My Journal

The final frontier. Deciding when, if and how.
Cnidium
Posts: 453
Joined: Mon Oct 03, 2016 7:10 pm

Re: My Journal

Postby Cnidium » Sat Aug 27, 2022 9:34 pm

Hey Merrix,

I have been following you since 2016. You may or may not remember me. We have communicated a few times on your thread and through PMs.

There is a good chance that I elect for a revision due to implant curvature and distal tips being different lengths now (likely from return of scar tissue and not using it for a while). Confirmed all of this with an MRI.

I know the different imaging technologies have their unique applications. I suspect there may be a way to detect / image the total quantity of liquid volume in your reservoir / system at date X, and then re-image again at a later time. Maybe a few weeks in between images. Perhaps this could verify if there is absolute saline loss from the system, or if its simply migrating within it.

This is strictly conjecture as I am not too familiar with medical imaging technology, but it may be worth diving into.

Another thought:
Ever since day 1 of pumping back in 2017, pumping the implant with my left hand does nothing. I know this sounds strange, but I can fully squeeze the implant with my left hand but no saline moves at all. I use my right hand, and everything moves just fine. I never brought this up to Eid or worried about it as I am right hand dominate, but I always thought of this as curious. Nothing has gotten worse with the pump over these last 5 years. I have no idea why this is the case. Perhaps in your situation there may have been a slight change in anatomy (maybe you changed diet - testosterone went up - balls got bigger - pump slightly changed position), and now like me, certain pump angles affect the pump working. Again this is strictly guess work.

Similar to your line of thinking now, I would continue to use your implant as is until there is a critical failure. If you can still get the same quality of erection now, then dealing with some odd pumping issues is relatively benign (assuming deterioration doesn't continue).
Titan OTR. Dr. Hakky - successful surgery and very happy with outcome.
My advice: choose a world-class surgeon and make yourself the healthiest you can.

rocco84

Re: My Journal

Postby rocco84 » Sun Aug 28, 2022 9:07 am

It seems these implants are perfect as long as they are working. I feel very sad for you merrix and it s a fucking drama to have in mind going through the suergery again with all the pain and costs.

I am more angry to the IPP companies because no one can tell me that they cant produce products which will last longer. I am here at franktalk since 2017 cause of heriwgs operation which made me full impotent but I must summarize that these implants are a crap. They last some years and then you must go through this again. It seems you earn enough money but what if time will change and in 10years you cant afford an operaton again. And every surgery has his own risks. You choosed the best doctor but what should you do if you cant afford it.

I wish you all the best but I am pissed of reading that these product s are just crap. It seems that it s just a business for everything but not the best deal for the poor impotent man.

However wish that the problem will resolve and you need no revision in the next time.

TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

Re: My Journal

Postby TANGERINE » Sun Aug 28, 2022 10:34 pm

Hi Merrix,
I am been following since 2017. So sorry to hear that there is an issue. We all hope to get more than ten years out of our implants, but sometimes things just do not work out that way.
Remember, the revision hurts less and is easier on you (though harder on the surgeon). I had a video conference with Eid just to discuss some prostate cancer issue that I am currently having. He is, as you say, an amazing doctor who still cares about his patients years later (of course my visit was a paid visit, but he was super caring and helpful).
Good luck to you,

godspeed

Tangerine (implanted feb 2017 and all is ok)
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

Cnidium
Posts: 453
Joined: Mon Oct 03, 2016 7:10 pm

Re: My Journal

Postby Cnidium » Sun Aug 28, 2022 11:32 pm

TANGERINE wrote:Hi Merrix,
I am been following since 2017. So sorry to hear that there is an issue. We all hope to get more than ten years out of our implants, but sometimes things just do not work out that way.
Remember, the revision hurts less and is easier on you (though harder on the surgeon). I had a video conference with Eid just to discuss some prostate cancer issue that I am currently having. He is, as you say, an amazing doctor who still cares about his patients years later (of course my visit was a paid visit, but he was super caring and helpful).
Good luck to you,

godspeed

Tangerine (implanted feb 2017 and all is ok)


Wow its Tangerine. I feel like I haven't seen you in a while. Hope you have been having a blast with your implant. I followed you and Merrix back in 2017.
Titan OTR. Dr. Hakky - successful surgery and very happy with outcome.
My advice: choose a world-class surgeon and make yourself the healthiest you can.

merrix
Posts: 1185
Joined: Tue Oct 27, 2015 1:08 am

Answers and update

Postby merrix » Tue Aug 30, 2022 8:43 am

Hi

Thanks to all who want to provide input.

Yes - I do agree, these implants don't really last as long as you could expect. We read of several failures here after only a few years. And yes, this forum is most likely over-representated of people having issues with their implants, but anyway.

Cnidium - I hope your revision goes well. As for your information about your pump only working with one hand and not the other - interesting.

Status update
I do feel like there is a difference for me since this issue popped up in which angle I hold the pump. And definitely there is a difference in how hard I pump. Once I reach roughly 50% of full inflation, the small slow pumps do nothing anymore. I need to press fast and hard to get anything. And I need the pump to make a noise to transfer any fluid. No noise, no effect.
I have also noticed that if I keep inflating from 0 to 100% without any break, it normally works.
However, if I e.g. first give it 5-10 pumps to leave a semi in my pants, then another 20 pumps before sex to get it to "foreplay level", and then top it up with another 15 or whatever pumps to reach penetration level - things are more likely to fail. Once I restart, either when going from "pants level" to "foreplay level", or from "foreplay level" to "penetration level", this dry pumping is more likely to happen.
Which I interpret as that there is something with the valve controlling when the pump is in inflation mode or not.
Maybe someone with a better understanding of the technicalities of the pump/valve can come up with a qualified guess based on this fact: Doing all 50 pumps in one go works better than taking long breaks and restart. After restart, the "dry pumping" happens more often.
I still don't notice any less hardness in my maximum inflation. So if there is saline leaking, that leak must be very, very tiny and slow.
My (layman's) guess is still that there is no leak of saline, but rather a malfunctioning valve which for some reason drops out of "inflation mode" once in a while.

I also talked to Eid.
He agreed that I should wait till it completely fails before going for revision. Which he said could take a few days or a year.
What I am a bit worried about is that the valve will fail when I am fully inflated, and that I can't deflate... So far there is nothing wrong as far as I can tell with the deflate function. But what a f-ing nightmare if I am fully inflated and can't deflate. I cannot wear any clothes with full inflation. Would probably need to go naked with a robe or something to the emergency... And then what? Don't even want to think about it. But I never heard of that happening to anyone.

Tangerine - thanks, and good to hear from you. Yes, the revision is easier than the first surgery. Infection risk twice as large though, but what the heck, there is no other option. If it fails, we need to suck it up and get it fixed.
In Eid's case, I think his virgin implant inflation risk is 0.5%, and for revisions it is 1%.
Still, with a failure rate of every 7-10 years, and if I am going to need 4 revisions including this one, even with Eid's phenomenal statistics the accumulated risk adds up to a total of 4.4% to get infected over the first surgery plus 4 revisions. However, with the average local hacker, who has let's say a virgin implant infection risk of 2%, and 4% for each revision, then the same risk would be a crazy 17%.
So picking a great doc still seems like good advice...
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

nuance
Posts: 223
Joined: Wed Feb 24, 2021 8:14 pm

Re: My Journal

Postby nuance » Tue Aug 30, 2022 3:40 pm

Now I'm curious how they guarantee implants will always deflate even if they have trouble inflating cause of some issue. That would indeed be a nightmare as it has to be dealt with quickly and we wouldn't want some random PA at the ER to cut us open.

Gt1956
Posts: 2859
Joined: Fri Apr 05, 2019 2:47 pm

Re: My Journal

Postby Gt1956 » Tue Aug 30, 2022 7:39 pm

nuance wrote:Now I'm curious how they guarantee implants will always deflate even if they have trouble inflating cause of some issue. That would indeed be a nightmare as it has to be dealt with quickly and we wouldn't want some random PA at the ER to cut us open.

I'm positive that if all else fails. That a hypodermic needle can be inserted on both sides to relieve the pressure. Btw, that would ruin the implant. That is why you can't use injections while having an implant. I think a similar process is used to relieve priapism. But of course since there isn't an implant, no long term damage is done.
Truthfully, don't worry. I'm pretty sure that a member has gotten his pump out of sync somehow. There was some emergency squeezing process that resets the pump. I think your worries have been planned on by the manufacturers. You'd be embarassed maybe but totally ok.
A call to the patient liaison is likely all that you'd need to do. Let them coach you through the process.
You worry way too much about these things.
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

nuance
Posts: 223
Joined: Wed Feb 24, 2021 8:14 pm

Re: My Journal

Postby nuance » Tue Aug 30, 2022 8:17 pm

Gt1956 wrote:
nuance wrote:Now I'm curious how they guarantee implants will always deflate even if they have trouble inflating cause of some issue. That would indeed be a nightmare as it has to be dealt with quickly and we wouldn't want some random PA at the ER to cut us open.

I'm positive that if all else fails. That a hypodermic needle can be inserted on both sides to relieve the pressure. Btw, that would ruin the implant. That is why you can't use injections while having an implant. I think a similar process is used to relieve priapism. But of course since there isn't an implant, no long term damage is done.
Truthfully, don't worry. I'm pretty sure that a member has gotten his pump out of sync somehow. There was some emergency squeezing process that resets the pump. I think your worries have been planned on by the manufacturers. You'd be embarassed maybe but totally ok.
A call to the patient liaison is likely all that you'd need to do. Let them coach you through the process.
You worry way too much about these things.


Thanks for your reply. I'm thinking if I'm at a girls place and end up this way after the deed, that would be super embarrassing, stuck in the bathroom trying to get it down while on the phone. I'm curious if this happened to anyone.

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: My Journal

Postby Waynetho » Tue Aug 30, 2022 8:34 pm

Also, I'm pretty sure there is much less danger from a prolonged inflation event than with a priapism event. With priapism, the blood flow to the penis is reduced and causes damage due to interruption of the blood supply, causing injury to the tissues. With a prolonged inflation event, I can't imagine there is anywhere near as much pressure inside the penis as there would be with priapism and I believe the only danger with prolonged inflation is the risk of eventual erosion and extrusion. This issue though, doesn't happen overnight. It occurs due to continued internal pressure from the implant tips (inflatable or malleable) over time.
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

Gt1956
Posts: 2859
Joined: Fri Apr 05, 2019 2:47 pm

Re: My Journal

Postby Gt1956 » Wed Aug 31, 2022 12:17 am

nuance wrote:
Gt1956 wrote:
nuance wrote:Now I'm curious how they guarantee implants will always deflate even if they have trouble inflating cause of some issue. That would indeed be a nightmare as it has to be dealt with quickly and we wouldn't want some random PA at the ER to cut us open.

I'm positive that if all else fails. That a hypodermic needle can be inserted on both sides to relieve the pressure. Btw, that would ruin the implant. That is why you can't use injections while having an implant. I think a similar process is used to relieve priapism. But of course since there isn't an implant, no long term damage is done.
Truthfully, don't worry. I'm pretty sure that a member has gotten his pump out of sync somehow. There was some emergency squeezing process that resets the pump. I think your worries have been planned on by the manufacturers. You'd be embarassed maybe but totally ok.
A call to the patient liaison is likely all that you'd need to do. Let them coach you through the process.
You worry way too much about these things.

Thanks for your reply. I'm thinking if I'm at a girls place and end up this way after the deed, that would be super embarrassing, stuck in the bathroom trying to get it down while on the phone. I'm curious if this happened to anyone.

In one of doctor Perito's YouTube videos he talks about some old men that NEVER deflate their implants. He said that there was a name for them. Likely some form of Cuban slang word.
Again, not an issue to worry about. Unlikely to happen. As I said, a member got his pump "out of sequence" somehow around half inflated. If you're actually interested then try using the search function. Maybe 2 years ago.
Spend some time thinking about this major dilemma that your obsessed with. Literally EVERY single man that has used injections has left a date while he was still erect. Why are they able to handle this while you see a major problem?
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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