Introduction and thoughts about an implant

The final frontier. Deciding when, if and how.
Giuliorome94
Posts: 5
Joined: Mon Feb 03, 2020 7:58 am

Introduction and thoughts about an implant

Postby Giuliorome94 » Tue Feb 04, 2020 5:14 am

Hi guys, I’m 25 years old and struggling 4 years now with ED and Peyronie’s disease. I’ve tried every medicine, supplement,vacuum pump and scat(caverjact) but the results where never good enough to have an enjoyable sex life. Because of this since the last half year I’m talking with my urologist about an implant, which hopefully makes my life with this problem easier.

He recommends me a coloplast since we started to talk about implants but I’m scared to loose more penile size that I’ve already lost in these 4 years. Malleable implants seems to be a better option in keeping the size and also the less complicated way of the operation makes more sense to me. I would also not have a real problem if the state is every time erect because I think I could hide it with good and strength clothes.

Im not really sure at the moment what tho chose and I’ve read a lot in this forum. Maybe you could tell me your thoughts about this.

oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Re: Introduction and thoughts about an implant

Postby oneperson » Tue Feb 04, 2020 7:30 am

Hi,

I don't think the malleable option is a better option, in any sense. Keeping size, as far as I know, you won't recover any girth with malleable, and I am pretty sure the lenght will be the same one year after implant than the day of the implant. With inflatable and cycling, you will gain both lenght and girth as time passes. It is likely you can even recover almost all lost lenght.

I am 4 1/2 post implant coloplast, and I have recovered about 1,2 cm lenght. The first time I did a measure post implant, about one month after, I had about 2 cm less in lenght than when I was young and healthy.

The only reason I see for going with malleable is health problems that don't allow manipulate the inflatable mechanism.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

544kenmatt
Posts: 221
Joined: Sun Nov 17, 2019 10:17 am
Location: ROCHESTER , NY

Re: Introduction and thoughts about an implant

Postby 544kenmatt » Tue Feb 04, 2020 7:45 am

I think a young man like you would want a more rigid erection than what the malleable can give you. the malleable would be a third choice for guys who have dexterity problems with the pump. I had a 3 piece on Oct 31, 2019 and I have to admit that the recovery has been long. I am just past three months and still having some pain when fully inflated but I feel like im 90 percent there. Good luck
AMS 700 LGX 10/31/2019. age 63

Giuliorome94
Posts: 5
Joined: Mon Feb 03, 2020 7:58 am

Re: Introduction and thoughts about an implant

Postby Giuliorome94 » Tue Feb 04, 2020 8:43 am

Thanks for you answers. So would you all recommend to go with a 3 piece implant? One of the main issues to be honest is that I’m scared to loose more size and that malleable would be safer in keeping girth and length.
I’ve also read that a malleable, especially the tactra is harder than a choloplast titan in erect state.

maxxxxx
Posts: 422
Joined: Thu Mar 10, 2011 10:51 am

Re: Introduction and thoughts about an implant

Postby maxxxxx » Tue Feb 04, 2020 9:21 am

Maximum diameter for Tactra Is 13mm. Titan inflatable 21mm +
So, no story for the girth.
The same for rigidity.

If you want the best sex, only solution is three piece.
Titan 24cm . December 2015

Captain1117
Posts: 386
Joined: Wed Sep 25, 2019 6:54 pm

Re: Introduction and thoughts about an implant

Postby Captain1117 » Tue Feb 04, 2020 9:24 am

Giuliorome94 wrote:Thanks for you answers. So would you all recommend to go with a 3 piece implant? One of the main issues to be honest is that I’m scared to loose more size and that malleable would be safer in keeping girth and length.
I’ve also read that a malleable, especially the tactra is harder than a choloplast titan in erect state.


I was thinking like you but then I realized that the initial loss in size is due to trauma of the surgery.
With a 3 piece there is a daily practice of inflating the implant for first one year at least and this is where most of the size comes back. I assume general health, age, blood flow and nutrition are factors too. Those who practice manual penile streching or with weights etc..do get this initial benefit too. This stretch with inflatable will be in both length and girth.I believe if you add Cialis or trimix gel to the equation..you can get a good pump daily or even twice a day.

With malleable there is no possibility of this penis internal stretching daily. It will indeed extend it but wont "fill up" internally and strech it in both length and girth.
" The greatest benefit of an implant is that a man stops thinking about ED."-Dr.Eid

48, healthy, straight, single.ED after turning 40. AMS LGX implanted by Dr.Yonah Krakowski in June 2023.

Gt1956
Posts: 2885
Joined: Fri Apr 05, 2019 2:47 pm

Re: Introduction and thoughts about an implant

Postby Gt1956 » Tue Feb 04, 2020 9:34 am

Giuliorome94 wrote:Thanks for you answers. So would you all recommend to go with a 3 piece implant? One of the main issues to be honest is that I’m scared to loose more size and that malleable would be safer in keeping girth and length.
I’ve also read that a malleable, especially the tactra is harder than a choloplast titan in erect state.

None of the rigid's grow in length or girth. In the basic sense, you'll be at your current length forever. An inflatable style is the only style that has a chance of growing. The word inflatable means just that. It is used to stretch you in an effort to regain lost length. It is normal to have a temporary loss of length after surgery. Normally after about a year of healing & regular inflating. You can regain most or all of your lost length. Some men even gain a little of length.
I think you've been mislead on the mallables hardness. The only way to manipulate during the day is because it does bend. How are you going to pee if it always points up? You don't want to pee in your own face. They do bend some.
You should ask your surgeon if he follows the newer agressive sizing guidelines for implants.
Last, where do you live?
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

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Quincy
Posts: 413
Joined: Tue Mar 27, 2012 6:03 pm
Location: Boise, ID

Re: Introduction and thoughts about an implant

Postby Quincy » Tue Feb 04, 2020 10:09 am

l got an AMS 700 LGX about a year and a half ago. In the first day or two after surgery, my dick was thin from the trauma. Within a week it had recovered quite a bit. Over the next year, both length and girth increased significantly.

In the hands of the right surgeon, I don't think you have to lose any size. I think I actually gained some girth from the inflatable. I'm SURE I gained flaccid length, over twice as much as before. And my erect length seems about where it used to be, many years ago.

IMO, I would choose a malleable only if I didn't have the finger strength to push the inflation bulb on an inflatable. When I was doing my research, the malleable sounded like a good choice at first, but I soon changed my mind. Visits with 3 different surgeons all concurred. There weren't as many malleable options then, so maybe they have improved.

I'd lost length due to atrophy after having almost no erectile function for many years. I got a lot of the length back by a strong regimen of stretching the tissues using a Vacuum Erection Device. While a VED looks a little kinky, it does a good job in getting the dick to stretch and be ready for a longer implant. Ask your doctor about it and see if it would be of help to you. My doctor wanted me to do at least 2 months with a VED and a traction device, which I did.

I'm sorry you have to go through this at such a young age. I'm old and wouldn't understand it from your perspective, but I love my implant. It works and feels great and it gets hard whenever and for as long as I want. The only thing I miss is that wonderful feeling of having your dick grow by itself. I still get the arousal, only the erectile mechanism is different. Meanwhile, having full function again, along with my original size, has made this thing a huge success for me. I wish I'd done it 10 years sooner.

It's good that you're researching and questioning. Send me a private message here if you want to ask questions more directly. I'd be happy to answer, as I'm sure others here would. You might also get some guys from the Young Members forum here to give you their perspective.


Best wishes on your decision.
Quincy.
71, Boise area, Married
ED from type 2 diabetes and PCa radiation.
AMS LGX surgery 6/5/18 with Edward Karpman in Silicon Valley, 18cm+3RTE

tomas1
Posts: 1956
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Introduction and thoughts about an implant

Postby tomas1 » Tue Feb 04, 2020 10:35 am

I wholeheartedlt agree with Quincy on this:

I'd lost length due to atrophy after having almost no erectile function for many years. I got a lot of the length back by a strong regimen of stretching the tissues using a Vacuum Erection Device. While a VED looks a little kinky, it does a good job in getting the dick to stretch and be ready for a longer implant. Ask your doctor about it and see if it would be of help to you. My doctor wanted me to do at least 2 months with a VED and a traction device, which I did.

Use the VED right up to surgery day and in the right hands, you should lose no length and possibly even gain a cm or 2.
85 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Introduction and thoughts about an implant

Postby Lost Sheep » Tue Feb 04, 2020 12:40 pm

Giuliorome94 wrote:Hi guys, I’m 25 years old and struggling 4 years now with ED and Peyronie’s disease. I’ve tried every medicine, supplement,vacuum pump and scat(caverjact) but the results where never good enough to have an enjoyable sex life. Because of this since the last half year I’m talking with my urologist about an implant, which hopefully makes my life with this problem easier.

He recommends me a coloplast since we started to talk about implants but I’m scared to loose more penile size that I’ve already lost in these 4 years. Malleable implants seems to be a better option in keeping the size and also the less complicated way of the operation makes more sense to me. I would also not have a real problem if the state is every time erect because I think I could hide it with good and strength clothes.

Im not really sure at the moment what tho chose and I’ve read a lot in this forum. Maybe you could tell me your thoughts about this.

I firmly believe that using a Vacuum Erection Device (V.E.D.) before implant will give you a number of benefits. The vacuum draws your own blood into the penis, much like a natural erection. This provides oxygen to your tissues (not as much as a natural erection, but some is better than none) and stretches your tissues very much like a natural erection. This stretching prevents loss of size (and might restore some recently lost size) and maintains elasticity of your tissues. Stretching the tissues may make the insertion of an implant easier for the surgeon and make the recovery less painful and faster.

For a young man, the malleable has a few advantages. It is cheaper. It is a less invasive operation. It is unlikely to need replacing. The inflatable has a service life of 10-15 years (and this is improving as the manufacturers improve their design). So, you may need to replace an inflatable after 18 or 20 years. You could expect two more implants during your life. Maybe three. The other advantages of a malleable are open to question. Always full size and stiff (erect, pointing and ready for sex or bent for stowage) is a mixed blessing. Your penis will not "dangle" naturally. Likely to be uncomfortable when you are wearing clothes. There is the risk of the end of the implant eroding through the end of your penis (the skill of your surgeon is important here).

In use, the inflatable has a more natural feel before inflation. If your partner likes to play with your penis while it is not erect (a "squishy toy" we call it), that will not be possible. An inflatable can be adjusted for rigidity.

Clearly, in use, the inflatable is superior to the malleable.

Because the inflatable allows your tissues to "relax" when not inflated, it is healthier for your penis tissues. (This is my speculation) So, the malleable must be a little bit smaller than an inflatable. Thus, the inflatable can periodically stretch your tissues and may allow the potential for increasing size, especially girth. (It has been reported that girth is more significant to women than length.)

I hope my thoughts are helpful.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter


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