Malleables… Ramblings, Questions, Decisions

[jawnearan]

Hello FrankTalk, as the title suggests I have some random thoughts about malleables, but first I guess I’ll explain my situation in brief.

I’m 32 years old. I’ve probably had problems with my erections since forever, but I never really noticed until it got worse gradually over the past few years. My pattern is: I get full erections, but they just fade away a few seconds after I stop physical stimulation. Of course, changing positions or stopping momentarily to grab something also means my dick goes limp. Two years ago I noticed that even my full early erections are no longer there. I have 70% erections when laying down only and exclusively, no other positions are possible.

Last year I’ve been using 5mg Cialis daily because I was afraid things might get even worse, and that ED would cause permanent structural damage to my penis, so I started using it.
(side note: if you have no contraindications to it, Cialis is actually beneficial all round).
With Cialis I’m back to my old pattern of getting full erections when stimulated, but it fades away in seconds. Interestingly, I noticed taking higher doses of Cialis made my erection more rigid, but it faded away noticeably quicker so its a net negative.

A few months ago I underwent a Doppler. I received 20mcg of prostaglandin (while also being on daily Cialis) and I didn’t get an erection. My PSV was 42 and EDV 11, and I was diagnosed with VL. All my other labs were normal, and I expected that given my extremely high sex drive. I can go 5–6 times a day (not that it’s of any value since no partner would be satisfied with my erection quality).

Side note: my dick fully erected is 19–20cm depending on glans engorgement. I bet the dick gods had fun giving me a huge dong and an off-charts sexual drive with a non-functioning erection. It’s like having a Dodge V8 Hellcat with no wheels on it.

Since I’ve already told everyone here about my deepest secret that no one knows about, some more oversharing won’t hurt I guess. I’m from a Middle Eastern country and I’m a doctor (diabetologist).

So much for a brief introduction lol.

I’ve been reading everyone’s comments here for the past 2 years and I’ve done a lot of research. I’ve probably read every post here and on Reddit (don’t recommend this to anyone) and watched all videos on YouTube about implants in English and Arabic, and even some of the Indian ones.

After all the research I’ve come to the conclusion that a malleable implant would be the best choice for me. It’s reliable, durable, easy to use, smaller surgery, less recovery, less chance of infection, cheaper, and all that jazz. It has been discussed here over the past few years a lot already, so I’m gonna try to not be repetitive here. Something interesting I noticed is that these malleable discussions, especially positive ones, have only started doing rounds here recently. Before that it was all IPPs are the best thing since humans discovered fire and semi rigid are for people with dexterity issues and poor third world countries (a bit racist I feel, but not the point here).

Side note: being a doctor myself, I know for a fact those big companies are paying surgeons, at least indirectly, to promote IPPs. The amount of times a certain pharma company doing a certain very in-demand drug offered me and my colleagues fancy trips and other stuff (and we are just internists who barely bring any big money) I can tell you for sure that shiny surgeons are getting way more, but I digress… I don’t want to get sued tomorrow lol.

So yeah, back to my main point: malleables. They are cool, right? A simple fix for simple men. The negatives are nothing in comparison to the positives imo and are strictly surgeon dependent. Specifically, we can divide them into two categories for simplicity:

Oversizing: chronic pain, difficulty bending or even no bendability at all, higher risk of erosion, problems with urination.
Undersizing: loss of rigidity, rods breaking, lower diameter will cause buckling issues, shortening distally will cause a hinge and make penetration impossible, shortening proximally at the base will cause instability and wobble, increased risk of erosion as well.

So by picking the best surgeon that does malleables routinely you will bypass 90% of the complaints about malleables, while also lowering the risk of infection as a bonus. Yes, malleable implant surgery is “easier” to do, but it’s more difficult to perfect imo. The surgeon has to get the balance inch perfect (mm perfect would be more accurate here lol), but it’s an art. That’s why not many surgeons like doing it (in addition to it not being as profitable as IPPs) you have to get it perfectly spot on or the patient will come back complaining about something. The IPPs don’t have this issue, you know what you get and if the device fails… well it’s a device issue, not the surgeon’s fault, so who cares.

Oh, another positive about malleables, but it’s a bit subjective and uncertain so I won’t include it as a nail-on positive: I’ve seen ppl who had experience with both IPP and MPP say that it feels more natural when aroused and engorged if your circulation was somewhat functional pre-implant.

Well, I guess that’s it for pros and cons of the good old semi rigid… oh, I forgot to address the elephant in the room: concealability. Well, I think it’s way overblown of an issue. It just needs some getting used to and some adjustments, but for me I already only wear baggy clothes whether it’s work or casual. Worst case scenario you end up with a bulge it’s not the end of the world. I have a friend who always had a massive bulge and he never had problems and wore whatever he wanted. Worst thing is that we made jokes about his massive dong and that’s the worst thing that could happen. Strangers won’t be looking at your private area, and even if they did they will just think your penis is above average. No one is gonna suspect you had an implant or actually think that you have a hard on 24/7 for the love of the game. Makes me think, you know, maybe my friend did get an implant… hmmm.

Anyway, I will reserve my opinions for when I actually get the damn implant.

After much research and contemplating, I’ve decided to do it in an middle eastern country for 4 reasons:

1- As I mentioned earlier, getting the perfect balance in terms of sizing intraoperatively is not easy and requires experience and high-volume malleable surgeries, and all the big name surgeons in USA and Europe are doing IPPs 99% of the time. In the Middle East and India it’s still malleables predominantly, even though lately there has been a shift and surgeons are pushing patients to choose IPPs. But lack of insurance coverage makes it less achievable on a wider scale like in western countries.

2- It costs less. The cost of the implant plus surgery in Middle Eastern countries is $2000 to $4000 on average depending on the surgeon and implant brand.

3- Travel distance.

4- Language and communication.

The last 2 points being important for the psychological aspect of recovery.

And after months of analysing I landed on these 3 as my options:

1- Dr Osama Ghattas toped my list.
What I like about him: he’s a high volume implanter and even though he tries to paint himself as an IPP predominant surgeon, I know that at least 70% of his workflow is still malleables. I also know someone (not mbambo lol) who got implanted by him and the results were positive. So basically, a high volume malleable implanter with a proven track record that I personally know for sure is true, not just social media marketing.
What I don’t like about him: he will push for you to have an IPP (unless you are Egyptian or coming from a poorer country then he will gladly take your money for the malleable). He even likens malleables to camels in comparison to IPPs that are modern cars in his opinion. Also, even if you convince him to do the malleable, which is not very hard once you tell him you don’t have the money for an inflatable, he will tell you that he will decide the brand for you based on your penis anatomy, which I find annoying since it’s my penis and I will have to live with this choice. Anyway, I have not tried to discuss this point with him yet as I’m still considering my options.

2- Dr Mohammed Hamdan
What I like about him: he might be the most skilled surgically of all the options. The hospital he operates in is the most prestigious and has the best infrastructure. I quite like Jordan as a travel destination so I wouldn’t mind the vacation lol.
What I don’t like is that he predominantly does IPPs now (the highest IPP volume implanter in the world, as he claims). He will only do malleable for special cases. I haven’t tried to talk to him yet so I’m not sure if he does exceptions. Interestingly, there is an old video of him comparing MPPs vs IPPs almost 8 years ago and he was very positive about malleables, actually praising it more than inflatables, and I know for a fact that his practice was more malleable-focused 10 years ago. Suddenly he is now a die hard inflatable fanboy, and the same with Ghattas.

Side note: What’s absurd about this for me is that in the past 5 years the practice have NOT changed! There was no new research or groundbreaking evidence, but suddenly every big social media star surgeon in the Middle East is advocating for inflatables. The only thing that changed is that all the penile implant companies turned their eyes towards the big market opportunity in the Middle East and started sponsoring free workshops and giving “center of excellence” certificates and bonuses to anyone who promotes inflatables more.
Sorry, this is getting a bit political even though it’s just an artificial penis device discussion lol.

Didn’t mean to turn it into dildo wars or some conspiracy theory. But I have noticed this trend with my own eyes in a short span of time that it is impossible to deny. It’s actually hilarious to check the old posts of the most inflatable fanatic surgeons here in the Middle East and find that they were promoting malleables as a superior option just a few years ago. This shift probably happened in the west decades ago and then it became the norm, so nothing seems out of place.

3- Dr Osama Shaeer
What I like about him is that he is an honest man and not a salesperson like the vast majority of surgeons. Whatever the discussion point is, he will say it as it is no sugarcoating. He is a well-published academic/researcher with special techniques in penile lengthening, fibrosis removal, and post surgical complications tissue preservation. He is also a high volume implanter that does malleables predominantly, just like Ghattas.
What I’m not so sure about is that I don’t know anyone who got implanted by him personally, or even here on FrankTalk or Reddit. The second thing is about surgical technique relating to sizing: as I have watched all his surgery recordings that he uploaded on YouTube keenly, I noticed he doesn’t size as aggressively as some other surgeons. Don’t get me wrong, he is still doing it absolutely correct by the book and I’m sure the results are great, but it’s just on the conservative side of the appropriate sizing spectrum. For example, when it comes to length, some surgeons size the implant from bone to mid glans, or some even to 2/3 of the glans, but he sizes it bone to 1/3 glans, which is still a good measurement and it’s all just the surgeon’s preference. In the grand scheme of things, it might not amount to anything, but I would like to minimize the risk of wobbling/buckling as much as I can if I eventually go the malleable route. I do have an online consultation with him next week, so I’m gonna ask about all the surgical details. If anyone has any questions that they would like me to ask him in my consultation, feel free to tell me.

This is getting too long now lmao. I bet no one is gonna read all of that, but I had these thoughts in my head for the past 2 years and never had anyone to share them with, so I guess the floodgates opened when I started typing.

If anyone made it this far reading, then you’re probably interested in getting a malleable implant as well. I would recommend you check these awesome bionic bros and check their journeys. They have the most informative hands-on knowledge shared on here about malleables:

@thedriver
@mbambo
@duke_cicero
@lasthope

I guess that’s enough of me mumbling.

I do have some questions if any malleable owners come by this and actually read till this point:

1- As my priority is getting hard reliable erections (I’m a simple man with simple needs), one thing I’m worried about is: does it stay hard and erected as in pointing to 3 o’clock, or does it keep falling with gravity? I haven’t seen many malleables in action and pics seem to be scarce, aside from surgeons posting their work on YouTube (you should always take those with a grain of salt).

2- Is there any long term malleable users here? Would be cool to get some insight from them. I find it ironic that malleable is the pre-historic choice but all the malleable advocating bionic bros are relatively newly implanted.

3- Does anyone have any experience with Dr Osama Shaeer? Whether it’s first hand or they know someone?

4- Any other surgeon suggestions?

This marks the end of my malleable gibberish. I will be posting a detailed journal if/when I decide to go through with this. It will probably be the end of this year since Cialis is still working well for me (in terms of tissue preservation, still not suitable for intercourse).

Peace.

[Mark1974]

If anyone made it this far reading, then you’re probably interested in getting a malleable implant as well. I would recommend you check these awesome bionic bros and check their journeys. They have the most informative hands-on knowledge shared on here about malleables:

@thedriver
@mbambo
@duke_cicero
@lasthope
@Mark1974
.

I wanted to drop an additional name

[ready2go]

if i had a do over , i would go with the indian shah malleable IF they said a 15mm rod could be used .

[jawnearan]

if i had a do over , i would go with the indian shah malleable IF they said a 15mm rod could be used .

why is that? i have some reservations about the indian malleable especially about the lack of hydrophilic coating, bendability, and some quality control issues where they are more prone to break than others. also they are only available in india. i don’t think they are worth it when the rigi10 14mm is also available.

[jawnearan]

If anyone made it this far reading, then you’re probably interested in getting a malleable implant as well. I would recommend you check these awesome bionic bros and check their journeys. They have the most informative hands-on knowledge shared on here about malleables:

@thedriver
@mbambo
@duke_cicero
@lasthope
@Mark1974
.

I wanted to drop an additional name

I respect your experience and i think it’s important but you only had the implant for 2 months which is too small to make a conclusive judgement. the body needs time for healing and adjustment 6 months is the minimum imo.

However I think 2 main points can be learned from your experience,

1- complications do happen even if its a very small chance like any thing in life you better be prepared beforehand.

2- psychological assessment should be made by surgeons on their patients before making life changing surgeries.

[Thisworld]

What about Turkey? Karaman etc

[JohnnyBorg]

Love to see some malleable discussions - I’m super early on (4 weeks-ish) on my recovery journey but was recently implanted with an 11mm Rigi10 malleable. I think at about the 3 month and 6 month marks in my journey I’m going to have some unique perspectives to contribute, as I’m also a man with a smaller penis who chose a malleable and could’ve benefited from the length and girth preservation effects of cycling an IPP.

Doctor Hakky is my surgeon - he did an excellent job in my opinion sizing me. He felt I could’ve done the 12mm Rigi10 (he doesn’t LOVE the 13mm because patients have complained it’s too difficult to bend). I chose 11mm because I’m quite risk averse and wanted to ensure best chance to bend the implant around. So far, no major issues although it wants to hang at 4.5 o clock without any additional support from underwear. I’d prefer to see 5/ 5.5 o clock without spring back. But it’s not a major issue as I do think underwear and compression is key to keeping it down more towards 6 o clock.

In addition, I’m a big fan of menswear and style - so a huge part of my journey is going to focus on how to best conceal a malleable implant while maintaining great style as a guy! I’ve already launched into this last couple days and made some important discoveries.

I only skimmed your post because I’m about to head out to do a couple chores, but am going to loop back around to do a proper read through and reply!

[Rider1400]

Not pushing you to change your mind just throwing ideas out. You can always go with an IPP and see how it works with you. See how long it lasts. If it fails or you’re not happy with it you’ve lost only a little time and possibly a little increase of infection risk with revision. I love my IPP and after almost 4 years I’m having a revision due to placement issues of the cylinders and the reservoir. Function of my Titan is perfect now. I’ve never even considered a MPP. Just don’t work with my mindset. Hoping the best for you and your final decision.

[RigiconDownUnder]

Here's a summary I found on malleables shared by someone on Reddit. Data on malleables are very sparse for sure.

[duke_cicero]

It's worth mentioning here that I absolutely love my Genesis. Have used it over 100 times in the past 14 months with nothing but great contentment and success. The hog looks better when I'm aroused (and 5mg Cialis helps with girth for anyone, both glans and shaft) but most often I'm the same as I was pre-implant under ideal conditions: 7.25" x 5.5". I guess you'll just have to take my word for it. I'm very happy with the results and would absolutely do it all over again.

Have been with lots of women since the procedure and none of them suspect my penis is anything but perfectly natural. Like "ready2go" who I think has mentioned once before that a woman has asked "why his penis never goes to sleep," I've been met with a surprised "You want more!?" after hours of mattress cardio, but nobody is concerned. Just excited.

Probably unsurprising, but my sex drive has easily 10x'd since getting the implant. I'm on TRT, too (related to my bicycle accident, I probably damaged my testes to the point where my total testosterone was as low as 228 ng/dl as an otherwise very healthy 27 year old when I first got my levels tested—to say nothing of my free testosterone, which was almost unmeasurably low) but pre-implant, I never wanted sex because I was afraid of the humiliation of not having an erection at the right time. Today, I think about it all the time. I want it all the time. Intimacy is exciting and fulfilling. It feels like the implant has sort of activated the results of my testosterone therapy. If I'm on the train here in Chicago and an attractive woman brushes against me, I feel a rush through my entire body. It's like being 14 years old again. Except now, I understand those feelings as a mature man fully in command of his sexuality.

Funny enough, it's also improved my non-sexual relationships. I want to see people more. I hug my friends more often. I'm so grateful to be alive. There were times after failing to perform in bed with yet another beautiful woman—who was likely confused at what I must be feeling, feeling unwanted or depressed or alone or hurt as she lay right next to me—that I seriously thought about taking a trip to some remote area of the country or a national park and shooting myself in a secluded area. Today, the thought seems almost irredeemably tragic and misguided. I say this not to be dramatic, but only because it's where my head was at some of my darkest moments.

Today, I'm 35 years old and feel that I have a lot of time to make up for in the intimacy department. But, I'm more than ready for it.

As always, more than happy to answer any questions either here or in the DMs.

Duke