be three times more axially rigid than the Genesis, and the fact that you can still bend and conceal it is great news. Boston Scientific is fixing bugs, which is great. My surgeon probably needs to upgrade his demo rods to Tactra 2.0, his current ones from 2019 1.0 production batch don’t have bend memory and also has visible curvatures that are not moldable.

Congrats! Wishing you a safe and speedy recovery.
You got a malleable to malleable revision in just 8 months. It’s time I stop bragging about the so-called "revision-free" malleables.

[easymoney]

Dr. Kramer stating he would not implant what the patient requested makes him just the sort of surgeon people should stay away from. It's our body we should always have choices in our care and outcome should we not? I had 3 surgeries in 12 months with my Rigicon malleable and I blame much on my surgeon even though he is renowned and world class does not make him perfect .. he relies too much on students and residents to do his surgeries .. I think I'm living proof of that ..

[cautiouslyoptimistic]

Kramer told me that exact thing, I asked for a malleable and he made a disgusted face and said “no you don’t want, you won’t be happy with that”. Had he just done what I wanted I would have been happy, and it would have saved years of my life and prevented an infection. The guy only cares about his ego and his money. Pure scumbag