Malleables revisited

[Mark1974]

I too have a MPP but I had one implanted ..then cut open 30 days later ..then 12 months later replaced with a longer one. I have yet to get my sensitivity back at 5 months unable to climax no matter what ..I too hope it resolves itself over time

5 months no orgasm...

I honestly don't mind losing some size, but this kind of thing scares me

[fucked0ne]

Yes, good point. Subsequent revisions present a unique challenge due to the presence of biofilms.

IPP infection rate ranges:
0.46% to 2.00% for virgin cases
10.0% to 13.3% for revisions cases

A different study that stratifies by number of prior IPP surgeries:
1 - 6.8%
2 - 18.2%
3 - 33.3%
4 - 50.0%
5 - 100%

The numbers might be skewed by poorer outcomes from low-volume centers. Nevertheless, there is a trend.

Source:
Hebert KJ, Kohler TS.
Penile Prosthesis Infection: Myths and Realities.
World J Mens Health. 2019 Sep;37(3):276-287. https://doi.org/10.5534/wjmh.180123

These numbers really make me consider a Malleable if my current IPP fails (i am newly implanted so i really hope it doesn't happen anytime soon)

One limitation of that study is its small revision sample size. Additionally, Mayo Clinic may receive some of the most complex revision cases referred from low-volume centers across the nation, which introduces a potential selection bias that could inflate the infection rates.

The key takeaway here seems to be the upward trend in infection risk with each revision.

Dr. Clavell has done a revision on a patient who was on his 10th implant, and he was doing well. Surgeon selection and the baseline health of the patient is also a factor.

LastHope, where did you hear this from Clavell? YouTube? If so, do you remember the name of the video?

[thedriver]

This all has been gone over many times through out the forums, IPP compared to MPP, concealability, cost, recovery time, differences in size, you name it. All I can really say about it is The wifey and I are more then happy with the Genesis. To those that don't know I had 4 IPP's before going to the MPP, It was the quickest recovery of all the surgeries, least painful, it was a day surgery, I lost no length, lost about a 1/2 in girth, just makes it easier for her to deepthroat it, we have tried and tested all the positions and then some.

thedriver, having had four revisions, did you happen to lose any length with any of your revision surgeries?

Length remained the same thro out all of the surgeries, lost about a 1/2 inch in girth going from the IPP to the MPP.

[Watcher1960]

Peno-scrotal. Bends but bounces right back.

[LastHope]

These numbers really make me consider a Malleable if my current IPP fails (i am newly implanted so i really hope it doesn't happen anytime soon)

One limitation of that study is its small revision sample size. Additionally, Mayo Clinic may receive some of the most complex revision cases referred from low-volume centers across the nation, which introduces a potential selection bias that could inflate the infection rates.

The key takeaway here seems to be the upward trend in infection risk with each revision.

Dr. Clavell has done a revision on a patient who was on his 10th implant, and he was doing well. Surgeon selection and the baseline health of the patient is also a factor.

LastHope, where did you hear this from Clavell? YouTube? If so, do you remember the name of the video?

Hi F1, yes, here's the video where Dr. Clavell mentioned about the 10th revision around 47.10 minutes...

Channel: Dr. Susie Gronski & Team
Penis implant surgery for erectile dysfunction
https://youtu.be/PbZ_KeZExes?si=-xQLjJDMqa1N5MYz

[Discovernew]

One limitation of that study is its small revision sample size. Additionally, Mayo Clinic may receive some of the most complex revision cases referred from low-volume centers across the nation, which introduces a potential selection bias that could inflate the infection rates.

The key takeaway here seems to be the upward trend in infection risk with each revision.

Dr. Clavell has done a revision on a patient who was on his 10th implant, and he was doing well. Surgeon selection and the baseline health of the patient is also a factor.

LastHope, where did you hear this from Clavell? YouTube? If so, do you remember the name of the video?

Hi F1, yes, here's the video where Dr. Clavell mentioned about the 10th revision around 47.10 minutes...

Channel: Dr. Susie Gronski & Team
Penis implant surgery for erectile dysfunction
https://youtu.be/PbZ_KeZExes?si=-xQLjJDMqa1N5MYz

The fact that anyone in the world can have 10 revisions tells me that the published statistics about implant failure don't add up.

[easymoney]

I'd like to shake the hand of a man who would let a dr. operate on his penis 10 times .. 3 is enough for me .. if mine fails considering throwing in the towel and calling it quits.