Green light for MPP surgery Jan 20th. And now the nerves are settling in!

The final frontier. Deciding when, if and how.
JohnnyBorg
Posts: 137
Joined: Tue Jul 01, 2025 9:35 am

Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby JohnnyBorg » Wed Jan 07, 2026 11:05 am

Hey everybody, JohnnyBorg here!

Well, to start, I have great news.

- My surgery was approved by insurance, which I wasn’t expecting and am incredibly grateful for.
- Labs + EKG came back good, so cleared for surgery.
- I’m feeling confident in my decision proceeding with MPP on account of many personal factors that make it a great fit for me, which I’ll document in my journal coming up.

However, of course, my nerves are kicking in now that it’s all official! I’ve never been “under the knife” before, so anxious about that. Thinking about things that could go wrong, worried about extreme size loss, etc. All the usual suspects and honestly, just reading threads here on FT at least make me feel better knowing that pretty much EVERYONE here has had all the same fears.

Managing my expectations has been key. For me, I think these are the ones I’m anchored to:

A major “mission accomplished” for me would look like this:

- Successful implantation without infection (this will obviously be something I’ll be monitoring for for awhile).
- The malleable implant bends.
- The malleable implant is concealed (bulge is expected, but “obvious and obnoxious boner” would be a problem).
- The malleable implant becomes more comfortable over time and by 1 year just feels like “a part of me”.
- No “extreme” length loss. For me, my current stretched bone pressed length is a hair over 5 inches. So my GOAL (read as “hope” :D ) is my final size is around or over 4.5 inches. I’ve always been under average in this area my whole life so I’m not SUPER worried about it to be honest :lol: but I think I’d be bummed if I end up clocking in closer to 4.0 inches.
- Girth doesn’t actually worry me as much - my expectations here are that I’m going to lose girth on account of it being an MPP. I know Urofill is expensive but if I absolutely HATE the girth loss, this is an option and Dr Hakky is a fantastic provider of it (he’s INCREDIBLY cautious with its delivery, treats it with the same infection protocols as an implant, etc). So this one for now is just a “brace yourself for the worst, be pleasantly surprised if it’s not that bad” :D
- Preservation of PIV orgasm function after a year of healing: this one is tough because I know that there are quite a few guys here who either A) have struggled with this after surgery and it took time to recover, or B) are still struggling after even a full year of healing. My hope is that within a year, I’ll be able to orgasm during PIV sex and am ready for sensation to potentially be less in early stages after surgery (and being cleared to have sex). Even though this is a risk though, I’ve already accepted it. I just want to be able to ENJOY sex without the strain of ED I’ve experienced my entire life, and so even if orgasm is impacted I’m remaining hopeful that I’ll figure something out. Planning on being very patient with this one during recovery.

Want to thank everyone as always for their contributions and consistent support throughout. I’ll be booting up my journal in the next week!

- Johnny
Last edited by JohnnyBorg on Wed Jan 07, 2026 11:21 am, edited 2 times in total.
ED since high school. Pills always hit or miss, mostly ineffective. Finally diagnosed with venous leak in early September 2025.
Surgery scheduled for Rigi10 MPP w/ Dr Hakky on January 20, 2026.

Old Guy
Posts: 3005
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby Old Guy » Wed Jan 07, 2026 11:17 am

Well, congrats for getting the insurance approval. Nervous is something to be expected, I was 68 and had never had any surgery or been under anesthesia so the implant was my first time to worry about those. Yes, I was nervous as can be but all came out fine. I also had not found Frank Talk yet to know about all the issues that might show up. I think not knowing was best really.
Hope everything goes fine with your surgery.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me

JohnnyBorg
Posts: 137
Joined: Tue Jul 01, 2025 9:35 am

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby JohnnyBorg » Wed Jan 07, 2026 11:22 am

Old Guy wrote:Well, congrats for getting the insurance approval. Nervous is something to be expected, I was 68 and had never had any surgery or been under anesthesia so the implant was my first time to worry about those. Yes, I was nervous as can be but all came out fine. I also had not found Frank Talk yet to know about all the issues that might show up. I think not knowing was best really.
Hope everything goes fine with your surgery.


Thanks Old Guy, I really appreciate it and it’s a relief to hear you had similar nerves.
ED since high school. Pills always hit or miss, mostly ineffective. Finally diagnosed with venous leak in early September 2025.
Surgery scheduled for Rigi10 MPP w/ Dr Hakky on January 20, 2026.

UpNorth
Posts: 378
Joined: Wed Apr 30, 2025 3:40 pm

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby UpNorth » Wed Jan 07, 2026 1:10 pm

Old Guy wrote:, I was 68 and had never had any surgery or been under anesthesia so the implant was my first time to worry about those. .

Old Guy how in the heck can someone make it to 68 without having any medical procedure that requires anesthesia? I’m 62 and couldn’t tell you how many times I’ve been knocked out, I can’t even keep up with all the testing I’m supposed to do at my age.

Johnny
Do your breathing exercises and focus on what you have been learning for aftercare. Getting knocked out is the best sleep you can ever get. Get a check list going as well with being nervous it’s easy to forget something.
62. ? Asked. What is your sex life like? I’m a Romantic She’s a Nymphomaniac.
Coloplast Titan IPP
NYC by The Man The Myth The Legend Dr Eid
Penoscrotal W/ Scrotoplasty
Friday the 13th of June, 2025
Ed due to chronic pain, arterial insufiency, etc.

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Kodixx
Posts: 840
Joined: Wed Jan 08, 2025 5:32 pm

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby Kodixx » Wed Jan 07, 2026 1:34 pm

Johnny, congrats on making the big commitment and getting to final approach. Yes this forum is filled with guys who went thru exactly what you're going thru -- hang in there. You've done all the research, considered all the options, made the decisions that are right for you, and you're ready.
FWIW, there's a recent thread that offers some perspectives that might be of inspiration, and maybe even calming. Best wishes !

“I wish I’d done it ten years earlier…”
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=27765&p=268177#p268177

- Chuck
JohnnyBorg wrote:However, of course, my nerves are kicking in now that it’s all official! I’ve never been “under the knife” before, so anxious about that. Thinking about things that could go wrong, worried about extreme size loss, etc. All the usual suspects and honestly, just reading threads here on FT at least make me feel better knowing that pretty much EVERYONE here has had all the same fears.
Feb 2025 58yo, 38 w/ greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling/sex @ 7wks, minor pain until 10wks, felt like 'new normal' sex @ 16wks

User avatar
ElbowRoom
Posts: 827
Joined: Mon Mar 17, 2025 1:58 pm

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby ElbowRoom » Wed Jan 07, 2026 1:42 pm

Congrats, I hope everything goes well!
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement

Oz1958
Posts: 15
Joined: Sun Mar 16, 2025 11:17 pm
Location: Adelaide, Australia

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby Oz1958 » Wed Jan 07, 2026 7:26 pm

Wishing you all the best for your surgery on the 20th.

Due to time zone I will probably be a few hours earlier with my IPP surgery on 20th in Australia.

I have all confidence in the highly trained medical teams that will be caring for us.
20 years of ED, initially managed by pills. Increasingly severe BPH, emergency HoLEP prostatectomy 4 years ago. Fixed the prostate but pills just don't work any more. Solution is decided.
Currently booked for surgery Jan 2026.

Old Guy
Posts: 3005
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Green light for MPP surgery Jan 20th. And now the nerves are settling in!

Postby Old Guy » Thu Jan 08, 2026 11:15 am

UpNorth wrote:Old Guy how in the heck can someone make it to 68 without having any medical procedure that requires anesthesia? I’m 62 and couldn’t tell you how many times I’ve been knocked out, I can’t even keep up with all the testing I’m supposed to do at my age.


UpNorth, guess I was just lucky. My mom's side had great genetics. Grandma was 93, mom was 96, two uncles made it to 95. Dad made it to 89 despite alcoholism. Plus, I didn't do any daredevil shit. Well, yes, I did but not any truly dangerous crap. LOL
All I know is I am very grateful that my first surgery was elective.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me


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