Hakky and erosion?

The final frontier. Deciding when, if and how.
alans4570
Posts: 62
Joined: Tue Nov 21, 2023 4:57 pm
Location: Wisconsin

Re: Hakky and erosion?

Postby alans4570 » Wed Apr 01, 2026 6:28 pm

Dr. Clavell did my surgery. He used the LGX and it turned out fantastic! Ask and you shall receive.
Age 74 Implanted 01/02/2024, Dr.Clavell AMS LGX, Ed for almost 20yrs. Cialis tried caused vision loss, Trimix also caused vision problems. Married 36 years.

edjohn
Posts: 335
Joined: Mon Aug 14, 2023 11:10 am

Re: Hakky and erosion?

Postby edjohn » Fri Apr 03, 2026 6:25 am

LetoMan wrote:A doc has three choices of what they want to do


You forgot the most important and most likely choice.

Go ahead and take your BPFSL measurement. Did you pull hard or gently? Did you use 5 lbs of force or 15 lbs? The surgeon has complete control over his measuring technique and because of the flexibility of a penis, there is probably a multi-cm difference between gently inserting the dilator and pushing firmly. I am certain this is the majority of the variation we see between guys who gain a little vs lose a little.
Oct 7, 2025 - Coloplast Titan Touch XL - 26cm + 0.5cm RTE from Jonathan Clavell

1984ptc
Posts: 20
Joined: Sun Jan 25, 2026 5:33 am

Re: Hakky and erosion?

Postby 1984ptc » Sat Apr 04, 2026 9:54 pm

Hakky wont upsize past what your anatomy will allow. He always inflates the device in you before he wakes you up. If it wont inflate deflate correctly, hell remove the device. Upsizing is just a technical term the surgeons use when they add maybe 1-2 cm past the measurement. For a titan cylinder, its easier for him to upsize. For a device that already increases in length by design— he sized me to my exact measurement as he knew the device would increase by 2 cm. But it all depends on your tissue. In a young guy, its more possible. In an older man with a lot of fibrosis, upsizing is going to be hard. Now for revision, he almost always is able to upsize. He is one amazing surgeon and human being. Youll never go wrong with him.
Became bionic 3/2026. Hakky - rigicon infla10ax 23 cm (22+1 rte). Chronic ed - tried pills, ved, bimix/trimix. Had mild venous leak on doppler. Took the plunge when ultrasound showed fibrosis and i knew it was only a matter of time before i needed one

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duke_cicero
Posts: 520
Joined: Tue May 28, 2024 2:58 pm

Re: Hakky and erosion?

Postby duke_cicero » Sun Apr 05, 2026 1:38 pm

edjohn wrote:The number of cases is so small we might never hear from one who had it with hakky and also is a regular here.

From what we know of erosion, however, it shouldn’t be related to whether you are upsized or not. It seems to have more to do with either natural physiology or lack of rest essentially. Malleables are far more prone because they never retract to give the tips a chance to heal from any strain put on them.

Also realize that when girth is factored in, since there is so much variation in natural girth, the majority of us are by definition oversized and this is what makes the penis get firm at our given size. Also consider how many dudes regain an inch or two of atrophy… these guys are all experiencing gradual success from “upsizing.”

I believe his reputation stems from being reliable at sizing properly, however, not necessarily that he sizes “riskily.” I am tempted to look to him for revisions when necessary, but after proper VED use pre-surgery, Clavell’s sizing had me exactly the same length post-op and at about 6 months I am almost 1/4” longer than I was ever naturally.


For what it's worth, my surgeon told me that the erosion risk between MPP and IPP is virtually identical, and that it has more to do with the subtleties of sizing and placement.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024 by the great Dr. Laurence Levine in Chicago.

· December 2024 implant journal
· June 2025 update
· One-year update


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