New technologies or other solutions?

[Waynetho]

Imagine getting your pump hacked and someone "playing games" giving you random spontaneous boners...

[stephen54]

I had a discussion I found to be very credible with my physician which included the supposed viability of a future implant which will, as someone else said, be battery powered akin to an implanted pacemaker battery pack, and which has the promise of being operated via an app on your phone. Yes. An adjustable penis hardon app. It doesn't seem particularly far fetched. He said he would not be surprised if such a thing is marketed and available by the time I need my revision (hopefully ten years from now).

[TANGERINE]

I did a leiterature search on the future of penile implants, and there is a nice article which was published a few months ago. Shown below is the abstract:

Future considerations in prosthetic urology
Landon Trost
Since their popularization, genitourinary prosthetics have remained a gold-standard therapy for the treatment of erectile dysfunction and stress urinary incontinence and in cases of testicular loss or dysfunction. They have also represented an area of signi cant innovation, which has contributed to excellent long-term outcomes. Given this history, the objective of the current review was to provide a 5–10-year outlook on anticipated trends and developments in the eld of genitourinary prosthetics. To accomplish this objective, a PubMed and patent search was performed of topics relating to penile and testicular prostheses and urinary sphincters. In regard to penile prostheses, ndings demonstrated several new concepts including temperature-sensitive alloys, automated pumps, devices designed speci cally for neophalluses, and improved malleable designs. With arti cial urinary sphincters, new concepts include the ability to add or remove uid from an existing system, two-piece systems, and new mechanisms to occlude the urethra. For testicular prosthetics, future implementations may not only better replicate the feel of a biological testicle but also add endocrinological functions. Beyond device innovation, the future of prosthetics is also one of expanding geographic boundaries, which necessitates variable cost modeling and regulatory considerations. Surgical trends are also changing, with a greater emphasis on nonnarcotic, postoperative pain control, outpatient surgeries, and adjunctive techniques to lengthen the penis and address concomitant stress incontinence, among others. Concomitant with device and surgical changes, future considerations also include a greater need for education and training, particularly given the rapid expansion of sexual medicine into developing nations.

REFERENCE:
Asian Journal of Andrology (2020) 22, 70–75; doi: 10.4103/aja.aja_103_19; published online: 1 October 2019

THE KEY STATEMENT FROM ABOVE IS:
"....several new concepts including temperature-sensitive alloys, automated pumps, devices designed specifically for neophalluses, and improved malleable designs....."

My take is that if you are able to pump OK with your hands, then I do not see an advantage to the automatic pump (frankly, it seems like a complicating feature which will be a significant point of failure). Similarly, the nitinol device does not seem to be much of an improvement over the curent AMS/coloplast hydraulic designs. So, sorry to be a "Debbie Downer", but to me, it looks like the next ten years of penile prosthesis will be dominated by the current AMS and coloplast hydraulic three piece design with manual pump.

By the way, the article did talk abut the Penuma sleeve, which is a silicone sleeve that makes you have bigger girth. It is approved, and has been discussed on this forum when it was advertised by Beverly Hills Dr Elist. The penuma sleeve does nothing for erectile dysfunction, but it apparently is good if you want more girth. (though I really am not convinced that the women like it since from my experience, the rockhard hydraulic implant is "heavenly anad orgasmic" for most women. The penuma silicone sleeve, on the other hand, probably looks good cause it is a big fat dick, but it might not feel that great to a woman.

[Lost Sheep]

Current technology allows an interface device placed in the brain to receive or send signals to other structures in the body, either artificial or organic. A transducer in the brain triggered by synapses sending a signal to a (paralyzed by nerve damage, perhaps) hand muscle. Not approved for use yet, but the technology does exist in a nascent form today.

With that in mind, how about a brain interface device that can activate a muscle (perhaps taken from a donor site in one's arm or leg) implanted in your penis the same way an IPP is now.

One's penis would probably be the same size, whether erect or flaccid as a malleable is, but in its flaccid state would be limp, soft, squishy and flexible. But with a thought from your brain, could flex up stiff just as with a thought you can lift a weight with your arm. Picture yourself doing bicep curls, but instead of your arm, with your penis...inside your partner.