Do young implantees feel that they’re on borrowed time?

The final frontier. Deciding when, if and how.
TwoStep
Posts: 222
Joined: Sat Mar 24, 2012 1:22 pm

Do young implantees feel that they’re on borrowed time?

Postby TwoStep » Wed Jun 15, 2022 12:23 am

I’m interested in an implant. I can accept a scenario where I get implanted and live a normal life for 30 years until I get an infection or ALCL at age 60 and give up on sex at that point. But there seems to be a non-negligible risk of reaching the end of the line sooner than that. A paper from the Mayo Clinic estimates a 50% risk of getting an infection by the 4th implant (https://pubmed.ncbi.nlm.nih.gov/29795529/). There’s also cases in the literature of patients who reach the end of the line within a few years of first implant and can’t get another one (for example https://pubmed.ncbi.nlm.nih.gov/15992896) or end up very small after infection salvage (for example 4 cm distal in this case: “Reimplant after removal of infected inflatable penile implant” https://www.vjpu-issm.info/videos/peer- ... plantation). Having seen this kind of data I’m concerned that even after a successful operation I wouldn’t be able to find peace with it, always wondering when I might get an infection in the next revision surgery.
So those implanted at a young age, do you feel confident in what you have or do you often worry about losing it to future complications?

Edit:
Edited to add link to the Mayo paper from 2018 (also discussed elsewhere on this site, I should say that many posters disagree with their findings for various reasons). The case study is older as noted by the poster below and I suspect their experimental salvage procedure has been abandoned but I don’t know that. Added vjpu video.
Last edited by TwoStep on Wed Jun 15, 2022 6:14 pm, edited 7 times in total.

Injustright
Posts: 104
Joined: Thu Jun 02, 2022 3:14 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Injustright » Wed Jun 15, 2022 1:05 am

I would certainly look for a more recent article on the topic than one that is 17 years old.
Decades+ ED; finally ultrasound showed venous leak+arterial insufficiency. Infrapubic (Yay!) implant by Dr. Karpman 8/9/22; with 13 cm distal, 9 proximal Titan. Cleared for new life 9/1/22 and hoping to make up for lost time.

AllHailTed
Posts: 44
Joined: Fri Aug 20, 2021 7:23 am

Re: Do young implantees feel that they’re on borrowed time?

Postby AllHailTed » Wed Jun 15, 2022 3:30 am

Does infection really mean game over for an implantee? From what i understand post implant infection is treatable albeit frustrating.

I'm not implanted but I have felt like I was on borrowed time anyway, with the implant merely a way of giving me a few more decades of action if/when conservative treatments fail.
29 years old. ED caused by CPPS/HF-like symptoms since coming off antidepressants in 2012. Taking Cialis 5mg every other day and undergoing pelvic floor physiotherapy.

Endoftheline
Posts: 179
Joined: Sat Mar 19, 2022 4:49 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Endoftheline » Wed Jun 15, 2022 8:23 am

TwoStep wrote:I’m interested in an implant. I can accept a scenario where I get implanted and live a normal life for 30 years until I get an infection or ALCL at age 60 and give up on sex at that point. But there seems to be a non-negligible risk of reaching the end of the line sooner than that. A paper from the Mayo Clinic estimates a 50% risk of getting an infection by the 4th implant (https://pubmed.ncbi.nlm.nih.gov/29795529/). There’s also cases in the literature of patients who reach the end of the line within a few years of first implant and can’t get another one (for example https://pubmed.ncbi.nlm.nih.gov/15992896). Having seen this kind of data I’m concerned that even after a successful operation I wouldn’t be able to find peace with it, always wondering when I might get an infection in the next revision surgery.
So those implanted at a young age, do you feel confident in what you have or do you often worry about losing it to future complications?

Edit:
Edited to add link to the Mayo paper from 2018 (also discussed elsewhere on this site, I should say that many posters disagree with their findings for various reasons). The case study is older as noted by the poster below and I suspect their experimental salvage procedure has been abandoned but I don’t know that


In my interview with Eid, he told me that the increased risk with revisions is negligible, since the initial risk is so low. Keep in mind these devices should improve as we age and need replacements. Supposedly there is an electronic implant on the horizon even.

Tbh even if it all goes to shit, a few years of consistent performance will make up for my lifetime of disappointment thus far.
29 years old and suffered from ED for over 16 years
I had hard flaccid (Potentially Post SSRI Sexual Dysfunction) , turned to long flaccid after priaprism incident.
implanted June 24 2022
24 cm XL Titan
L: 5.7 G: 5.0 (no arousal)
L:6.5 G:5.3 (aroused)

Elyrev
Posts: 47
Joined: Mon Aug 16, 2021 12:02 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Elyrev » Wed Jun 15, 2022 8:23 am

A small percentage of implant patients have problems and need repairs and revisions quickly. However the average implant lasts years, 10 years I believe. So most men would be 30-40 years away from needing to worry about a 4th revision. I am not real young, but I decided not to struggle with the pills and injections to get mediocre erections for very long and went for the implant. I didn’t want to wait and waste more years. It is not perfect as is outlined in many posts here. There is some difference in how it feels flaccid, the pump is a pain to deal with at times. The first two months were hell. It took me 4- 4.5 months to get pain free. Although now it is great, it gets hard and stays hard. I can have great sex anytime I want for basically as long as I want with 60 seconds notice. If I have problems with a future revision 20-30 years from now and I can’t be implanted anymore- I had 20 years of great sex I would not have had and at that point I will find a new hobby.
Age 54, venous leak and some scarring, tried daily/occasional Cialis for awhile then a few months various doses of tri/quad mix. Either helped and would produce 50-60%.erections, but never really full. Implanted 1/20/22 26cm” Titan- Dr. Hakky

Sharpes
Posts: 27
Joined: Tue Jul 13, 2021 2:52 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Sharpes » Wed Jun 15, 2022 8:55 am

I probably don’t fit your definition of young, getting implanted next week and am almost 51. That being said, I have had no erections in the past 12 or so years, no medications have ever worked. Even if the implant is a bust, I haven’t lost anything, except maybe hope. Even if I got an infection that prevented a revision, I wouldn’t be any worse off than I am now. If pills or shots were working for me, I might feel differently though…

Gt1956
Posts: 2911
Joined: Fri Apr 05, 2019 2:47 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Gt1956 » Wed Jun 15, 2022 12:37 pm

I'd like to point out that to a certain degree, many studies are out dated when they're published. Medical technology evolves at a fantastic rate. So the data can be old or even obsolete when printed. This is 1 very good reason to seek out a doctor that does implants frequently, is involved in peer studies, attends lectures & most importantly loves his profession.
Recent changes have been antibiotic treatments on the implants, the one touch surgical methods plus the newer agressive measuring method. Speaking of which, the last time that I looked at the AMS surgical manual it didn't mention the new method. That leads me to believe that the new measuring protocol was devised by surgeons & not by the manufacturers. The doctors learn & pass this knowledge around at seminars & conferences. If your doctor doesn't attend a few of these events a year he'll always be behind the technical learning curve. Oh, the penis stretching exercises by Perito is another new innovation.
So I personally place a lot of faith in that I've not read of a FT member that has "run out" of revisions. Has not been turned away cause he's "too small" or a lot of the other urban myths that show up here on occasion. Even the dreaded high infection rate fear isn't reflected by actual members reported experiences. Btw, the members aren't shy, if it happened, they'd report it.
After all the anguish, fears & other emotions are set aside. Implants are a proven treatment for a problem that doesn't respond to other treatments. Some members report that its better than their youthful penis.
Last edited by Gt1956 on Wed Jun 15, 2022 5:37 pm, edited 1 time in total.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Lost Sheep
Posts: 6156
Joined: Mon Jul 04, 2016 11:16 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Lost Sheep » Wed Jun 15, 2022 3:24 pm

TwoStep wrote:I’m interested in an implant. I can accept a scenario where I get implanted and live a normal life for 30 years until I get an infection or ALCL at age 60 and give up on sex at that point. But there seems to be a non-negligible risk of reaching the end of the line sooner than that. A paper from the Mayo Clinic estimates a 50% risk of getting an infection by the 4th implant (https://pubmed.ncbi.nlm.nih.gov/29795529/). There’s also cases in the literature of patients who reach the end of the line within a few years of first implant and can’t get another one (for example https://pubmed.ncbi.nlm.nih.gov/15992896). Having seen this kind of data I’m concerned that even after a successful operation I wouldn’t be able to find peace with it, always wondering when I might get an infection in the next revision surgery.
So those implanted at a young age, do you feel confident in what you have or do you often worry about losing it to future complications?

Edit:
Edited to add link to the Mayo paper from 2018 (also discussed elsewhere on this site, I should say that many posters disagree with their findings for various reasons). The case study is older as noted by the poster below and I suspect their experimental salvage procedure has been abandoned but I don’t know that

In one sense or another, we are all living on borrowed time.

Whether you outlive your implant or die before it fails, consider what is the value of your sex life now vs what it could be with an implant. For this reason, many men elect less invasive treatments for ED for as long as they work. Lifestyle changes (better nutrition and exercise can help mitigate ED), Oral medications, suppositories, constriction rings with our without Vacuum Devices, injections or changing your sexual practices (using toys or tongue instead of penis). But when sex is impossible or unsatisfying, the risk of an implant pales in comparison to the benefits of being able to have penetrative sex.

You are right to do your research and properly weigh your options, risks and benetits.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Cnidium
Posts: 453
Joined: Mon Oct 03, 2016 7:10 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby Cnidium » Wed Jun 15, 2022 5:36 pm

32 and not concerned
Titan OTR. Dr. Hakky - successful surgery and very happy with outcome.
My advice: choose a world-class surgeon and make yourself the healthiest you can.

turboplanet
Posts: 33
Joined: Sat Feb 15, 2020 3:06 pm

Re: Do young implantees feel that they’re on borrowed time?

Postby turboplanet » Wed Jun 15, 2022 7:00 pm

I am 19 days post surgery and I have serious buyer's remorse since getting the implant. One of the reasons is the likelihood of having to get multiple replacements during my lifetime with the chances of a botched implant going up each time. I see way too many men on this site who have had multiple replacements within a short period of time

Although I tried lots of different treatments, I wonder if I could have done more to resolve my problems with ED. I see implants as being the last resort when nothing else works. I think the constant struggle with sex wore on me to the point where I made a rash decision.
52 year old man who has struggled with erections for years. Got implanted on May 27 after pills and injections stopped working.


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