Longevity of Implant in the Very Sexually Active

The final frontier. Deciding when, if and how.



GoodWood
Posts: 1049
Joined: Sun Jun 16, 2019 1:07 pm

Re: Longevity of Implant in the Very Sexually Active

Postby GoodWood » Mon Apr 07, 2025 3:33 pm

I was told that fractures of the tubing near the pump were the most common cause of device failure. Apparently the cylinders, reservoir, and pump themselves rarely break, it’s usually the tubing NEAR the pump. This makes sense since they are thin and exposed to a ton of flexing and pulling.
56yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]

PowerliftingDad
Posts: 91
Joined: Mon Jan 16, 2023 3:30 pm

Re: Longevity of Implant in the Very Sexually Active

Postby PowerliftingDad » Mon Apr 07, 2025 4:41 pm

I've been a Paramedic for 33 years. Something I can tell you for absolute certain....
Is that no one is guaranteed a tomorrow.

Same with these implants.
Mine might fail today....or 15 years from now.
But thinking and worrying about it won't make a difference.
What I intend to do.....just as with every day of my life I wake up on the right side of the ground....is to make the most of it and enjoy it.
I love my implant.
I am not wreckless with it....but I use and enjoy it immensely....and often!
52 yrs old - 1st implant at 24 years old in 97 Ams 700. Failed 03
6.5" / 5.5 girth natural erection w/ failed implant
Revision done 2/20/23 done by Dr. Levine Rush University Chicago - AMS 700 CX 21cm + 2cm/1.5 RTE - Currently 6.7" / 5.75 girth

Discovernew
Posts: 717
Joined: Sat Jul 08, 2023 5:14 pm

Re: Longevity of Implant in the Very Sexually Active

Postby Discovernew » Mon Apr 07, 2025 5:14 pm

ElbowRoom wrote:
Discovernew wrote:
ElbowRoom wrote:I had a consult with Hakky last month, and asked him a similar question. His response was (paraphrased) that the implant is made to be used, so use it as often as you want. He didn't think cycling really wore anything out.

He did say that it's you're really rough on it, like super rough sex where you could bend the cylinder, that might shorten the life. Also "hyper-inflation", where you get both hands on the pump as squeeze as hard as you can to every drop in there, puts a lot of pressure stress on the components. Leaving it spun up to full hardness overnight as a habit was also on his list of bad practices.

But for normal use he had no reservations about using it multiple times a day.


Interesting that he didn't like leaving the implant inflated all night. I wonder if that applies for 50-70% inflation though? I don't think i could even sleep with a 100% inflation, but i have tried sleeping with a partially inflated implant to get a soft stretch during the night
a

He said you could do that occasionally, but night after night would stress things. I mean you have components designed to be under pressure for maybe up to an hour at a time, and you're leaving them that way for 8+ hours, every night. Bound to weaken something.

I would think partial would be okay, it's just that continuous high pressure that's a problem. He did tell me the Cylinders on a Coloplast could reach 1500psi. That's insane pressure, like nearly pressurized scuba tank pressures. If it was a gas instead of liquid, people could get hurt in an implant failure! :lol:


Well if you think about it many surgeons leave you inflated 24/7 for the first 4-6 weeks after surgery. So i would guess a partial inflation would be not that much of a problem. Unless you are pushing the implant to 100% which i think would be super uncomfortable anyway
Implanted October 11, 2024, Dr Karaman. Infla10 AX 20cm +1cm RTE.
My Implant Journal - Click Here

ED about 14 years. Pills worked for 12 years, later worked 50%. Tried almost everything, nothing worked: Shockwave-Testosterone-PRP-Stem Cells-Botox, Etc

fucked0ne
Posts: 409
Joined: Wed Nov 22, 2023 7:47 pm

Re: Longevity of Implant in the Very Sexually Active

Postby fucked0ne » Mon Apr 07, 2025 7:42 pm

Kodixx wrote:The ChatGPT info sounds like another swing-and-a-miss for AI if its intended to set expectations. Or, maybe in the lab there's zero friction while testing which is why the numbers are not applicable to real-world use.


Exactly. According to AI, the duration of the implant is as long as the average human lifespan. And as we all know, that is FAR from the practical outcome.
40. Implanted July 5, 2024, by Dr. Andrew Kramer, Urology Associates of Cape Cod. AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

PowerliftingDad
Posts: 91
Joined: Mon Jan 16, 2023 3:30 pm

Re: Longevity of Implant in the Very Sexually Active

Postby PowerliftingDad » Mon Apr 07, 2025 8:15 pm

What I asked ChatGTP was just specific to the cycling of the pump....not expected longevity of the implant.
I, 100% agree that it sets unrealistic expectations for the lifespan of the implant.
My point overall was that using it as intended....even excessively....likely wouldn't be the cause of a failure.

My understanding is the usual failure points are the tubing and connections.
52 yrs old - 1st implant at 24 years old in 97 Ams 700. Failed 03
6.5" / 5.5 girth natural erection w/ failed implant
Revision done 2/20/23 done by Dr. Levine Rush University Chicago - AMS 700 CX 21cm + 2cm/1.5 RTE - Currently 6.7" / 5.75 girth

newbiehere23
Posts: 81
Joined: Tue Mar 15, 2022 9:24 pm

Re: Longevity of Implant in the Very Sexually Active

Postby newbiehere23 » Mon Apr 07, 2025 9:12 pm

fucked0ne wrote:"Average use of a penile implant is considered to be one to two times per week" (Advanced Urological Care).*

Concerning the longevity of the implant, this is how I think they get the 15-to-20-year figure. For those of us who are using it multiple times a day, multiple days of the week, we are most likely bound for a revision within 5 years.

Have a follow-up consultation with Hakky on Monday regarding eventual malleable revision.

Has anyone here who is VERY sexually active had their inflatable beyond 5 years? I'm inflating anywhere from 2 to 4 times a day.




*https://www.urologicalcare.com/life-expectancy-of-penile-implant/#:~:text=Average%20use%20of%20a%20penile,pump%20to%20the%20implant%20cylinders


Are you planning on getting a revision soon or until your implant fails? Also, what is making you choose a malleable one?

Bigdave
Posts: 354
Joined: Sun Feb 26, 2023 1:23 am
Location: VA

Re: Longevity of Implant in the Very Sexually Active

Postby Bigdave » Mon Apr 07, 2025 10:19 pm

ElbowRoom wrote:
Discovernew wrote:
ElbowRoom wrote:I had a consult with Hakky last month, and asked him a similar question. His response was (paraphrased) that the implant is made to be used, so use it as often as you want. He didn't think cycling really wore anything out.

He did say that it's you're really rough on it, like super rough sex where you could bend the cylinder, that might shorten the life. Also "hyper-inflation", where you get both hands on the pump as squeeze as hard as you can to every drop in there, puts a lot of pressure stress on the components. Leaving it spun up to full hardness overnight as a habit was also on his list of bad practices.

But for normal use he had no reservations about using it multiple times a day.


Interesting that he didn't like leaving the implant inflated all night. I wonder if that applies for 50-70% inflation though? I don't think i could even sleep with a 100% inflation, but i have tried sleeping with a partially inflated implant to get a soft stretch during the night
a

He said you could do that occasionally, but night after night would stress things. I mean you have components designed to be under pressure for maybe up to an hour at a time, and you're leaving them that way for 8+ hours, every night. Bound to weaken something.

I would think partial would be okay, it's just that continuous high pressure that's a problem. He did tell me the Cylinders on a Coloplast could reach 1500psi. That's insane pressure, like nearly pressurized scuba tank pressures. If it was a gas instead of liquid, people could get hurt in an implant failure! :lol:


That cannot be right. Any pressure in the cylinders is developed by squeezing a small bulb between your fingers.
No-one on earth could develop that much pressure.

What I read about the implants mentioned a max of 20-30psi.
Age 59. AMS 700 LGX 21cm + 2cm RTE.
Peniscrotal, 2/23.
6.25" OEM with Cialis, about 5" post-op. (11/01: Length 6.75" and girth is up to 4.75" mid shaft.) Still growing, albeit slowly. :D
Cycling daily. Hoping to get to 7". ;)

pumpless_mtfckr
Posts: 41
Joined: Fri Oct 18, 2024 8:17 pm
Location: USA

Re: Longevity of Implant in the Very Sexually Active

Postby pumpless_mtfckr » Tue Apr 08, 2025 12:45 am

well now, according to ol’ Dr. Eid, pounding your girl once or twice a week’ll give a good 10 to 15 years to lifespan.

now if you’re going at it 7 to 14 times a week? Shoot, that’ll only leave ya with 1-2 years with them inflatable gadgets...like thedriver with his titan ipp

100% agree with Doc Eid on this one
Old man knows what he’s talking about

ElbowRoom
Posts: 109
Joined: Mon Mar 17, 2025 1:58 pm

Re: Longevity of Implant in the Very Sexually Active

Postby ElbowRoom » Fri Apr 11, 2025 4:57 pm

Bigdave wrote:That cannot be right. Any pressure in the cylinders is developed by squeezing a small bulb between your fingers.
No-one on earth could develop that much pressure.

What I read about the implants mentioned a max of 20-30psi.


Sounded way high to me too. Maybe I misheard him. But it's incompressible fluid and not a compressible gas, so there might be some engineering hokum or "pressure equivalencies" involved. Maybe he's taking that 20-30psi and multiplying it by the density difference of air vs water (saline) to get an equivalent of air pressure? Not sure.

Anyway the things work and that's what we care about! :D
58yo in good shape looking at Coloplast Titan. Tri-Mix still works but is a drag.

superb_h
Posts: 48
Joined: Thu Sep 11, 2014 9:48 pm

Re: Longevity of Implant in the Very Sexually Active

Postby superb_h » Fri Apr 11, 2025 7:34 pm

fucked0ne wrote:"Average use of a penile implant is considered to be one to two times per week" (Advanced Urological Care).*

Concerning the longevity of the implant, this is how I think they get the 15-to-20-year figure. For those of us who are using it multiple times a day, multiple days of the week, we are most likely bound for a revision within 5 years.

Have a follow-up consultation with Hakky on Monday regarding eventual malleable revision.

Has anyone here who is VERY sexually active had their inflatable beyond 5 years? I'm inflating anywhere from 2 to 4 times a day.

I've had my LGX since 2015 and April 2, 2025 i had to replace my pump.


*https://www.urologicalcare.com/life-expectancy-of-penile-implant/#:~:text=Average%20use%20of%20a%20penile,pump%20to%20the%20implant%20cylinders


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