Longevity of Implant in the Very Sexually Active

The final frontier. Deciding when, if and how.



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

Re: Longevity of Implant in the Very Sexually Active

Postby fucked0ne » Fri Apr 11, 2025 8:16 pm

newbiehere23 wrote:
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?


I'm shooting for this year, but it looks more like it's going to be early next year. No, I am NOT waiting for the thing to fail; that's what I'm trying to avoid.

I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).
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.

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

Re: Longevity of Implant in the Very Sexually Active

Postby Discovernew » Sat Apr 12, 2025 8:00 am

fucked0ne wrote:
newbiehere23 wrote:
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?


I'm shooting for this year, but it looks more like it's going to be early next year. No, I am NOT waiting for the thing to fail; that's what I'm trying to avoid.

I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


So you have an lgx and planning to change for a malleable? Is there anything malfunctioning in your implant or you just don't like it?

What scares me about malleables is that you will probably depend a lot on your natural engorgement to get a reasonable girth, and I have almost none, so that would worry me. Also loss of size
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

ragingbull
Posts: 123
Joined: Fri Jul 26, 2024 10:24 pm

Re: Longevity of Implant in the Very Sexually Active

Postby ragingbull » Sat Apr 12, 2025 11:46 am

Discovernew wrote:...What scares me about malleables is that you will probably depend a lot on your natural engorgement to get a reasonable girth, and I have almost none, so that would worry me.....


Yes, girth significantly influences both patient and partner satisfaction. If your natural engorgement is dead and if your partners are not like Asian population with a tight vagina, I’d recommend avoiding malleables.

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

Re: Longevity of Implant in the Very Sexually Active

Postby fucked0ne » Sat Apr 12, 2025 7:11 pm

Discovernew wrote:
fucked0ne wrote:
newbiehere23 wrote:
Are you planning on getting a revision soon or until your implant fails? Also, what is making you choose a malleable one?


I'm shooting for this year, but it looks more like it's going to be early next year. No, I am NOT waiting for the thing to fail; that's what I'm trying to avoid.

I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


So you have an lgx and planning to change for a malleable? Is there anything malfunctioning in your implant or you just don't like it?

What scares me about malleables is that you will probably depend a lot on your natural engorgement to get a reasonable girth, and I have almost none, so that would worry me. Also loss of size


I have a really buggy pump, like REALLY buggy.

Yes, you will likely need filler. I discussed this with Hakky, and he said it would be possible to get filler within the same week as the surgery. Filler lasts between 12-18 months, although he said it could last longer.

Yeah, size loss is scary; it's only a centimeter (to curtail erosion), but still. Supposedly, this can be offset by using a VED for 2 months before the surgical date, 10 minutes a day. According to the studies, this should add 1-2 cms in stretched length.
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.

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

Re: Longevity of Implant in the Very Sexually Active

Postby Discovernew » Sun Apr 13, 2025 5:21 am

fucked0ne wrote:
Discovernew wrote:
fucked0ne wrote:
I'm shooting for this year, but it looks more like it's going to be early next year. No, I am NOT waiting for the thing to fail; that's what I'm trying to avoid.

I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


So you have an lgx and planning to change for a malleable? Is there anything malfunctioning in your implant or you just don't like it?

What scares me about malleables is that you will probably depend a lot on your natural engorgement to get a reasonable girth, and I have almost none, so that would worry me. Also loss of size


I have a really buggy pump, like REALLY buggy.

Yes, you will likely need filler. I discussed this with Hakky, and he said it would be possible to get filler within the same week as the surgery. Filler lasts between 12-18 months, although he said it could last longer.

Yeah, size loss is scary; it's only a centimeter (to curtail erosion), but still. Supposedly, this can be offset by using a VED for 2 months before the surgical date, 10 minutes a day. According to the studies, this should add 1-2 cms in stretched length.


Can you explain what you mean by buggy? And by the way, if your pump worked perfectly, would you still choose a malleable? I believe that pumps can be replaced without going through a whole revision, as it is just a superficial incision on the scrotum, without going into the cavernosa
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 14, 2025 4:58 pm

Discovernew wrote:Can you explain what you mean by buggy? And by the way, if your pump worked perfectly, would you still choose a malleable? I believe that pumps can be replaced without going through a whole revision, as it is just a superficial incision on the scrotum, without going into the cavernosa


"Buggy": The valve constantly gets stuck; I have to troubleshoot it constantly, among other things. Yes, I would still choose a malleable at this point for the other reasons I listed above.
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.

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

Re: Longevity of Implant in the Very Sexually Active

Postby ElbowRoom » Tue Apr 15, 2025 10:22 am

fucked0ne wrote:I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


Interesting, that's the first time I ever heard "lack of spontaneity" with regard to inflatables. I mean, to me it seems it takes longer for even a healthy natural penis to get erect than the time it takes to pump up an implant, and you can even do it while engaging in other sexual activities (or have your partner do it).

But to each his own, if you just don't want anything to impede the "flow" of a sexual encounter, then the malleable is there for you. Good luck I hope it works out for you. Hakky's a great guy, and from all accounts a great surgeon -- hopefully, since he'll be doing my surgery in October. :lol:
58yo in good shape looking at Coloplast Titan. Tri-Mix still works but is a drag.

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

Re: Longevity of Implant in the Very Sexually Active

Postby fucked0ne » Tue Apr 15, 2025 5:53 pm

ElbowRoom wrote:
fucked0ne wrote:I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


Interesting, that's the first time I ever heard "lack of spontaneity" with regard to inflatables. I mean, to me it seems it takes longer for even a healthy natural penis to get erect than the time it takes to pump up an implant, and you can even do it while engaging in other sexual activities (or have your partner do it).

But to each his own, if you just don't want anything to impede the "flow" of a sexual encounter, then the malleable is there for you. Good luck I hope it works out for you. Hakky's a great guy, and from all accounts a great surgeon -- hopefully, since he'll be doing my surgery in October. :lol:


Everyone's different. I haven't been able to figure out how to masterfully excuse myself to the bathroom after a make-out session to inflate. It just seems awkward and, for me, kills the mood. And because my pump is so buggy, I wouldn't be able to do it covertly during foreplay; it necessitates the use of both hands.

Good luck to you in October!
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.

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

Re: Longevity of Implant in the Very Sexually Active

Postby Discovernew » Tue Apr 15, 2025 7:40 pm

fucked0ne wrote:
ElbowRoom wrote:
fucked0ne wrote:I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


Interesting, that's the first time I ever heard "lack of spontaneity" with regard to inflatables. I mean, to me it seems it takes longer for even a healthy natural penis to get erect than the time it takes to pump up an implant, and you can even do it while engaging in other sexual activities (or have your partner do it).

But to each his own, if you just don't want anything to impede the "flow" of a sexual encounter, then the malleable is there for you. Good luck I hope it works out for you. Hakky's a great guy, and from all accounts a great surgeon -- hopefully, since he'll be doing my surgery in October. :lol:


Everyone's different. I haven't been able to figure out how to masterfully excuse myself to the bathroom after a make-out session to inflate. It just seems awkward and, for me, kills the mood. And because my pump is so buggy, I wouldn't be able to do it covertly during foreplay; it necessitates the use of both hands.

Good luck to you in October!


fuckedone, why not pre-inflate if you are with someone? not to 100%, but to a certain point where you can have something usable but still hide it in your pants and you are ready to go when you start foreplay.

Do you need both hands because the pump is too hard?
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

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

Re: Longevity of Implant in the Very Sexually Active

Postby Discovernew » Tue Apr 15, 2025 8:12 pm

fucked0ne wrote:[

I'm shooting for this year, but it looks more like it's going to be early next year. No, I am NOT waiting for the thing to fail; that's what I'm trying to avoid.

I'm choosing the malleable for a couple reasons: 1) I don't like all the hardware, a reservoir in my abdomen and a pump in my balls; 2) I don't like having to pump the thing up twice a day for 30 minutes to maintain stretched cylinder length (this is inconvenient and a pain in the ass); 3) I can't position the implant upward for missionary style sex (no problem with malleable according to Hakky); 4) there's a lack of spontaneity that comes with the inflatable 5); I have a loose scrotum from some prior surgeries, and there is simply no hiding the pump; 6) I don't really care for the feel of the inflatable (those who have had both say the malleable just feels like a natural erection).


I was looking at your reasons and it got me wondering

1- Do you feel the reservoir or not at all?
2- I believe you are not supposed to pump every day after the first year.
3- What do you mean about positioning for missionary style? Is your erection angle too low and you don't manage to point it up? Have you tried inflating less than 100%? There should be some flexibility at the base in most cases.
4- about being spontaneous, even though it's not as fast as the malleable, usually it should take 3 minutes at most? Compared to 45 min - 1 hour that viagra takes to make full effect, I would say that's quite fast (I actually always hated the lack of spontaneity that happened with pills).
5- Is your pump too low? I think small revisions can be done to hide it behind the balls or a bit higher if yours is too low. I remember another member of this forum got a scrotoplasty or something like that to remove extra skin from the scrotum and hide the pump.
6- Do you have an oval/flat erection? The thing about the malleable is that you will probably need fillers to make the gir more similar to your natural one. However, fillers can also be used with inflatables.

Just curious about your thought process and wondering if the malleable will be the best outcome at the end of the day
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


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