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

[JohnnyBorg]

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 ) 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.

[LastHope]

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.

I remember Easymoney mentioning that his doctor advised against using a VED after surgery due to the risk of extrusion or displacement. Using it beforehand should be fine, but personally, I overdid it and ended up with puffy, sore foreskin (yikes). Thankfully, it resolved within 48 hours. The VED definitely helped me understand the maximum potential length and it was fun tbh , just don't overdo it with high pressure! Are you already circumcised?

[LastHope]

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.

neisseriaceae, thanks for sharing about the cockring! Is this worn before or after encorgement/stimulation?

[neisseriaceae]

this is My first time with cockring also haha. It's really simple, i put 2 silicone cockrings, 1 around testicles and the base of the penis, and the other one at the base only, nothing extreme of course. You can SEE the photo i uploaded in My post.
I put the cockrings before stimulation. For My partner is better because i have full girth, it looks and feels like a completely normal erection. There are also cockrings with vibrators, but i don't have it... Yet

[duke_cicero]

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.

Hey there. Yes, can confirm that I haven't noticed any difference in girth pre/post implant. These days, 9 months in, I barely think about the fact that I have the implant. To me, the MPP made the most sense because of the cost, reliability, lower risk of infection, and the fact that I don't have to pump anything. Without any moving parts, it's about as simple as it gets. I'm beyond thrilled and can't thank my surgeon enough. Dr. Levine has changed my life.

[JohnnyBorg]

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.

Hey there. Yes, can confirm that I haven't noticed any difference in girth pre/post implant. These days, 9 months in, I barely think about the fact that I have the implant. To me, the MPP made the most sense because of the cost, reliability, lower risk of infection, and the fact that I don't have to pump anything. Without any moving parts, it's about as simple as it gets. I'm beyond thrilled and can't thank my surgeon enough. Dr. Levine has changed my life.

Thanks Duke for popping in, your journal was really well put together and very helpful in the research I’ve been doing. If I end up going the malleable route, I really hope my outcomes are as good as yours.

There was another thread (I forgot which one) where I think you mentioned that it’s unlikely you’ll ever get a solution that meets 100% of your requirements, but that if you can even hit 80% you’re likely to be very happy. I feel that’s the case regardless of whether someone picks an IPP or MPP due to the nature of surgery and trade offs between the two types of devices. But I’m of the same mindset as you - if I could get 80% of my requirements met with the prosthesis I’d be very, very happy with the outcome.

[JohnnyBorg]

this is My first time with cockring also haha. It's really simple, i put 2 silicone cockrings, 1 around testicles and the base of the penis, and the other one at the base only, nothing extreme of course. You can SEE the photo i uploaded in My post.
I put the cockrings before stimulation. For My partner is better because i have full girth, it looks and feels like a completely normal erection. There are also cockrings with vibrators, but i don't have it... Yet

Very cool, im excited to experiment a bit more in this area.

Also with your malleable - how has the experience been with bending it for concealing? Are you already comfortable going about your day to day with it? If so, how long did it take for you to get used to it / bend it, etc?

[neisseriaceae]

i use double tight underwear, thats it. i don't use tight trousers to avoid a bulge, but thats personal, not a problem.

[LastHope]

I checked with my uro for a cock ring recommendation and this is the one he suggested FWIW...

Eddie by Giddy (FDA Class II Wearable)
https://store.eddiebygiddy.com/
https://a.co/d/emaZaS5