JohnnyBorg wrote:LastHope wrote:Thisworld wrote:So it become even thinner?
Here's a video of how malleable rod diameters are measured. You can also observe the flaccid before (unstretched) vs after (stretched).
https://youtu.be/zQbs2afVD6c?si=-zeGGF72XqHFkfi-For the best post-op girth within the limits of the anatomy, I would highly recommend the implant that Woody has. I think he nailed it. For girth, MPPs are great if the corporal diameter measurements are 13mm or below. I know Rigi10 had 14mm available outside the US.
Super cool video. The surgeon makes some excellent points about the malleable in terms of length sizing too. An MPP will likely be undersized in length by at least 1 cm (Hakky mentions he does it this way too) to mitigate risk of pain and erosion.
If a patient values maintaining or potentially even improving on their length or girth, I do believe the IPP is the better choice.
Well stated.
Dr. Wilson also discussed MPPs acting as tissue expanders (aka gradual self dilation/atrophy). If the rod in the corpora is not a finger-in-glove fit, in 8 months to 2 years, the rods will act as tissue expanders on residual erectile tissues, and the rigidity will not feel as good like the early phase post-op. TooYoung has explained this in a different thread where the MPP will be wobbly. Switching from IPP to MPP in salvage settings often has lower satisfaction scores, as the corpora are expanded well beyond the maximum diameter of 13 mm with the IPP....then, later down the line, switching to an MPP will be a downgrade not only due to cylinder girth reduction but also in the wobbliness department. That said, we have individuals in this forum like thedriver and neisseria who are happy even after the switch.