Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

[JohnnyBorg]

Hey everyone!

As many folks already know, I’m in the middle of trying to decide between an inflatable or a malleable implant as my next course of action. For anyone who’ve read my posts (and I’ve been posting quite a bit lately), they already know I’ve been going back and forth a lot

I’ve been reading tons of posts, watching tons of videos from surgeons online of both the IPP and MPP benefits / shortcomings.

I’d really appreciate hearing from those of you who’ve been through this to get some feedback / opinions. In the end, I know everyone’s journey is different and what works for one guy might not be best for the other.

For context - I’m 32 years old, normal health (other than ED caused by venous leak), and feel like I have decent odds of getting the procedure approved by insurance (but this is not yet confirmed, so I might still need to pay out of pocket). Size wise, I’m on the lower end up believe in both girth and length, sitting just above 5 inches in length (I actually haven’t measured my girth, but I suspect I’m low side of average).

A few things I’m wrestling with:

Strategy
• Is there any logic in starting with an IPP first (to help establish length/girth and form the capsule in the corpora), and then switching to a malleable later if I need a revision before the 10-year mark?
• Is it even realistic to expect my body to handle something like 8–10 surgeries over the rest of my lifetime? I suspect that if I go with IPP, this is something I need to prepare for in terms of potential worst case scenarios with mechanical failures.

Infection & Revisions
• For those who’ve had revisions, did healing feel easier or harder compared to the first time?
• Are the scary stats floating around about revision infection rates accurate, or is there more to the story? I know there’s a study that gets referenced on here frequently regarding how infection risk rises with each revision, but am wondering if anyone discussed this with their surgeon and what the surgeon’s perspectives are?

Durability
• If you’re a few years out, how’s your device holding up?

Size / Outcomes
• Does an IPP really give a noticeable edge in length and girth compared to a malleable? For a guy my size (around 5 inches in length, average / low average girth) does this actually matter in the decision? I actually feel like from things I’ve read, the smaller guys do well with a malleable because the girth of the rods often match their corporal girth well.
• If I went with an IPP is there any way to estimate possible gains beforehand, or is it just too individual to predict?

Thanks in advance to anyone willing to share their experience or perspective — it really helps.

ALSO: I know that the IPP vs MPP debates here have a tendency to get a bit heated as of late but I’m hoping we can keep the conversation in this thread focused and respectful. I’m truly just looking to get a range of opinions from guys who can help me think through it all a bit more. This will help my decision making but in the end, I know it’s my decision that I have to make!

[AussieGuy81]

I don't have either one yet, I can't do anything until at least April next year, but I've also spent a ridiculous amount of time researching this stuff haha
. I'm only 43, so young' ish as well for this type of thing, there's no way I would consider a malleable, not at our age anyway. The IPP's as better in every respect. If you want to maximise girth and length and hardness, IPP is the only way to go.

[Old Guy]

That is really going to depend on how you heal, handle pain, and follow doctor instructions. I don't think you are going to need a revision every 10 years either. There are some guys who have been implanted for 15-20+ years. You just don't see any info from guys that have been implanted that long because they have moved on.
As far as length/girth you aren't going to gain any big amounts. It won't turn you into a porn star. It's possible to lose some size as well with either the IPP or malleable.
My advice is choose the IPP. It makes for a more natural look.
After close to six years implanted it is just a part of me now.
Tough decision, best of luck.

[ElbowRoom]

Hey Johnny. I have my IPP sugery on Oct. 21, so my mind is racing in advance of that so I know how you feel with these hard decisions.

I brought up the possibility of an MPP with my surgeon (Dr. Hakky). He said for my larger anatomy he’d never suggest it. The girth lost would be very noticeable, and the longer an MPP is the more difficult it is to keep axial rigidity during sex. It’s just a longer lever and tries to bend at the base. He did say for shorter or less girthy penises it could be a reasonable choice, but of course there are trade-offs.

As to the 8-10 surgeries over a lifetime, that’s just a guess. Remember that statistically over half of IPPs are still functional at 15 years. If you cot lucky you might have 3 surgeries. Of you might have the 8-10. It’s unknown and unknowable in advance.

IMO if both devices had identical risk profiles, the IPP is superior, because it better similates the natural action of the penis. I think the sensation of imcreasing harness is pleasurable to most men, and comtributes to arousal. The MPP is certainly functional and always ready to go, but lacks that degree of preparatory sensation.

Practically, here’s my take. Let’s say you are on your second revision, and you have an infection that requires explantation. The surgeon will place an MPP as a “salvage” at that point anyway.

Once that is done, you can evaluate it as long as you want before deciding to keep it in place or revise back to an IPP. But you’ll be a very informed consumer at that point, and will be in a position to know exactly which suits you best.

Right now you’re just guessing based on your research, others’ experiences, and a little bit of fear (which we all have!). I can’t tell you what you should do, but I can tell you what I think I would do in your circumstances:

I’d get the implant that would give me the best user experience and most natural feel, especially during your younger, prime sexual years. To me that means an IPP. Then down the road if/when you need revisions, you can revisit that decision each time but with a more informed set of expectations. If God forbid you have an infection or other complication at some point, you’ll likely be forced into an MPP at least temporarily. If that happens you will really have full knowledge to make a decision based on risk and your satisfaction with each type. In the meantime your best sex years will have had the best quality and most natural feeling implant experience.

I’m sure others will disagree, and you might not like my analysis for whatever reason, but I think the above logic is pretty sound.

Good luck, and I’m sure you’ll pick the best solution for *you*.

[tooyoung]

That is really going to depend on how you heal, handle pain, and follow doctor instructions. I don't think you are going to need a revision every 10 years either. There are some guys who have been implanted for 15-20+ years. You just don't see any info from guys that have been implanted that long because they have moved on.
As far as length/girth you aren't going to gain any big amounts. It won't turn you into a porn star. It's possible to lose some size as well with either the IPP or malleable.
My advice is choose the IPP. It makes for a more natural look.
After close to six years implanted it is just a part of me now.
Tough decision, best of luck.

I didn't want to reply to this post but everytime I see the damned "15-20" figure I get triggered and I can't resist.

1) Even worshiped implanters/beneficiaries refuted this study and say it's exaggerated.

2)If, as you say, most are “busy fucking,” yet their devices eventually fail after 20 years, they should be still spotted on forums or MAUDE...or where did they go ??. In fact, a surviving 10-year IPP on MAUDE is a unicorn—nearly 1 in 20 failures.... And again, keep in mind that most recipients are in their 60s, so they have sex less frequently than those in their 20s or 30s. That implies the rediculous range of device survival expectancy reported on MAUDE is even lower with younger folks. The longest IPP survival reported on FT is 15 years and that is the only known 15-year IPP...it belonged to Parmenides...whose second revision failed after just five months. Even Eid celebrated a 12-year surviving IPP on his YouTube channel as a once in a blue moon unicorn.

3) Busy sufferers are just as busy as busy fuckers too.

4) Having ALOT of multiple failures within few years is almost mathematically impossible with the 15-20 years kaplan meier hoax study...no wonder why patients started to celebrate 1 month and 6 months survival mark.

5) Yes everytime I see this manufactured narrative imposed by beneficiaries and strangely promoted by patients I will gladly list these points again and again..even more...relentlessly.

[happycamper59]

I can't help with the revision question, but I got an IPP a little more than a year ago. It is great! However, I did lose some length (nearly 1/2 inch I think), but it is harder to get a boned-pressed measurement now because the tubing is right there. So, it may be only about a 1/4 inch, which is what my doc suggested at the onset. Girth? Maybe a little loss. But man, does this thing work! I couldn't imagine a malleable, as my deflated penis is still more than it was flacid pre-op. I was a grower then; I'm a shower now!