Get implanted and Die Hard

[LastHope]

[Martin6469]

Well, that guy must have made his gals happy. I wish I were that long!

[GoodWood]

Well…. That’s a malleable for you. Always difficult to stow away.

(Ducks to avoid flying objects thrown by guys with malleables)

[ColoplastTitanUpOver]

That sure is a permanent feature with malleables. I had that issue with my Titan and my surgeon resolved it with some aggressive inflation and deflation. I sure don't want to be that guy in the ICU.

Here's some info:

IPP autoinflation:
Device autoinflation refers to the spontaneous inflation of a penile prosthesis without patient activation. This phenomenon occurs when an IPP does not deflate completely or does not stay deflated after proper deflation by the patient. It is characterized by unwanted tumescence of the penis with a hardness scale of ≥4/10, despite no manual activation of the pump mechanism by the patient. Device autoinflation is considered an uncommon but bothersome mechanical complication of penile prosthetic surgery that can significantly impact patient satisfaction and may necessitate revision surgery in cases of severe bother.

The literature cites an incidence rate of approximately 3-5% over the past decade, with historical reports suggesting rates as high as 11%.

Patient selection factors that may increase the risk of autoinflation include prior pelvic surgery, particularly radical prostatectomy, which can obliterate the space of Retzius where the reservoir is typically placed. This anatomical alteration may lead to insufficient space creation at the time of reservoir placement, contributing to autoinflation risk.

The most common causes of device autoinflation:
-Mechanical factors such as failure of the lockout valve
-Over-filling of the reservoir during device implantation
-Insufficient space creation for the reservoir
-Capsule formation around the reservoir causing compression

Solutions:
Manual manipulation (like mine).
Device revision surgery.
Reservoir repositioning or replacement.