Reluctantly going to implant consultation tomorrow

[Mattbg7]

I’ve made up my mind that I should ask for an implant. I’m lucky enough to live in Atlanta and my doctor is Dr. Hakky. But I’m not sure I can go through with this. I have read plenty on this site, I can’t think of any questions I have. There are just so many drawbacks to this decision. And I know what people will say here, that a hard dick trumps all. And that is what is true for you, but maybe not me. So I would appreciate those who avoid expressing that view if they choose to respond.

Maybe I will loose sensitivity and won’t be able to cum ever again. This is already difficult for me.

Maybe having all that gear inside me will be distracting.

Maybe my dick will be smaller.

Maybe it will take 100 squeezes to pump up like I have seen folks talk about here.

Maybe I won’t like someone shoving silicone cylinders in my dick and having a third plastic testicle. Seems like a very uncomfortable way to live life.

[duke_cicero]

Obviously I have a malleable and my experience is different than most guys here for that reason. But even with the minor adjustments I've had to make in my life to accommodate the implant, the single biggest adjustment I've made is the mental realization that I can have successful sex at any time. Sometimes, I still can't believe it.

[Mattbg7]

Obviously I have a malleable and my experience is different than most guys here for that reason. But even with the minor adjustments I've had to make in my life to accommodate the implant, the single biggest adjustment I've made is the mental realization that I can have successful sex at any time. Sometimes, I still can't believe it.

That one thing I can’t comprehend after studying implants. How do you hide a malleable? The only way I can hide an erection is if I flip it up and tuck it in my waistband. But then if I was to raise my shirt the head would seen.

[wanttokno]

Something smells fishy here…
TY, is that you?

[JohnnyBorg]

I’ve made up my mind that I should ask for an implant. I’m lucky enough to live in Atlanta and my doctor is Dr. Hakky. But I’m not sure I can go through with this. I have read plenty on this site, I can’t think of any questions I have. There are just so many drawbacks to this decision. And I know what people will say here, that a hard dick trumps all. And that is what is true for you, but maybe not me. So I would appreciate those who avoid expressing that view if they choose to respond.

Maybe I will loose sensitivity and won’t be able to cum ever again. This is already difficult for me.

Maybe having all that gear inside me will be distracting.

Maybe my dick will be smaller.

Maybe it will take 100 squeezes to pump up like I have seen folks talk about here.

Maybe I won’t like someone shoving silicone cylinders in my dick and having a third plastic testicle. Seems like a very uncomfortable way to live life.

Hey Matt - I’m in a similar position in that I just finished up my initial consultations. Hakky is also my surgeon. He’s great and his so is his team.

Talk to him very candidly about all your concerns. He is a very upfront dude - he will talk to you earnestly about the risks, the drawbacks of each type of implant. He won’t try to push an implant on you.

You’re doing the right thing by going for the consultation - even if you decide not to move forward with the implant.

“Maybe I will loose sensitivity and won’t be able to cum ever again. This is already difficult for me.“ yeah I feel you man, that’s a scary one I think about. I don’t know the statistics off hand on how much risk there is on that happening, but there are some guys who have decreased sensitivity. That being said, there’s also lots of guys here who lost sensitivity at first, but regained it over time.

“Maybe having all that gear inside me will be distracting.” - I think about this too. For me, the thought of being able to have sex without fear of ED getting in the way outweighs it though. And it’s also why I’m very seriously considering a malleable. I’m exploring both IPP and MPP as options at this stage.

“Maybe my dick will be smaller.” Size loss can happen but I feel like most guys who get the IPP and were using a VED before surgery seem to do well at regaining their size. You read about that a lot here. With an MPP that’s a disadvantage - you can (and should) try to use a VED at least 8 weeks before surgery, but you should expect (for an MPP) to be undersized maybe a small amount to mitigate erosion risks. For malleables, Hakky says for most patients he undersizes by around 1 cm.

“Maybe I won’t like someone shoving silicone cylinders in my dick and having a third plastic testicle. Seems like a very uncomfortable way to live life.” - I get that concern too, I think about that one especially since I’m considering an MPP. But you’ll see a ton of talk here about how after awhile, it really just feels like a part of your body (both IPP and MPP guys say this) so I think time is probably the biggest factor for this one.

Best of luck man - Hakky rocks, you’re in great hands.

[ColoplastTitanUpOver]

It may sound scary at first. Remember that penile implants are well-studied since the 70s (predating Injections/Viagra) and progressively evolving devices, and most of us here recover uneventfully and enjoy reliable sexual function.

High-volume surgeons use proven techniques to minimize infection, sizing, and positioning risks. Hospitals also bundle antibiotics and follow-up to catch issues early.

You can further lower risk by stopping smoking (if you smoke), controlling diabetes (if you're diabetic), and following post-op instructions.

Most problems, if they occur, are recognizable and treatable.

Ask your surgeon about their infection and revision rates, and what to expect day by day. Knowledge, preparation, and a skilled team are your best safety net and by going to Dr. Hakky, you're already setting yourself up for success. Good luck.

PS:
Other potential complications that are avoided 99% of the time by choosing a high volume Center Of Excellence surgeon. I found this list on my hospital's implant procedure consent form. Again, don't let these 1% complications scare you if you're going to high volume surgeons.

* Adverse tissue or foreign-body reaction, including allergic or hypersensitivity responses.
* Angulation or curvature deformity, including positional buckling during use.
* Auto-inflation of inflatable prosthesis without deliberate user activation.
* Bleeding or hemorrhage from operative or device-related sites.
* Chronic or persistent pain with significant postoperative discomfort.
* Cylinder aneurysm: inflatable cylinder wall bulging or thinning.
* Deflation or loss of inflation pressure in inflatable prostheses.
* Delayed or abnormal wound healing with dehiscence or leakage.
* Device malfunction or mechanical failure, including fracture or fatigue.
* Difficulty with ejaculation or broader sexual dysfunction symptoms.
* Edema or swelling, including scrotal edema and erythema.
* Erosion or extrusion through skin, glans, or urethra.
* Fever or systemic signs suggesting postoperative infection.
* Fibrous capsule formation with excessive scar tissue development.
* Fistula formation creating abnormal tract or communication.
* Genital change in appearance, size, sensation, or contour.
* Hematoma or seroma accumulation requiring monitoring or drainage.
* Inability to adequately dilate the corpora during implantation.
* Infection at wound, device pocket, or systemically, including urinary tract infection.
* Inguinal hernia noted or worsened following implantation surgery.
* Inflammation, erythema, or local irritation at surgical site.
* Ischemia of penile tissues with potential necrosis risk.
* Malposition or incorrect sizing leading to migration or buckling.
* Concealment inadequacy or inadequate rigidity for sexual activity.
* Necrosis or gangrene of penile skin or deeper tissues.
* Over-inflation or under-inflation events in inflatable systems.
* Paraphimosis or phimosis developing or worsening postoperatively.
* Patient dissatisfaction with function, appearance, or sensation.
* Perforation or injury to corpora, urethra, or surrounding soft tissues.
* Sensory loss with tactile disorders, numbness, or hypoesthesia.
* Silicone particle migration or silicone-related sensitivity reactions.
* Urinary obstruction, urinary retention, or troublesome voiding symptoms.

[LetoMan]

Matt, none of us can tell you how you are going to feel having an implant, we can only tell you how we feel. I’m sure you have read a lot of our anecdotal evidence.

For me, the key is the satisfaction statistics. A large number of guys (around 90%… different studies have different numbers, but all are around that) report “satisfaction” with their implant. That is significantly higher than when they poll guys taking pills or injections.

But… that’s only 90%. Around 10% are not satisfied.

Are you likely to be one of the 10%? Some of them are dissatisfied because something went wrong or it doesn’t work. But some are just dissatisfied. Quite a few of those guys will post about it here, I’m sure you can find their posts. They complain about some of the things you allude to, not liking having an implant inside is a common one. I think one guy said it was like having a dildo in his dick. There is clearly a set of guys for whom an implant was always a wrong choice, because they have whatever set of issues that leads to them simply not being able to find satisfaction with it. I’m not one of them, I won’t speak for them, but they certainly exist.

But what about those 90% that are satisfied? Well, a lot of those guys LOVE having a bionic dick, and think it is the best thing that ever happened to them. “Miraculous” is a word a lot of guys use. Some guys have set up websites devoted to how awesome their dick is. The vast majority of us continue commenting and supporting guys here because implants have been transformative for us. Some of us are finally living the lives we have always wanted. Others may not be so over the top… but they still report “satisfaction.”

I don’t think the satisfied guys see it as “a hard dick is better than the alternative.” There is no alternative for me. I love my bionic dick, not just because “it’s hard” but because of who it allows me to be. It was fundamentally life changing. Other guys may just be “satisfied” with it, but they are still satisfied!

Which one are you? It is likely difficult to know how you will feel after you get it. But if you think it is difficult for you to know how you’ll feel, it’s even harder for us to know how you’ll feel!

Again, for most of us that love it, there was a definite feeling that there was no alternative… once we researched the issue, we just had to have it. We needed a solution that allowed us to be who we wanted to be.

I would suggest you talk to your doc about it, and maybe talk to a therapist about it, too. It’s a big decision… there is no going back. If you think you are a pessimist about it, then it may make sense to work through your issues with someone before going forward.

Best of luck, man. I hope you find the right answer for you.

[GoodWood]

I was on the fence for a while too. I did shots for nearly 10 years and easily could have justified getting an implant years before I did. But I wasn’t mentally ready. I was scared to give up my (shitty) natural erections. Even though they weren’t really usable without a tremendous amount of assistance (a huge shot of Trimix and a cockring) they were mine.

So I waited.

When I was finally ready, I was ready.

Maybe you aren’t ready yet, and that is OK. You don’t have to do this right now.


There is no harm in meeting with Dr Hakky for a consultation. So, go ahead with that.

My other suggestion is to try to get a show and tell with a guy who has been implanted. That was incredibly helpful. Being able to see the state of the deflated and inflated cylinders. The process of pumping and deflating. It answered lots of questions that hadn’t occurred to me and set my mind at ease about what I would end up with.

You don’t have to do this right now. It’s Ok to wait. When you are ready, you will know.

[duke_cicero]

Obviously I have a malleable and my experience is different than most guys here for that reason. But even with the minor adjustments I've had to make in my life to accommodate the implant, the single biggest adjustment I've made is the mental realization that I can have successful sex at any time. Sometimes, I still can't believe it.

That one thing I can’t comprehend after studying implants. How do you hide a malleable? The only way I can hide an erection is if I flip it up and tuck it in my waistband. But then if I was to raise my shirt the head would seen.

It's doesn't behave physiologically like a normal erection — that is, one filled with fluid. I just gently position it into one of my pant legs and go on with my life. I don't really notice it unless I have to slightly adjust my pants for some reason.

[Valdekio]

I was on the fence for a while too. I did shots for nearly 10 years and easily could have justified getting an implant years before I did. But I wasn’t mentally ready. I was scared to give up my (shitty) natural erections. Even though they weren’t really usable without a tremendous amount of assistance (a huge shot of Trimix and a cockring) they were mine.

So I waited.

When I was finally ready, I was ready.

Maybe you aren’t ready yet, and that is OK. You don’t have to do this right now.


There is no harm in meeting with Dr Hakky for a consultation. So, go ahead with that.

My other suggestion is to try to get a show and tell with a guy who has been implanted. That was incredibly helpful. Being able to see the state of the deflated and inflated cylinders. The process of pumping and deflating. It answered lots of questions that hadn’t occurred to me and set my mind at ease about what I would end up with.

You don’t have to do this right now. It’s Ok to wait. When you are ready, you will know.

I debated and prayed for three years before taking the plunge. Believe me I thought about it long and hard.