Insights from Two-Year Follow-up Appointment

[Time2Change]

Hello All--

I had my two-year follow-up appointment with my doctor last week. Since everything's going well now, I asked him some questions about the implant failing in the future.

Here are some interesting things he told me.

First, he has a theory that it's guys with bigger implants and younger guys whose implants will have a shorter life span. At 6 1/4 inches inflated, I fall into the bigger implant category, according to him and much to my surprise. The reason is amount of use. For bigger implants, there is more pumping required to inflate, which causes more wear and tear on the parts. And guys in their 20's and 30's are just getting more action than older guys, so they're inflating more often.

Second, he told me that the parts most likely to fail are either the tubes or the pump and release valve. The reservoir and cylinders in the dick rarely fail.

Third, if/when my implant fails, my doctor said he will replace all of it, except the reservoir. Where the reservoir is placed in the abdomen is right next to some major veins. Trying to pull out the reservoir risks damaging a major vein, resulting in dangerous bleeding. So, he will leave the decommissioned reservoir in its place and put in another one on the other side.

Fourth, I asked him why he felt the tip of my dick. He wanted to make sure the cylinders were in place. Apparently, some guys leave their implants inflated for really long periods of time. This will damage the tip of the dick, according to my doctor.

For those guys wondering about his theory on implant failure, it's just that, a theory. He said he would like to do research to test it, but it's difficult to collect the data.

I believe information is empowering, so I hope you guys find this useful.

[1day2Bbionic]

Since your Dr said leaving the implant inflated too much can cause damage to the tip I wonder what is thoughts are on malleables

[Gt1956]

Since your Dr said leaving the implant inflated too much can cause damage to the tip I wonder what is thoughts are on malleables

I think the answer to that is well known. Malleables are purposely made short so the the tissue wall in the glans area is not under constant pressure. It seems that as a group, we forget that little bit of info.

[advaita]

It reminds me that at my last appointment, my urologist told me to sufficiently deflate the implant to avoid the risk of erosion.

[Fourtytwo00]

Since your Dr said leaving the implant inflated too much can cause damage to the tip I wonder what is thoughts are on malleables

In fact there is no sense in being "aggressive" with malleables.
Malleables outlast inflatables in term of expected life and post op complications except for the extrusion risk which is a little bit higher.

I think the theory has its merit. My impression here is that setting aside for Peyronie and other stuff a younger body should respond better to a surgery than an older one. But once you're healed a more frequent use e less attention could shorten the lifespan.

[dg_moore]

I'm not so sure frequency of use is a factor - my Titan suddenly failed after twelve years having never been used once and being inflated only three or four times a year.

[nuance]

Hello All--

I had my two-year follow-up appointment with my doctor last week. Since everything's going well now, I asked him some questions about the implant failing in the future.

Here are some interesting things he told me.

First, he has a theory that it's guys with bigger implants and younger guys whose implants will have a shorter life span. At 6 1/4 inches inflated, I fall into the bigger implant category, according to him and much to my surprise. The reason is amount of use. For bigger implants, there is more pumping required to inflate, which causes more wear and tear on the parts. And guys in their 20's and 30's are just getting more action than older guys, so they're inflating more often.

Second, he told me that the parts most likely to fail are either the tubes or the pump and release valve. The reservoir and cylinders in the dick rarely fail.

Third, if/when my implant fails, my doctor said he will replace all of it, except the reservoir. Where the reservoir is placed in the abdomen is right next to some major veins. Trying to pull out the reservoir risks damaging a major vein, resulting in dangerous bleeding. So, he will leave the decommissioned reservoir in its place and put in another one on the other side.

Fourth, I asked him why he felt the tip of my dick. He wanted to make sure the cylinders were in place. Apparently, some guys leave their implants inflated for really long periods of time. This will damage the tip of the dick, according to my doctor.

For those guys wondering about his theory on implant failure, it's just that, a theory. He said he would like to do research to test it, but it's difficult to collect the data.

I believe information is empowering, so I hope you guys find this useful.

How does it work for people that might need more than one revision and have to replace the reservoir?

[Gt1956]

Hello All--
I had my two-year follow-up appointment with my doctor last week. Since everything's going well now, I asked him some questions about the implant failing in the future.
Here are some interesting things he told me.
First, he has a theory that it's guys with bigger implants and younger guys whose implants will have a shorter life span. At 6 1/4 inches inflated, I fall into the bigger implant category, according to him and much to my surprise. The reason is amount of use. For bigger implants, there is more pumping required to inflate, which causes more wear and tear on the parts. And guys in their 20's and 30's are just getting more action than older guys, so they're inflating more often.
Second, he told me that the parts most likely to fail are either the tubes or the pump and release valve. The reservoir and cylinders in the dick rarely fail.
Third, if/when my implant fails, my doctor said he will replace all of it, except the reservoir. Where the reservoir is placed in the abdomen is right next to some major veins. Trying to pull out the reservoir risks damaging a major vein, resulting in dangerous bleeding. So, he will leave the decommissioned reservoir in its place and put in another one on the other side.
Fourth, I asked him why he felt the tip of my dick. He wanted to make sure the cylinders were in place. Apparently, some guys leave their implants inflated for really long periods of time. This will damage the tip of the dick, according to my doctor.
For those guys wondering about his theory on implant failure, it's just that, a theory. He said he would like to do research to test it, but it's difficult to collect the data.
I believe information is empowering, so I hope you guys find this useful.

How does it work for people that might need more than one revision and have to replace the reservoir?

That is simple. Just because they didn't temove his reservoir does not mean that they can not remove a reservoir. If leaving a reservoir in will cause a problem then they'll take it out.

[SwissTalk]

Hello All--
I had my two-year follow-up appointment with my doctor last week. Since everything's going well now, I asked him some questions about the implant failing in the future.
Here are some interesting things he told me.
First, he has a theory that it's guys with bigger implants and younger guys whose implants will have a shorter life span. At 6 1/4 inches inflated, I fall into the bigger implant category, according to him and much to my surprise. The reason is amount of use. For bigger implants, there is more pumping required to inflate, which causes more wear and tear on the parts. And guys in their 20's and 30's are just getting more action than older guys, so they're inflating more often.
Second, he told me that the parts most likely to fail are either the tubes or the pump and release valve. The reservoir and cylinders in the dick rarely fail.
Third, if/when my implant fails, my doctor said he will replace all of it, except the reservoir. Where the reservoir is placed in the abdomen is right next to some major veins. Trying to pull out the reservoir risks damaging a major vein, resulting in dangerous bleeding. So, he will leave the decommissioned reservoir in its place and put in another one on the other side.
Fourth, I asked him why he felt the tip of my dick. He wanted to make sure the cylinders were in place. Apparently, some guys leave their implants inflated for really long periods of time. This will damage the tip of the dick, according to my doctor.
For those guys wondering about his theory on implant failure, it's just that, a theory. He said he would like to do research to test it, but it's difficult to collect the data.
I believe information is empowering, so I hope you guys find this useful.

How does it work for people that might need more than one revision and have to replace the reservoir?

That is simple. Just because they didn't temove his reservoir does not mean that they can not remove a reservoir. If leaving a reservoir in will cause a problem then they'll take it out.

But this doesn't really answer the question. If the reservoir needs to be taken out, this put the patient at risk? If so, young people who have to go through multiple revisions will likely have to face this risk.

[Gt1956]

No surgery is without risk.
Surgeons are trained to mitagate these risks.
We are not privy to the methods of removing an old reservoir because it is seldom talked about because the process is not common.
Remember that the reservoir is by no questions the simplest of the major implant components.
Frequently the old reservoir is reused, perhaps several times. Special splices are used to join the old reservoir tubing to the new implant tubing. This splicing is shown on numerous YouTube videos. But I suspect that many are gone now because dr Kramer removed his videos.
Perhaps a better question is if your anxiety over surgery & possible rare complications is so high. Why are you even visiting a forum the involves cutting into your penis to install an implant?
Wait, I'll answer that. You have or think you have ED. You're hoping that a magic wand can be waved to make it go away. The facts are hard to ignore. IPP's work. Are they perfect? No, but they're the best thing out there now.
Finally, my reading has shown me that even for men that have had several revisions. I do not remember any of them having problems with removing a reservoir, getting a second reservoir or a large surgery to remove an old one. I have read of a man that had hernia repairs to both sides of his abdomen. His surgeon found a third suitable place for his reservoir.
Ok, despite my strong language I do wish you the best luck with your ED. Is there a chance that you're using translation software that makes it hard to read the many years of old posts on the forum?