Malleable Implants for young patients ??

The final frontier. Deciding when, if and how.
ksndvt
Posts: 7
Joined: Fri Sep 11, 2020 6:52 am

Malleable Implants for young patients ??

Postby ksndvt » Fri Sep 11, 2020 10:38 am

M 25 trouble maintaining erections.

Now, non malleable implants have chances of mechanical failure compare to malleable ones.


Did people with malleable implants had other drawbacks ( except its always erect, its. a blessing when young)

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Malleable Implants for young patients ??

Postby Waynetho » Fri Sep 11, 2020 11:05 am

ksndvt wrote:M 25 trouble maintaining erections.

Now, non malleable implants have chances of mechanical failure compare to malleable ones.


Did people with malleable implants had other drawbacks ( except its always erect, its. a blessing when young)


The biggest risk all doctors talk about with malleable implants is the chance of erosion of a tip through the skin. The tip can either erode the glans and poke through or much worse, it can erode into the urethra and block your urine flow. The latter form of erosion requires an immediate trip to the ER because the danger of bladder and kidney damage.

My doctor also advised me that the same risk of erosion is present with an inflatable if the user practices an "ALWAYS-INFLATED" mentality. The extra pressure in the distal ends of the corpora can put undue stress in that area and can cause the tip to poke through and into or through the remaining tissues (glans or urethra).
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

ksndvt
Posts: 7
Joined: Fri Sep 11, 2020 6:52 am

Re: Malleable Implants for young patients ??

Postby ksndvt » Fri Sep 11, 2020 11:42 am

It's very risky is it also somewhat risk with inflatable implants.

What are some risks with inflatable implants also??

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Malleable Implants for young patients ??

Postby Waynetho » Fri Sep 11, 2020 11:59 am

The biggest risk for both malleables and always-inflated inflatable implants is the erosion risk. With inflatables, there is also a risk of getting the reservoir encased in a pseudocapsule while it's not usually full. When all the saline stays in the cylinders instead of the reservoir due to full-time inflation, the body can permanently constrict the reservoir by building a scar tissue capsule around it in the deflated state. That's why it's always recommended to only periodically inflate your implant but keep it deflated most of the time so the reservoir stays inflated.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

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

Re: Malleable Implants for young patients ??

Postby Lost Sheep » Fri Sep 11, 2020 1:23 pm

ksndvt wrote:M 25 trouble maintaining erections.

Now, non malleable implants have chances of mechanical failure compare to malleable ones.


Did people with malleable implants had other drawbacks ( except its always erect, its. a blessing when young)

You will get answers to your questions from current members and they will trickle in over the next couple of weeks.

If you want to get answers much quicker and some answers that you may never get (because some members are no longer active) I recommend what I did when I first joined FrankTalk. I took a couple weekends to read through a few years of posts/threads with titles that interested me and appeared informative. It will give you a better basis for forming questions and understanding the answers.

Here is one thread from autumn 2019. There are many others from earlier. Search function is your friend. Look for "malleable" and "remi-rigid"
viewtopic.php?f=21&p=135859#p135859

This knowledge will also help get your medical team to accept you as a contributing partner in the decision-making.

I also recommend doing extensive research on your chosen urologist/sexual health physician and interview him (or her) pointedly and make yourself an integral part of the medical team. (Of course, many men choose not to do that and I cannot fault them - just do what is comfortable for your personality and approach to your medical care.)

I recommend documenting your size (length and girth) by careful measurement and photographs. Make sure your measurement protocol is repeatable (you will want to measure after surgery also). The most widely used measurement is to press a measuring tool against your pubic bone just above your penis, compressing the pubic fat pad as much as possible and measuring (straight) to the tip of your penis (not following the curve around to the tip, but just straight out like a shoe store measures your foot to the tip of your toe - but you can follow the curve of your penis' shaft.) Girth is measurement of circumference at the midpoint of your penis. Some choose to find the girthiest part, instead. Usually the two points are the same or very close.

Much discussion has been had about the relative merits of malleable vs inflatable implants. The quality of life (both when inflated for sexual activities and uninflated for the rest of your day) is MUCH better with the inflatables. Inflatables do fail after a time. They are more complex and mechanical failures do affect the service life. The surgery is more complex, increasing the risk of complications (like infection) and the cost. Malleables hardly ever fail mechanically but as has been pointed out, being full-size and stiff all day every day has drawbacks both to your penis tissue health and day to day activities. For example, tight-fitting bathing suits or pants, deploying for urination and stowing away afterwards are just two of the problems that one must deal with.

"always erect, its. a blessing when young" is illusory. When young, you can wear clothes that you may find embarrassing at poolside, certain social events (family gatherings, church, etc).

I encourage you to read past posts. They are full of answers to your questions.

Also, do not jump to an implant right away. There are less invasive, risky and expensive treatments that could provide relief to you for years. Those years might even produce a true cure for you. It is important to note that an implant does not cure E.D. It makes it worse, in fact. If guarantees 100% impotence until you inflate. If you had a hand that did not grip well, would you cut it off for replacement with a prosthetic hand? Keep in mind that the prosthetic may fail and leave you worse off than your natural hand was until you undergo another surgery. Or if you could struggle through a 9 minute mile on your own feet, would you opt for prosthetic feet that enabled a 4 minute mile, but if (when) they failed, would leave you in a wheelchair until undergoing another surgery?

Welcome to the forum, ksndvt
Last edited by Lost Sheep on Fri Sep 11, 2020 2:43 pm, edited 1 time in total.
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

Gt1956
Posts: 2879
Joined: Fri Apr 05, 2019 2:47 pm

Re: Malleable Implants for young patients ??

Postby Gt1956 » Fri Sep 11, 2020 2:07 pm

ksndvt wrote:M 25 trouble maintaining erections.

Now, non malleable implants have chances of mechanical failure compare to malleable ones.

Did people with malleable implants had other drawbacks ( except its always erect, its. a blessing when young)

Just as I have said before. A younger man that appears to of had ED for most or all of his life. Is just unable to see the problems with a constant erection. These are designed for a specific group of men. One of the larger segments is men that lack the hand strength or dexterity to inflate an implant. Generally fairly old. Another group is guys recovering from infection or trauma. We have an active member that had an infection so he had a malleble while recovering. At first he liked the idea but eventually was glad to get an inflatable implant.
Ksndvt, I suggest that you aquire a solid wood rod, like a broom handle. Cut it to the length that you think that your penis should be. Tie it to your groin & wear it under your clothes continually for 30 to 60 days. Then please come back & tell us how easy it is to be young with a permanent erection.
Do not confuse "always ready for sex" with "always able to have sex". They are not the same thing & only one of them is how nature designed you. Please keep that in mind.
But please do keep reading Frank Talk. It is a gold mine of good advice. It has really helped me in several areas that I'm thankful for.
Also, please tell us where you live so that advice can be given that is useful.
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

Agfa13
Posts: 1578
Joined: Thu Oct 31, 2019 6:03 pm
Location: Laurel, Maryland

Re: Malleable Implants for young patients ??

Postby Agfa13 » Fri Sep 11, 2020 4:25 pm

Aside from the risk of initial infection when you 1st get operated on, malleable implants are 'constantly' there. Meaning, all you do is lift up to use, put down to put away.
Do what LS said and just gain some insight into what is going to happen between the 2.
Ag, 58, Maryland
Document with BEFORE/after pics
AMS cx 24cm, Titan malleable, Titan Legacy on 3/2/20 (20cm/bilat 2cm RTE/ 75 cc)
Face pic on pg. 22: names and faces; dick pics on pg 7/41: Dick of day
Smaller dick, but can fuck without fail :lol: :D


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