Coloplast Genesis malleable implanted

[LastHope]

I set out to look for events similar to yours for Rigi10. I looked up the FDA medical device datasets and found 108 reported explanations for Tactra and 50 for Genesis in 2024. Of course, without a common denominator, we can't do an apples to apples event rate comparison.

Can you give the links on the search of the reports?

Here you go....
https://www.accessdata.fda.gov/scripts/ ... search.cfm

In the Brand Name, you can type the model name such as:
Genesis Malleable, Tactra, AMS Spectra....


(Manufacturer and User Facility Device Experience (MAUDE) database has medical device reports (MDRs) of adverse events involving medical devices over the last ten years, submitted to the FDA by mandatory reporters (manufacturers, importers and device user facilities) and voluntary reporters such as health care professionals, patients and consumers.)

[IndianRasputin]

I need to make an appointment with my dr. Mine does not bend at all ..no memory .. the 1st one 6-2023 rigicon was bendable ..this one supposed to be a rigicon again has no bend to it no matter what I do .. Anyone else ever had this issue?

I set out to look for events similar to yours for Rigi10. I looked up the FDA medical device datasets and found 108 reported explantations for Tactra and 50 for Genesis in 2024. Of course, without a common denominator, we can't do an apples to apples event rate comparison.

I found none for Rigi10. Either Rigi10 is exceptionally good, or Rigicon device reps are not reporting the failure events to the FDA.

Congratulations on your malleable! I’m not circumcised either and dealt with a lot of pain from the head being constantly exposed. I think foreskin issues are a part of the process

[LastHope]

Congratulations on your malleable! I’m not circumcised either and dealt with a lot of pain from the head being constantly exposed. I think foreskin issues are a part of the process

Thanks brother! Hope you are enjoying your toy now.
Uncircumcised + sub-coronal approach is a bad combo, did you also get a sub-coronal incision?

[IndianRasputin]

Congratulations on your malleable! I’m not circumcised either and dealt with a lot of pain from the head being constantly exposed. I think foreskin issues are a part of the process

Thanks brother! Hope you are enjoying your toy now.
Uncircumcised + sub-coronal approach is a bad combo, did you also get a sub-coronal incision?

I had a prnoscrotal incision which actually opened up and I was put on IV drip antibiotics for a week. Narrowly avoided infection. It was a cut into the penis. I think the best approach is a cut to the scrotum or above infrapubic. But not directly on the penis either subcoronally or into the penis penoscrotal.

[LastHope]

I had a prnoscrotal incision which actually opened up and I was put on IV drip antibiotics for a week. Narrowly avoided infection. It was a cut into the penis. I think the best approach is a cut to the scrotum or above infrapubic. But not directly on the penis either subcoronally or into the penis penoscrotal.

I've heard of a case report where a longitudinal penoscrotal incision opened up for a malleable. Did you get a longitudinal or transverse penoscrotal incision? Glad you dodged the infection.

[IndianRasputin]

I had a prnoscrotal incision which actually opened up and I was put on IV drip antibiotics for a week. Narrowly avoided infection. It was a cut into the penis. I think the best approach is a cut to the scrotum or above infrapubic. But not directly on the penis either subcoronally or into the penis penoscrotal.

I've heard of a case report where a longitudinal penoscrotal incision opened up for a malleable. Did you get a longitudinal or transverse penoscrotal incision? Glad you dodged the infection.

hit the nail on the head. It was longitudinal. Thank you. I’m wondering if I should get circumcised - thoughts?

[LastHope]

I had a prnoscrotal incision which actually opened up and I was put on IV drip antibiotics for a week. Narrowly avoided infection. It was a cut into the penis. I think the best approach is a cut to the scrotum or above infrapubic. But not directly on the penis either subcoronally or into the penis penoscrotal.

I've heard of a case report where a longitudinal penoscrotal incision opened up for a malleable. Did you get a longitudinal or transverse penoscrotal incision? Glad you dodged the infection.

hit the nail on the head. It was longitudinal. Thank you. I’m wondering if I should get circumcised - thoughts?

Except for erosion, infection, device migration and device fracture, I think it's better to stay away from another penile procedure for 12 months after the recent one. We don't want introduce a failure point for an infection, especially for non-urgent procedures. My risk tolerance is low, so there's that.

[wasim1]

Someone on here coined the phrase
(The malleable clan)
(We may bend, but we'll never break)

That was me! Lol

Hey Bro
what are the updates pls?

[LastHope]

Hey brothers, I've received multiple PMs about concerns regarding higher odds of erosion with malleables. Instead of responding individually, I thought I'd write something here, which might also benefit those considering malleables in the future. These points were gathered from high-volume malleable surgeons in Brazil, Egypt, and India. The good news is, they don't suffer from erosion epidemics.

Anatomy based implantation:
The corpora cavernosa are surrounded by the tunica albuginea, a dense fibrous sheath that provides adequate structural support. During implantation, this layer is surgically incised to accommodate the implant. Proper closure of the tunica after surgery secures the implant and minimizes the risk of extrusion or perforation.

Proper Sizing and Dilation:
Improper dilation or using cylinders that are too long or wide for one's corporal space can exert constant pressure on the tunica albuginea, leading to tissue thinning, reduced blood flow (ischemia), and eventual erosion. Proper sizing is key to minimizing mechanical strain and preventing erosion.

Proper Surgical Technique:
Incomplete closure or accidental damage to the tunica during surgery may leave parts of the implant less protected, making them more prone to extrusion or lateral perforation.

Proper Postoperative Behavior:
Unnatural sexual practices, such as prone masturbation against hard surfaces, can create localized pressure points, leading to tissue thinning and eventual erosion.

Conclusion:
With an experienced and skilled implant surgeon and proper patient counseling, all the risk factors mentioned above can be mitigated or significantly minimized, and patients can enjoy an erosion-free experience with malleables for many years to come.

[Stewy78]

I'm 36 and I'm on my forth Inflatable implant. My first two ams was defective in the pump, my first titan failed in the tubes after 3 years and now I'm on my forth titan. I am an athlete (cyclist) and I ride about 10/15 hours per week. For my next revision I will probably get a malleable ( hakky suggested genesis for an athlete like me because it's easier to bend).

For me it's crucial to continue to ride, and I would like a feedback from people with malleable about that.

Do you think it's possible to ride road bikes and mountain bikes with a malleable implant ? ( I'm about 7.5 inches in length and 5.75 in girth now with inflatable).