Questions About Life Between a Broken IPP and Revision Surgery

The final frontier. Deciding when, if and how.
CarbonBurrito
Posts: 5
Joined: Fri Jan 26, 2024 5:28 pm

Questions About Life Between a Broken IPP and Revision Surgery

Postby CarbonBurrito » Fri Dec 05, 2025 3:06 pm

Hey everyone,
I’m hoping to hear from guys who’ve experienced a mechanical failure with their IPP and had to wait for a revision surgery. Revision is something that I'm sure everyone is afraid of when contemplating an implant. In most cases, t seems like something that's not "if" but "when."

I’m trying to understand what that in-between period is actually like. A few things I’ve been wondering:

- Were you still able to have orgasms even though the implant wasn’t working?

- Was penetrative sex (PIV) still possible at all?

- What about oral, manual stimulation, or any form of intimacy during that time?

- What kind of pain or discomfort did you deal with while waiting?

- For those who had to pay out of pocket originally, did insurance cover the revision, or did you get hit with another major bill?

If you’ve gone through this, I’d really appreciate hearing what the experience was like and anything you wish you had known ahead of time.

Thanks in advance for any insight.
46 / ED for ~16 years / Pills no longer work at all - scared of those shots! / Hoping to book with Clavell soon

ColoplastTitanUpOver
Posts: 30
Joined: Wed Oct 01, 2025 11:45 pm

Re: Questions About Life Between a Broken IPP and Revision Surgery

Postby ColoplastTitanUpOver » Fri Dec 05, 2025 4:08 pm

Revisions are fortunately very uncommon. Only about 1% of patients ever need one, according to my surgeon and I trust him. I absolutely respect and appreciate your questions, but this is not something I would be overly concerned about. The technology keeps improving at a rapid pace, and we have already come a long way, with even more exciting advances on the horizon in the years ahead. Do not let the 1% revision posts become a bottleneck for the other 99% of your life. Revisions are just a 1% problem. Just my two cents.
71, 8/2022 Radical Prostatectomy
Mixed results with Bimix
9/2024 Coloplast Titan 22cm Classic pump Dr. Heiber.
Best sex of my life.
Pre-Op girth: 6.1'
Post-Op girth: 6.5'
Gained 1.5 cm with VED
TRUST YOUR SURGEON!

PowerliftingDad
Posts: 132
Joined: Mon Jan 16, 2023 3:30 pm

Re: Questions About Life Between a Broken IPP and Revision Surgery

Postby PowerliftingDad » Fri Dec 05, 2025 6:45 pm

See my story.
I was very fortunate to still have PIV intimacy with a failed implant.

viewtopic.php?t=21371
53 yrs old - 1st implant at 24 yr old in 97 Ams 700. Failed 03
6.5" / 5.5 girth natural erection w/ failed implant
Revision done 2/20/23 done by great Dr. Levine Rush University Chgo - AMS 700 CX 21cm + 2cm/1.5 RTE - Currently 7 " / 5.75 girth

User avatar
NYCGay
Posts: 158
Joined: Sat Feb 27, 2021 5:04 pm

Re: Questions About Life Between a Broken IPP and Revision Surgery

Postby NYCGay » Fri Dec 05, 2025 6:59 pm

My Coloplast Titan OTR failed on October 18, after only four and a half years. Dr. Eid concluded that a tube to the pump has broken, and said that this has happened to 8% of the Titan OTRs that he has put in guys. I’m now scheduled for revision surgery on December 19. So I’m in that period between failure and revision you are asking about right now. Here are my answers to your questions. Others might have other experiences.

I thankfully have no difficulty getting myself off, but not even jerking off is as fun as it was when I could get hard.

I’m gay, so I don’t have PIV sex, but I’m pretty sure any kind of penetrative sex would be impossible for me now.

As for oral, yeah, of course it would be possible for someone to take my limp dick in their mouth, but I haven’t tried to make it happen. It just doesn’t feel appealing; I don’t feel sexy without a hard-on. The only kind of sex I’ve engaged in since the failure is quickly jerking off while my husband caresses me. It gets me off, but it’s not very satisfying.

Pain or discomfort: none. I can’t pump it up; that’s all.

With due respect to ColoplastTitanUpOver, I think the 1% lifetime error rate might be a little too optimistic. A quick Google search shows the 10-year survival rate of IPPs to be around 77% and the 20-year survival rate around 53%. (I haven’t examined the sources.) Based on those numbers, it’s likely that you will need to get at least one revision in your life if you get an implant at your current age of 46.

While it’s true that the technology keeps advancing, it doesn’t always seem to be the case that newer models are more durable than older ones. The Titan OTR is a later model than the Titan Classic, but according to Dr. Eid, the OTR has a much higher failure rate. (I’m getting the Classic this time.)

If I hadn’t been able to afford the revision surgery, I would have been utterly depressed right now. But since I know that I will get this fixed and that I will be able to resume the kind of sex life I had before the failure, it’s no disaster. It’s a drag to have to put sex on hold for three months, but I have something to look forward to.

So, in conclusion, if your insurance covers revision surgery, or if you have the means to pay for it out of pocket, then I don’t think the risk of implant failure should hold you back.
Gay man born 1965. Always had ED.
Implanted by Dr. Eid on 2021-05-11: 24 cm Titan OTR.
Implant failure on 2025-10-18.
My story: https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=16918
Pics: pre-op: pages 6, 10; post-op: 8, 15, 19, 20, 25

Handyman
Posts: 64
Joined: Sat Apr 26, 2025 9:08 am

Re: Questions About Life Between a Broken IPP and Revision Surgery

Postby Handyman » Sat Dec 06, 2025 3:44 am

Sorry to hear you need a revision. What do you think happened,.or just bad luck?
I got my otr in May all good but 1 or 2 times the pump has acted weird and I needed to pump or release to get it going. Not worried just curious.
Sending good wishes for speedy recovery.

I have one partner, I don't know if you have more than one. If so have any noticed the implant?

If you are up to it, keep us posted on the revision journey

Thx
Believe post prostate surgery I was around 5 inches down from 6. Never measured girth but post titan otr 20 cm seems thicker.
Implant by Dr. Stuart Schoengold


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