The good news

[LetoMan]

lol. This is the most insane thread.

I love the idea of doctors and device reps on here using fake accounts to try and drum up business. Haha! The doctors particularly. Why bother with branding yourself… just use a fake account to drive demand up generally, some of it will eventually get to you!

And this conspiracy, my lord! Not just are the doctors all in cahoots lying about the stats, but they are also falsifying the patient satisfaction surveys! The doctors, the device manufacturers, the FDA, even the patients… all in cahoots.

But they hide it so well! My other set of brethren, the lawyers, would LOVE to get their hands on a case like this. Device manufacturers and doctors colluding to manufacture stats on device failure so as to boost their profits, using made-up stats and using fake Frank Talk accounts, and then indiscriminately slicing up dudes penises? My god, the payout in that class action would be astronomical! Unfortunately, they haven’t seemed to find any evidence of that, despite the huge financial incentives for them to do so. But do not fear! Lucky for us, anonymous user “tooyoung” has cracked the case!

lol.

Guys. Dudes get implants cuz their dicks don’t work, not because doctors are posing here hyping it up. Implants work, largely as advertised. They don’t need to be sold.

There ARE snake oil salesmen out there. I’m looking at you “The Phoenix”! But this shit… this shit ain’t it.

This site needs less trolling, and more fucking. Hopefully Dan will start selling an ebook soon full of all his implant knowledge.

Be well, brothers,
Leto

[LastHope]

@TooYoung,

I want to recommend you this book. As a critical and analytical thinker, I think you will love this book! Have fun!

Ending Medical Reversal: Improving Outcomes, Saving Lives (Johns Hopkins Press Health Books)

https://a.co/d/iAX0cJ7

Why medicine adopts ineffective or harmful medical practices only to abandon them―sometimes too late.

Medications such as Vioxx and procedures such as vertebroplasty for back pain are among the medical advances that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base--and then stop using it when it is found not to help, or even to harm, patients.

In Ending Medical Reversal, Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors' offices and hospitals is truly effective.

About the Author
Vinayak K. Prasad, MD, MPH is a practicing hematologist-oncologist and internal medicine physician. An associate professor of medicine and public health at Oregon Health & Science University, he is the coauthor of Ending Medical Reversal: Improving Outcomes, Saving Lives.

Adam S. Cifu, MD, is a professor of medicine at the University of Chicago. He is a practicing general internist, medical educator, and the coauthor of Symptom to Diagnosis: An Evidence-Based Guide

Every doctor should read this book.
―JAMA Internal Medicine

[A]n excellent and realistic discussion of some of the horror stories that occur in medical practice . . . The examples are quite interesting and certainly educational for all readers. Highly recommended.
―Choice

Ending Medical Reversal goes far in teaching medical students and practicing physicians alike how to learn on our own.
―The Lancet

This has to be on the reading list for medical and nursing students.
―Nursing Times

Ending Medical Reversal presents persuasive evidence that many current standard-of-care treatments are probably ineffective or harmful, thoroughly explains how such treatments came to be accepted, and proposes a number of ways to address the general problem (only some of which involve avaricious companies and mercenary physicians) and minimize its impact on a specific patient.
―Journal of Clinical Research Best Practices

Dr. Prasad and Dr. Cifu offer a five-step plan, including pointers for determining if a given treatment is really able to do what you want it to do, and advice on finding a like-minded doctor who won't object to a certain amount of back-seat driving.
―The New York Times

When I describe Ending Medical Reversal as revolutionary, I don't use the term lightly. Go out and read it―right now.
―Common Sense Family Doctor

Should be considered for undergraduate reading lists. Keep a copy in the pharmacy or your briefcase as a great icebreaker or discussion point with other local healthcare professionals.
―The Pharmaceutical Journal

An outstanding, genre-defining work, this book will be read by students, educators, policymakers, scientists, scholars, medical skeptics, and health-care pundits alike.
―John Henning Schumann, MD, host of Public Radio Tulsa's Medical Matters

An important book that frames medical reversal in a compelling way. Readers will be drawn to this clearly written account.
―David S. Jones, MD, Harvard University, author of Broken Hearts: The Tangled History of Cardiac Care

[Kodixx]

LetoMan, you have a good sense of humor

- Chuck

lol. This is the most insane thread. I love the idea of doctors and device reps on here using fake accounts to try and drum up business. Haha! The doctors particularly. Why bother with branding yourself… just use a fake account to drive demand up generally, some of it will eventually get to you!

And this conspiracy, my lord! Not just are the doctors all in cahoots lying about the stats, but they are also falsifying the patient satisfaction surveys! The doctors, the device manufacturers, the FDA, even the patients… all in cahoots.

But they hide it so well! My other set of brethren, the lawyers, would LOVE to get their hands on a case like this. Device manufacturers and doctors colluding to manufacture stats on device failure so as to boost their profits, using made-up stats and using fake Frank Talk accounts, and then indiscriminately slicing up dudes penises? My god, the payout in that class action would be astronomical! Unfortunately, they haven’t seemed to find any evidence of that, despite the huge financial incentives for them to do so. But do not fear! Lucky for us, anonymous user “tooyoung” has cracked the case!

lol.

[tooyoung]

lol. This is the most insane thread.

I love the idea of doctors and device reps on here using fake accounts to try and drum up business. Haha! The doctors particularly. Why bother with branding yourself… just use a fake account to drive demand up generally, some of it will eventually get to you!

And this conspiracy, my lord! Not just are the doctors all in cahoots lying about the stats, but they are also falsifying the patient satisfaction surveys! The doctors, the device manufacturers, the FDA, even the patients… all in cahoots.

But they hide it so well! My other set of brethren, the lawyers, would LOVE to get their hands on a case like this. Device manufacturers and doctors colluding to manufacture stats on device failure so as to boost their profits, using made-up stats and using fake Frank Talk accounts, and then indiscriminately slicing up dudes penises? My god, the payout in that class action would be astronomical! Unfortunately, they haven’t seemed to find any evidence of that, despite the huge financial incentives for them to do so. But do not fear! Lucky for us, anonymous user “tooyoung” has cracked the case!

lol.

Guys. Dudes get implants cuz their dicks don’t work, not because doctors are posing here hyping it up. Implants work, largely as advertised. They don’t need to be sold.

There ARE snake oil salesmen out there. I’m looking at you “The Phoenix”! But this shit… this shit ain’t it.

This site needs less trolling, and more fucking. Hopefully Dan will start selling an ebook soon full of all his implant knowledge.

Be well, brothers,
Leto

Too bad lawyers don't notice shockwave therapy...they missed a fortune.

[tooyoung]

lol. This is the most insane thread.

I love the idea of doctors and device reps on here using fake accounts to try and drum up business. Haha! The doctors particularly. Why bother with branding yourself… just use a fake account to drive demand up generally, some of it will eventually get to you!

And this conspiracy, my lord! Not just are the doctors all in cahoots lying about the stats, but they are also falsifying the patient satisfaction surveys! The doctors, the device manufacturers, the FDA, even the patients… all in cahoots.

But they hide it so well! My other set of brethren, the lawyers, would LOVE to get their hands on a case like this. Device manufacturers and doctors colluding to manufacture stats on device failure so as to boost their profits, using made-up stats and using fake Frank Talk accounts, and then indiscriminately slicing up dudes penises? My god, the payout in that class action would be astronomical! Unfortunately, they haven’t seemed to find any evidence of that, despite the huge financial incentives for them to do so. But do not fear! Lucky for us, anonymous user “tooyoung” has cracked the case!

lol.

Guys. Dudes get implants cuz their dicks don’t work, not because doctors are posing here hyping it up. Implants work, largely as advertised. They don’t need to be sold.

There ARE snake oil salesmen out there. I’m looking at you “The Phoenix”! But this shit… this shit ain’t it.

This site needs less trolling, and more fucking. Hopefully Dan will start selling an ebook soon full of all his implant knowledge.

Be well, brothers,
Leto

Yeah less trolling and more arse kissing.

[tooyoung]

@TooYoung,

I want to recommend you this book. As a critical and analytical thinker, I think you will love this book! Have fun!

Ending Medical Reversal: Improving Outcomes, Saving Lives (Johns Hopkins Press Health Books)

https://a.co/d/iAX0cJ7

Why medicine adopts ineffective or harmful medical practices only to abandon them―sometimes too late.

Medications such as Vioxx and procedures such as vertebroplasty for back pain are among the medical advances that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base--and then stop using it when it is found not to help, or even to harm, patients.

In Ending Medical Reversal, Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors' offices and hospitals is truly effective.

About the Author
Vinayak K. Prasad, MD, MPH is a practicing hematologist-oncologist and internal medicine physician. An associate professor of medicine and public health at Oregon Health & Science University, he is the coauthor of Ending Medical Reversal: Improving Outcomes, Saving Lives.

Adam S. Cifu, MD, is a professor of medicine at the University of Chicago. He is a practicing general internist, medical educator, and the coauthor of Symptom to Diagnosis: An Evidence-Based Guide

Every doctor should read this book.
―JAMA Internal Medicine

[A]n excellent and realistic discussion of some of the horror stories that occur in medical practice . . . The examples are quite interesting and certainly educational for all readers. Highly recommended.
―Choice

Ending Medical Reversal goes far in teaching medical students and practicing physicians alike how to learn on our own.
―The Lancet

This has to be on the reading list for medical and nursing students.
―Nursing Times

Ending Medical Reversal presents persuasive evidence that many current standard-of-care treatments are probably ineffective or harmful, thoroughly explains how such treatments came to be accepted, and proposes a number of ways to address the general problem (only some of which involve avaricious companies and mercenary physicians) and minimize its impact on a specific patient.
―Journal of Clinical Research Best Practices

Dr. Prasad and Dr. Cifu offer a five-step plan, including pointers for determining if a given treatment is really able to do what you want it to do, and advice on finding a like-minded doctor who won't object to a certain amount of back-seat driving.
―The New York Times

When I describe Ending Medical Reversal as revolutionary, I don't use the term lightly. Go out and read it―right now.
―Common Sense Family Doctor

Should be considered for undergraduate reading lists. Keep a copy in the pharmacy or your briefcase as a great icebreaker or discussion point with other local healthcare professionals.
―The Pharmaceutical Journal

An outstanding, genre-defining work, this book will be read by students, educators, policymakers, scientists, scholars, medical skeptics, and health-care pundits alike.
―John Henning Schumann, MD, host of Public Radio Tulsa's Medical Matters

An important book that frames medical reversal in a compelling way. Readers will be drawn to this clearly written account.
―David S. Jones, MD, Harvard University, author of Broken Hearts: The Tangled History of Cardiac Care

Man can't thank you enough for bringing this up...beautiful write up there..I also thank you for being insightful and constructive..I'll definitely read it.

Besides, I recently heard that Dr. Prasad has joined the FDA leadership. I believe that, despite the system being hardwired by oligarchy and a 'follow the money' scheme—exploiting pitfalls in research and public ignorance—it can always be unwired.

[LastHope]

Man can't thank you enough for bringing this up...beautiful write up there..I also thank you for being insightful and constructive..I'll definitely read it.

Besides, I recently heard that Dr. Prasad has joined the FDA leadership. I believe that, despite the system being hardwired by oligarchy and a 'follow the money' scheme—exploiting pitfalls in research and public ignorance—it can always be unwired.

My goodness. The biggest critic of FDA has joined the FDA. I'm super excited.

[equusAz]

GOODNESS!

What a thread. Going back to the original poster and topic -

Very sorry to hear about your experiences. Have you made a decision on what to do going forward? Replacement? Revision? MPP / IPP?

The one thing I would say is that if you are experiencing ANY issues with your implant, contact your doctor IMMEDIATELY. My doc (Dr. Segal - Chesepeake Urology) is very low key, very honest, and doesn't "pick sides" on the implant debate. He'll do either Coloplast or AMS depending on the patient and the situation. Also - my doc did NOT recomend Perito - he did say, you can stretch it but to not go crazy.

Were you THAT bulged when uninflated? Are you sure? I mean, I am much more of a shower now than I was before, but I'm not exactly looking like a porn star here. Sometimes we think people are looking at our dicks because WE think about our dicks, but in reality almost no one is looking at your dick - and unless you are SERIOUSLY packing, I can guarantee no one is looking. Point in fact, if they ARE they aren't going to say anything if they DO notice - and you'd have to be SUPER noticible to incide that kind of reaction from someone.

Best of luck on your journey.

[Ephi82]

So now the study you cited as apparent proof of a contradiction between the original 82% 20-year survivability rate is part of the conspiracy? Give me a fucking break. But okay, I'll bite: show me where Clavell and Eid are debunking these claims in their videos. But then also explain why if there's a giant medical conspiracy why somehow Clavell and Eid, two of the highest-volume surgeons who are allegedly financially and reputationally beholden to Coloplast, are somehow exempt from the conspiracy. Do you seriously not see the contradiction here?


Yes. Present-day conditions get you better outcomes basically across the board. You've used the car analogy so often that I'm beginning to think you're somehow beholden to car manufacturers! Cars today provide better survivability in accidents than cars of the past—and they're less heavy and use less dense materials. More people were dying in those massive boat-like Oldsmobile killing machines of the past. You’re mocking a 53% 20-year survival rate across a 30-year swath of extremely diverse surgical outcomes like it’s some kind of failure or (again) somehow the consequence of an enormous urological conspiracy. But even with those caveats in mind, that’s a better rate of 20-year survival than breast implants, comparable to hip and knee replacements, and vastly outlasts pacemakers or spinal devices. Is there a massive conspiracy going on in those other surgical fields, as well? Get your pitchforks, I guess...


In a word, yes. I expect you to provide concrete evidence of every claim you make. Extraordinary claims require extraordinary evidence. And so far, you've provided none. Also, if there actually were a conspiracy of the medical establishment, then wouldn't it make more sense to hide or somehow obscure the conflict of interest statement? If there actually were an elaborate conspiracy to defraud the public on this specific point, one that controlled the governing bodies and gagged doctors for telling the truth, you'd see papers like the 2022 meta-analysis making ridiculous, completely unverifiable claims. But that's not what's happening. You need transparency.


I'm very risk-averse, it's true. I didn't want to take even the very remote 1% risk of the IPP failure in my particular financial situation. But if I had the money for an IPP (my insurance didn't cover and I had to pay for the MPP out of pocket) it may have been what I went with first. I don't know. That's not the boat I'm in. Different conditions, different outcome. Just being honest.


Yes. And in fact the disclosure of conflicts of interest actually lends credence to the idea that the data are trustworthy. Disclosure is a safeguard, not an admission of guilt. Conspiracies require silence and suppression. That's not what's happening here.

One of the most renowned doctors—let alone those aiming for high-volume practice—confidently states a 1% failure rate per year, equating to an 82% survival rate past 20 years. Meanwhile, another con article claims only 52% survival past 20 years. That’s not a small gap, is it?

That said, I’m glad you acknowledged the discrepancy in the end. We’re getting somewhere. Watch Clavell’s podcast with Reena Malik and see for yourself. As for Eid—with all his experience—he said he has only seen one patient make it past 20 years (using the old classic pump). His exact words were, *“It always astonishes me when he comes for follow-up.”* This is a man with over 10,000+ implant procedures.

Now, regarding the idea that *"disclosure debunks any kind of conspiracy"* and *"why Clavell and Eid aren’t fired?"*—have you heard of the concept of relativity? We’re not living in complete lawlessness. Things still have to be *legitimized* through bureaucratic processes.
Moreover, Some representatives have a little room to speak the truth, adding credibility to their statements. It's all relative.
What is certain, however, is that expert opinions don’t align—neither with each other, nor with Miller’s study, nor with patient anecdotes by big fucking gaps.

I’m not saying that a 52% survival rate past 20 years equates to failure—though it is significantly lower..i think closer to ZERO. We’re fortunate to have any solution for a refractory disease; this is a major accomplishment in medicine. Don’t put words in my mouth. My point is that the numbers are a hoax, and there’s no need to sugarcoat them just to feel better about ourselves. What we need is more criticism, especially in a system where the regulator is the one being regulated. Criticism of other warriors in this forum gave me an insight and made me choose an mpp over an ipp.

So at the end still you buy ipp's risk is 1% ? Mpp is what 0% ?

Duke for the love of god stop being so politically correct

Again, you don't know how to read scientific articles. There's a discrepancy because they're two entirely different sets of data aggregated and evaluated under entirely different conditions. You're just a troll. I'm done here.

Troll? Exactly, he doesn’t know what he’s talking about and his apparent goal is to make himself seem smarter than anyone else. He’s also an emotional vampire, stirring up agitation and anxiety for his own entertainment.

[tooyoung]

.