I’m in my early thirties - I haven’t had a chance to deep dive into the risks and long-term strategy of implant surgery with Dr Hakky just yet (I have my next appointment in early October) and I intend to ask him all the questions that I have… but until then, I wanted to get some thoughts and feedback from the guys here.
The big question: for younger guys who need an implant, does the MPP make more sense than an IPP? What are the arguments for and against for each, in the context of a younger patient who will need multiple surgeries throughout his lifetime?
Dr Hakky did tell me today that with the IPP - assuming no device issues - that a patient should GENERALLY anticipate needing a surgery every 8 - 12 years.
Assuming an IPP lasts me on the lower end (8 years ish), that’s 6 - 7 surgeries throughout my lifetime I’m anticipating (assuming I’m lucky enough to live to see my 80’s!). That’s a lot of surgeries - and I think it’s fair to assume that there WILL be some complication along the line (at least one of those IPPs might fail early, etc).
With the MPP, I know that it’s simpler and there’s way less risk surface area (less infection risk, less failure risk. Erosion risk may be marginally higher). Hakky implied these might last more like 15-20 years. That would only yield 3-4 surgeries throughout my lifetime. Not bad!
Taking into account a bit more significant recovery timeline required + a higher out of pocket cost if insurance won’t cover it, it has me wondering: is the juice worth the squeeze?
Make no mistake - I do suspect in my case, an IPP could be AMAZING. For starters, I’m on the smaller side both length and girth wise. Hakky did feel that I could actually improve my length and girth overall with an IPP, on account of the nature of my ED (the venous leak has likely prevented me from EVER reaching my full erection potential). This is a very attractive thing to me! I know the analogy on these forums tends to be that the IPP is the “Ferrari” of implants, whereas the MPP is the old reliable car that isn’t fancy but will get you there. I have to ask myself - would I be super happy with an MPP? Am I attracted to the potential gains from an IPP purely from an emotional standpoint? That I want to absolutely maximize the performance of my implanted penis after spending my whole life without “good wood”

Then I know there’s the argument that the IPP is much easier to conceal. That all sounds fine, but to be honest that doesn’t worry me too much if I go with the MPP route, especially since I’m slightly smaller to begin with.
For my case personally, I do think there’s a chance that the implant is covered by insurance. I have Anthem BCBS PPO, I’ve tried pills, am trying shots, and have diagnostic proof that my ED is physiologic in nature. This definitely complicates things for me, because originally I was planning out of pocket payment and was leaning HEAVILY towards MPP. But if insurance would cover the IPP? That does make it more appealing to maybe take a chance on it.
Anyways, I’m sorry for the word-vomit gentleman. I’ve been obviously really thinking about all this today after my diagnostic appointment. It’s exciting and terrifying all at once! I read the success stories from both the IPP and the MPP bionic brothers, and it all seems very encouraging. I just want to make sure I adopt the right long term thinking and strategy. I know there’s no “one size fits all” when it comes to the implant strategy. Just need to really start weighing out the options and facts.
Thoughts?