For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over MPP?

The final frontier. Deciding when, if and how.
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Wooody
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Location: Bay Area, CA

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby Wooody » Tue Sep 09, 2025 12:50 am

JohnnyBorg wrote:
LastHope wrote:My surgeon admitted (after the surgery ;) ) that he intentionally downsized my rods by 1 cm to reduce the biologically plausible higher risk of erosion with rod implants.

Interestingly, I haven’t noticed any loss in length. My pre-op SPL (stretched penile length) is the same as my post-op flaccid length. How that’s possible? I don’t know....but I still tell my bros that I might have lost 1 cm. I just don't want my placebo effects or measurement errors to influence others in their decision making.


Yep, that’s right in line with the expectations Hakky sets in his YouTube video about malleables. I’m totally cool with a 1 cm reduction if it helps mitigate erosion risks.

LastHope - I forgot from your previous posts, do you still get some engorgement with your Genesis? Is there a difference in girth or length from when you’re aroused vs unaroused? This is something I’m curious about with the MPP’s - how different they look and/or feel when you’re aroused vs just going about your day.


What about girth? A major reason I ruled out an MPP is because I read and confirmed with Drs that I wouldn't come close to maintaining my girth. I was, and still am now, 6" girth from base to tip and women have always enjoyed that more than my length. MPP rods don't seem to be offered in thick sizes, no?
Titan Classic 22cm + 1cm RTEs - 2/25 - Dr Karpman, Bay Area CA

JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby JohnnyBorg » Tue Sep 09, 2025 1:07 am

Wooody wrote:
JohnnyBorg wrote:
LastHope wrote:My surgeon admitted (after the surgery ;) ) that he intentionally downsized my rods by 1 cm to reduce the biologically plausible higher risk of erosion with rod implants.

Interestingly, I haven’t noticed any loss in length. My pre-op SPL (stretched penile length) is the same as my post-op flaccid length. How that’s possible? I don’t know....but I still tell my bros that I might have lost 1 cm. I just don't want my placebo effects or measurement errors to influence others in their decision making.


Yep, that’s right in line with the expectations Hakky sets in his YouTube video about malleables. I’m totally cool with a 1 cm reduction if it helps mitigate erosion risks.

LastHope - I forgot from your previous posts, do you still get some engorgement with your Genesis? Is there a difference in girth or length from when you’re aroused vs unaroused? This is something I’m curious about with the MPP’s - how different they look and/or feel when you’re aroused vs just going about your day.


What about girth? A major reason I ruled out an MPP is because I read and confirmed with Drs that I wouldn't come close to maintaining my girth. I was, and still am now, 6" girth from base to tip and women have always enjoyed that more than my length. MPP rods don't seem to be offered in thick sizes, no?


Hey Wooody. Yeah I feel like anecdotally I’ve heard pmixed things on girth with an MPP. From what I’ve researched, IPP is the safest bet to maintain or even gain back some girth.

But with that said, I think there are a quite a few malleable guys here who report no major hit to girth or don’t notice if they’ve lost any. I think The Driver indicated maybe that he might’ve lost a small amount of girth (I could be mistaken, I don’t want to misquote) but if you’ve read his posts, he’s a very happy dude with his malleable!

Duke Cicero has had his Genesis for a bit now and reported that he hasn’t noticed a difference in his girth pre / post implant.

I think Mbambo might have mentioned he felt he has MORE girth with the Rigi10 he was implanted with. That could make sense too, since the Rigi10 has the most options in terms of rod width for the MPPs.

But I don’t think this is always the case, based on other things I’ve read in passing online.

So from what have gathered - maintaining girth with MPP is more variable patient to patient, whereas with the IPPs I feel like I almost ALWAYS have read girth is maintained (or in some cases, slight gains) assuming the patient was sized correctly.

It’s an oversimplification, but I kind of think of it as sort of the opposite risk as what im weighing out with the IPP. With the IPP, I think the “roll of the dice” for me is that I could gain girth, but might need more revisions. With the MPP, I might not need more revisions, but could actually potentially lose a little girth or length. Those are a couple potential trade offs with either approach.

It definitely makes sense why you’d choose the IPP over MPP if maintaining your girth was an important factor for you. It’s something that’s definitely on my mind and why I haven’t fully decided yet what path to take.
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

LastHope
Posts: 1457
Joined: Sun Feb 18, 2024 1:26 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby LastHope » Tue Sep 09, 2025 7:59 am

JohnnyBorg wrote:
LastHope wrote:My surgeon admitted (after the surgery ;) ) that he intentionally downsized my rods by 1 cm to reduce the biologically plausible higher risk of erosion with rod implants.

Interestingly, I haven’t noticed any loss in length. My pre-op SPL (stretched penile length) is the same as my post-op flaccid length. How that’s possible? I don’t know....but I still tell my bros that I might have lost 1 cm. I just don't want my placebo effects or measurement errors to influence others in their decision making.


Yep, that’s right in line with the expectations Hakky sets in his YouTube video about malleables. I’m totally cool with a 1 cm reduction if it helps mitigate erosion risks.

LastHope - I forgot from your previous posts, do you still get some engorgement with your Genesis? Is there a difference in girth or length from when you’re aroused vs unaroused? This is something I’m curious about with the MPP’s - how different they look and/or feel when you’re aroused vs just going about your day.


Yes JohnnyBorg, I experience some engorgement. I take daily Tadalafil and lucky to experience no side effects. When I’m aroused and stimulated, it feels organic and natural, almost to the point that I forget I even have an implant. My measurements match my pre-op VED result, so I can't ask for more. With each passing day, the adaptation improves.

neisseriaceae
Posts: 16
Joined: Wed Mar 05, 2025 1:35 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby neisseriaceae » Tue Sep 09, 2025 10:31 am

Wooody wrote:
JohnnyBorg wrote:
LastHope wrote:My surgeon admitted (after the surgery ;) ) that he intentionally downsized my rods by 1 cm to reduce the biologically plausible higher risk of erosion with rod implants.

Interestingly, I haven’t noticed any loss in length. My pre-op SPL (stretched penile length) is the same as my post-op flaccid length. How that’s possible? I don’t know....but I still tell my bros that I might have lost 1 cm. I just don't want my placebo effects or measurement errors to influence others in their decision making.


Yep, that’s right in line with the expectations Hakky sets in his YouTube video about malleables. I’m totally cool with a 1 cm reduction if it helps mitigate erosion risks.

LastHope - I forgot from your previous posts, do you still get some engorgement with your Genesis? Is there a difference in girth or length from when you’re aroused vs unaroused? This is something I’m curious about with the MPP’s - how different they look and/or feel when you’re aroused vs just going about your day.


What about girth? A major reason I ruled out an MPP is because I read and confirmed with Drs that I wouldn't come close to maintaining my girth. I was, and still am now, 6" girth from base to tip and women have always enjoyed that more than my length. MPP rods don't seem to be offered in thick sizes, no?



Yes, girth can be less with mpp. I would suggest the Rigi10 that comes in 14 mm max cil ( vs 13 in genesis and tactra).
In My case, i had a wider penis with the Titan, but the pumping reduced My bloodflow to spongiosum, so i did not have My full girth.
With the Rigi10 i have a skinnier penis, but when i have an erection i get full engorment and better girth, i like it much more. If You don't have good residual flow , the ipp Will undoubtely give You better girth in most cases
35 Years Old. Venous leak
2018 First Titan IPP , infected
2018 3 Month later, Second Titan.
2024 Titan Failure, tubing Leak
2025 Rigicon Rigi10 implanted. Happy with the result

You can find My old posts by the Nickname "Neisseria"

JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby JohnnyBorg » Tue Sep 09, 2025 10:38 am

neisseriaceae wrote:
Wooody wrote:
JohnnyBorg wrote:
Yep, that’s right in line with the expectations Hakky sets in his YouTube video about malleables. I’m totally cool with a 1 cm reduction if it helps mitigate erosion risks.

LastHope - I forgot from your previous posts, do you still get some engorgement with your Genesis? Is there a difference in girth or length from when you’re aroused vs unaroused? This is something I’m curious about with the MPP’s - how different they look and/or feel when you’re aroused vs just going about your day.


What about girth? A major reason I ruled out an MPP is because I read and confirmed with Drs that I wouldn't come close to maintaining my girth. I was, and still am now, 6" girth from base to tip and women have always enjoyed that more than my length. MPP rods don't seem to be offered in thick sizes, no?



Yes, girth can be less with mpp. I would suggest the Rigi10 that comes in 14 mm max cil ( vs 13 in genesis and tactra).
In My case, i had a wider penis with the Titan, but the pumping reduced My bloodflow to spongiosum, so i did not have My full girth.
With the Rigi10 i have a skinnier penis, but when i have an erection i get full engorment and better girth, i like it much more. If You don't have good residual flow , the ipp Will undoubtely give You better girth in most cases


In my case - I was told that my blood flow into the penis was healthy, but the value for outflow was very high (which was what indicated the venous leak). Based on this, do you think I’d experience something similar to you (skinner penis when not aroused, but possibly good girth when aroused due to residual flow)?
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby JohnnyBorg » Tue Sep 09, 2025 10:43 am

LastHope wrote:
JohnnyBorg wrote:
LastHope wrote:My surgeon admitted (after the surgery ;) ) that he intentionally downsized my rods by 1 cm to reduce the biologically plausible higher risk of erosion with rod implants.

Interestingly, I haven’t noticed any loss in length. My pre-op SPL (stretched penile length) is the same as my post-op flaccid length. How that’s possible? I don’t know....but I still tell my bros that I might have lost 1 cm. I just don't want my placebo effects or measurement errors to influence others in their decision making.


Yep, that’s right in line with the expectations Hakky sets in his YouTube video about malleables. I’m totally cool with a 1 cm reduction if it helps mitigate erosion risks.

LastHope - I forgot from your previous posts, do you still get some engorgement with your Genesis? Is there a difference in girth or length from when you’re aroused vs unaroused? This is something I’m curious about with the MPP’s - how different they look and/or feel when you’re aroused vs just going about your day.


Yes JohnnyBorg, I experience some engorgement. I take daily Tadalafil and lucky to experience no side effects. When I’m aroused and stimulated, it feels organic and natural, almost to the point that I forget I even have an implant. My measurements match my pre-op VED result, so I can't ask for more. With each passing day, the adaptation improves.


This is definitely encouraging. I haven’t started using a VED - mainly because I feel like I had read somewhere that if you’re anticipating using a malleable, that you actually SHOULDNT do that because it increases erosion risk? I feel like I read that on this forum somewhere, but it was a long time ago… and then this was dispelled after visiting Hakky, who actually told me I should be doing VED for at least a month before surgery (he might have said six weeks actually).

So now I want to get started on the VED as soon as I can. Hopefully it will give me a good sense of where I could land with an MPP.
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

neisseriaceae
Posts: 16
Joined: Wed Mar 05, 2025 1:35 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby neisseriaceae » Tue Sep 09, 2025 11:46 am

Yes, thats what happened to me. With the use of tadalafil+ cockring i feel like i'm having normal erections. That did not happened with the Titan. I have read other users like thedriver that stated something similar. I can't recommend, just tell You My experience. Maybe You should discuss it with your surgeon.
35 Years Old. Venous leak
2018 First Titan IPP , infected
2018 3 Month later, Second Titan.
2024 Titan Failure, tubing Leak
2025 Rigicon Rigi10 implanted. Happy with the result

You can find My old posts by the Nickname "Neisseria"

JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby JohnnyBorg » Tue Sep 09, 2025 11:55 am

neisseriaceae wrote:Yes, thats what happened to me. With the use of tadalafil+ cockring i feel like i'm having normal erections. That did not happened with the Titan. I have read other users like thedriver that stated something similar. I can't recommend, just tell You My experience. Maybe You should discuss it with your surgeon.


Have you attempted sex with the Rigi10 without the cock ring and/or pills? If so, what is that experience like compared to with the cock ring / pills?

I ask mainly because pills have given me fairly noticeable side effects in the past. Not opposed to trying again though, once I get the implant done.
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.

neisseriaceae
Posts: 16
Joined: Wed Mar 05, 2025 1:35 pm

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby neisseriaceae » Tue Sep 09, 2025 1:19 pm

if good arterial flow, You don't need tadalafil. The cockring yes, because without expansion there is no venooclusive mechanism to mantain the blood. The cockring is a simple and effective solution. Great combo with the mpp.
35 Years Old. Venous leak
2018 First Titan IPP , infected
2018 3 Month later, Second Titan.
2024 Titan Failure, tubing Leak
2025 Rigicon Rigi10 implanted. Happy with the result

You can find My old posts by the Nickname "Neisseria"

JohnnyBorg
Posts: 38
Joined: Tue Jul 01, 2025 9:35 am

Re: For younger guys who will need multiple surgeries throughout their lives - what are the risks of choosing IPP over M

Postby JohnnyBorg » Tue Sep 09, 2025 2:20 pm

neisseriaceae wrote:if good arterial flow, You don't need tadalafil. The cockring yes, because without expansion there is no venooclusive mechanism to mantain the blood. The cockring is a simple and effective solution. Great combo with the mpp.


Thank you for the advice! - I never thought about the combo of the ring + implant.

Out of curiosity, does the cock ring have any benefits for your partners (other than the fact that it helps with your own erectile strength :D ) I don’t have a ton of experience with cock rings in the past but purchased one recently to try in combination with Trimix before I move to the implant.
Diagnosed with venous leak after having ED majority of my life. Grateful to have some answers, and considering both MPP and IPP as options.


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