Malleable Implanted (Tactra 27X13)

[LastHope]

I think the tissues can grow over those meshes and it can present challenges during revisions like how surgeons report for AMS IPP with its Dacron (?) fibers.

"Replacing an AMS three component IPP can present unique challenges. Tissue grows into the polytetrafluoroethylene sleeve, which surrounds each cylinder input tube; dissecting these sleeves out is sometimes difficult and tedious. Occasionally, the outer silicone layer of one of the cylinders will tear; this allows corporal tissue to grow into the middle woven layer and can make it difficult to dissect the cylinder out of the corpora."

https://www.garber-online.com/pdf/Garbe ... w_2008.pdf

[ready2go]

I think the tissues can grow over those meshes and it can present challenges during revisions like how surgeons report for AMS IPP with its Dacron (?) fibers.

"Replacing an AMS three component IPP can present unique challenges. Tissue grows into the polytetrafluoroethylene sleeve, which surrounds each cylinder input tube; dissecting these sleeves out is sometimes difficult and tedious. Occasionally, the outer silicone layer of one of the cylinders will tear; this allows corporal tissue to grow into the middle woven layer and can make it difficult to dissect the cylinder out of the corpora."

https://www.garber-online.com/pdf/Garbe ... w_2008.pdf

seems like putting a sleeve over the malleable .like the shah does would be the best option to increase girth .
But none of the brands offers that choice . tactra , genisis ;13mm .take it or leave it . ridgi10 ; 14 and nothing larger . no exceptions .

[fucked0ne]

I think the tissues can grow over those meshes and it can present challenges during revisions like how surgeons report for AMS IPP with its Dacron (?) fibers.

"Replacing an AMS three component IPP can present unique challenges. Tissue grows into the polytetrafluoroethylene sleeve, which surrounds each cylinder input tube; dissecting these sleeves out is sometimes difficult and tedious. Occasionally, the outer silicone layer of one of the cylinders will tear; this allows corporal tissue to grow into the middle woven layer and can make it difficult to dissect the cylinder out of the corpora."

https://www.garber-online.com/pdf/Garbe ... w_2008.pdf

There isn’t anything else they could wrap it with? The wrapping of the malleable for girth sounds like a nifty idea.

[LastHope]

I think the tissues can grow over those meshes and it can present challenges during revisions like how surgeons report for AMS IPP with its Dacron (?) fibers.

"Replacing an AMS three component IPP can present unique challenges. Tissue grows into the polytetrafluoroethylene sleeve, which surrounds each cylinder input tube; dissecting these sleeves out is sometimes difficult and tedious. Occasionally, the outer silicone layer of one of the cylinders will tear; this allows corporal tissue to grow into the middle woven layer and can make it difficult to dissect the cylinder out of the corpora."

https://www.garber-online.com/pdf/Garbe ... w_2008.pdf

There isn’t anything else they could wrap it with? The wrapping of the malleable for girth sounds like a nifty idea.

The polypropylene hernia mesh wrap was pioneered by Dr. Osama Ghattas in Egypt. He also acknowledged the following in his paper:

"Further prospective studies with larger sample sizes and long-term follow-up are needed to confirm these results.'

https://pmc.ncbi.nlm.nih.gov/articles/PMC8887114/
(Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique)

If surgeons were to go with stronger wraps that wouldn’t separate or allow corporal tissues to grow in between, they would have to come up with a tight wrap/sleeve, much like the Shah sleeve that ready2go mentioned. Will this affect the bendability of the metal core implants? That’s another potential issue to think about!

[Rowand6000]

I think the tissues can grow over those meshes and it can present challenges during revisions like how surgeons report for AMS IPP with its Dacron (?) fibers.

"Replacing an AMS three component IPP can present unique challenges. Tissue grows into the polytetrafluoroethylene sleeve, which surrounds each cylinder input tube; dissecting these sleeves out is sometimes difficult and tedious. Occasionally, the outer silicone layer of one of the cylinders will tear; this allows corporal tissue to grow into the middle woven layer and can make it difficult to dissect the cylinder out of the corpora."

https://www.garber-online.com/pdf/Garbe ... w_2008.pdf

There isn’t anything else they could wrap it with? The wrapping of the malleable for girth sounds like a nifty idea.

The polypropylene hernia mesh wrap was pioneered by Dr. Osama Ghattas in Egypt. He also acknowledged the following in his paper:

"Further prospective studies with larger sample sizes and long-term follow-up are needed to confirm these results.'

https://pmc.ncbi.nlm.nih.gov/articles/PMC8887114/
(Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique)

If surgeons were to go with stronger wraps, that wouldn't separate or allow corporal tissues to grow, they would have to come up with a tight wrap/sleeve, much like the Shah sleeve that ready2go mentioned. Will this affect the bendability of the metal core implants? That's another potential issue to think about!

Cant fillers be used to increase girth? I dont want to get an inflatable due to revision risks.
Malleable seems ideal to me. Theres a pornstar on this forum with a large malleable dong.
What im more worried about is undersizing risk and the back ends becoming loose which i read about on another thread.

[Discovernew]

....I did see a video where they wrap the malleable with a mesh to increase girth though.

They call it Ghatta's technique...

Correct, it was a video from Dr Ghattas

[ready2go]

There isn’t anything else they could wrap it with? The wrapping of the malleable for girth sounds like a nifty idea.

The polypropylene hernia mesh wrap was pioneered by Dr. Osama Ghattas in Egypt. He also acknowledged the following in his paper:

"Further prospective studies with larger sample sizes and long-term follow-up are needed to confirm these results.'

https://pmc.ncbi.nlm.nih.gov/articles/PMC8887114/
(Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique)

If surgeons were to go with stronger wraps, that wouldn't separate or allow corporal tissues to grow, they would have to come up with a tight wrap/sleeve, much like the Shah sleeve that ready2go mentioned. Will this affect the bendability of the metal core implants? That's another potential issue to think about!

Cant fillers be used to increase girth? I dont want to get an inflatable due to revision risks.
Malleable seems ideal to me. Theres a pornstar on this forum with a large malleable dong.
What im more worried about is undersizing risk and the back ends becoming loose which i read about on another thread.

HA fillers are the safest , some of it gets absorbed after a year or two , but apparently with a malleable ,the amount that is lost is less .
BUT its pretty costly in the US .
i lost girth with the malleable . with 13mm rods ,but happily im getting some of that back ,most of it while using a cheapo effective cock ring . it took a year for it to come around , but ill take it .

[LastHope]

Which clinic and doctor in Singapore please? I am looking to have one done soon .....

For Singapore, please also lookup the following andrologists in your research. I asked around and got these names.

Dr. Ronny Tan
Dr. Lim Huat Chye Peter

[ready2go]

I think the tissues can grow over those meshes and it can present challenges during revisions like how surgeons report for AMS IPP with its Dacron (?) fibers.

"Replacing an AMS three component IPP can present unique challenges. Tissue grows into the polytetrafluoroethylene sleeve, which surrounds each cylinder input tube; dissecting these sleeves out is sometimes difficult and tedious. Occasionally, the outer silicone layer of one of the cylinders will tear; this allows corporal tissue to grow into the middle woven layer and can make it difficult to dissect the cylinder out of the corpora."

https://www.garber-online.com/pdf/Garbe ... w_2008.pdf

There isn’t anything else they could wrap it with? The wrapping of the malleable for girth sounds like a nifty idea.

The polypropylene hernia mesh wrap was pioneered by Dr. Osama Ghattas in Egypt. He also acknowledged the following in his paper:

"Further prospective studies with larger sample sizes and long-term follow-up are needed to confirm these results.'

https://pmc.ncbi.nlm.nih.gov/articles/PMC8887114/
(Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique)

If surgeons were to go with stronger wraps that wouldn’t separate or allow corporal tissues to grow in between, they would have to come up with a tight wrap/sleeve, much like the Shah sleeve that ready2go mentioned. Will this affect the bendability of the metal core implants? That’s another potential issue to think about!

so since then ,at least from 2018 "t the Ghattas implantation technique, described below, from October 2018 to May 2020"
no one bothers to determine if this wrap should be added . thanks for that ,doctors .
to much trouble for THEM i guess .

[wolfpacker]

There isn’t anything else they could wrap it with? The wrapping of the malleable for girth sounds like a nifty idea.

The polypropylene hernia mesh wrap was pioneered by Dr. Osama Ghattas in Egypt. He also acknowledged the following in his paper:

"Further prospective studies with larger sample sizes and long-term follow-up are needed to confirm these results.'

https://pmc.ncbi.nlm.nih.gov/articles/PMC8887114/
(Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique)

If surgeons were to go with stronger wraps that wouldn’t separate or allow corporal tissues to grow in between, they would have to come up with a tight wrap/sleeve, much like the Shah sleeve that ready2go mentioned. Will this affect the bendability of the metal core implants? That’s another potential issue to think about!

so since then ,at least from 2018 "t the Ghattas implantation technique, described below, from October 2018 to May 2020"
no one bothers to determine if this wrap should be added . thanks for that ,doctors .
to much trouble for THEM i guess .

There is a Dr in California, Dr Liu, who specializes in applying a wrap of a natural mesh called Surgimend, a surgical mesh made of natural calf dermis. He applies this to the penis for girth enhancement, though I've never heard of him doing it to an implanted patient.