Trying to Decide Between IPP and Malleable for my case… calling on opinions of the Bionic Brotherhood

[JohnnyBorg]

The prior six times you asked this question, I didn’t give you the magic answer that will resolve all your doubts because you had not yet asked enough times. But since you have now asked seven times, here is the magic answer:

You should get a…

(Sorry, doorbell… I’ll come back and answer this later if you ask again)

8th times the charm

In all seriousness though Leto I’ve read a few of your posts of your successful adventures with your IPP. If I end up going with the IPP I can only hope to have as successful recovery as yourself!

[JohnnyBorg]

I agree with much of what Elbowroom posted. As for tooyoung... same old rants about reliability, yet no comment about all the other points that Elbowroom made.

From research and my personal experience:
Most natural function - IPP
Most natural flaccid - IPP
Most probable size maintenance after - IPP
Most comfortable on a daily basis - IPP
Able to dial in hardness to your liking - IPP
Able to perform any sexual position - IPP
Reliability - MPP

Elbowroom made a great point... why not get an IPP and use it as long as you can. If/when it fails, face this decision again. If you get an infection, you get an MPP by default.

It seems much easier to go from IPP to MPP in the future than it is to go from MPP to IPP, particulary with regard to size.

Insurance here in the US is covering these procedures more and more often and I believe that will only improve. Also, I believe that improvements will be made to IPP weaknesses, tubing for example, in the future and they will become even more reliable.

For me, I ruled out a malleable immediately as I do NOT want a hard cock 24/7 despite what anyone says about it. No thanks. As well, I'm girthy so that made it an even easier choice for me.

Either way, IPP or MPP, at the end of the day you'll be able to have sex without dealing with fucking ED anymore and that's a huge win!

Thanks Wooody I appreciate it. I think you’re spot on with the fact that whether I do IPP or MPP, just being able to move past ED will be a big win. I do really like Elbow’s perspective on it too and Hakky is also his surgeon.

It’s tricky for me to gauge the risk / benefit on my choice since I feel like it’s not as straightforward as it might be for some other guys - especially for guys like Elbow and yourself who have girth that you want to preserve. For me - I really don’t have a girthy or long penis and because of that, it makes it tricky to decide on IPP or MPP since many of the negatives of the MPP might actually be minimized on account of my smaller size. I suspect comfort wouldn’t be as bad as it would be for a larger guy with an MPP, for example. I also anticipate losses might be minimized if say, a 13mm rod fits snuggly on account of my smaller girth. And structurally, I do think that smaller guys actually have better axial rigidity with the MPP than the larger guys do with an MPP, which Tooyoung has pointed out.

However, the IPP is pretty amazing and I do love the idea of having a true flaccid state + maybe the potential of even gaining a little size on account of the fact that my corpora might be a bit bigger than I think (Hakky thinks I’ve likely had the venous leak a long time, and that’s why there’s some potential of gains with VED pre surgery and cycling after).

Either way though, I think I’m just going to be glad I did SOMETHING good for myself about this issue that’s been following me my whole life.

[tooyoung]

I think what I and others don't like is your approach. You insult members here regularly and are frankly, annoying with your non-stop IPP bashing… You're not very likable, except to the MPP crowd.

Wooody, obviously those things are problematic. But the more serious issue here is that he makes none of the information here reliable. Guys come here looking for advice.

But when you have got a guy that sometimes claims to be a doctor, sometimes claims to have an implant and sometimes doesn’t, and is clearly operating multiple alt accounts, how can you know if any of the advice is anything other than trolling? You can’t, really. You can’t even really know if there *is* an mpp crowd. Certainly some of them are not the troll, Duke Cicero springs to mind, and I don’t think Last Hope or Ready2Go are either, but how can you know?

Unfortunately I don’t think anything can really be done about it. Anyone can create an anonymous account here, you can create them under multiple emails, etc. and it kinda has to be that way. So this guy can just pollute the discourse here forever.

You mentioned this is happening on Reddit, too. I briefly perused the Reddit ED boards about a year ago, and noticed that it was a cesspool full of disinformation trolls. Just absolute tons of them. I started suggesting to real sufferers that they go to FrankTalk instead. But apparently that has all followed us here.

It’s too bad. I get it… trolls are gonna troll. We just seem to have got one six months ago with massive amounts of time on his hands and a real taste for polluting the discourse.

There's no troll except you Leto...and you know it.

I tried reasoning with you multiple times and you keep evading my statements...it's obvious man...you don't reply to my invitation to contact the admin and validate what you claim.

This style of throwing empty accusations, labeling anybody with an experience you don't like as an alt and deliberate superficial nonobjectivity doesn't tell good things about you....I'm trying to be respectful but I'm really so tempted to describe how much a mess you are...if the world is full of lawyers like you..no wonder why there's so much deluded evil in this world.

[LetoMan]

If I end up going with the IPP I can only hope to have as successful recovery as yourself!

Uff, my recovery was not pretty. But once I recovered, I’ve been putting it to good use! I hope the same for you, with a better recovery, haha.

Whatever you get, it’s going to be great. I’ll go back to my original advice to you: you may be able to get insight into individual’s experiences here, but this is a tough place to get an answer to your question of which is better for you. Partially because this forum is just not susceptible to that (almost none of us have experience with both, the loudest of us has experience with neither), and partially because for the last few months there has been a lot of unreliable info posted here on this topic.

Talk to your doctor. You have a good one. Free anonymous advice, including this advice from me, is only worth so much.

Be well,
Leto

[JohnnyBorg]

And why the hell do you guys talk about revisions as easy peasy projects ? ...let alone you talk about prosthetic infections as a cold flu that's guaranteed to be solved.

Thanks Tooyoung, yeah the revision and infection risk is the BIG hesitation for me. It’s a huge part of my assessment on account of my age and trying to estimate best and worst case scenarios, given my personal case.

I think if I swung for the fences with the IPP and got a bad infection (my worst case scenario) the honest truth is I’d be incredibly bummed out and kicking myself a little bit. I’m a very resilient guy and would be ready to pick up the pieces and move forward: but MAN it would suck.

I do think that with some things in life, you need to be bold and take a little extra risk. But the tricky part is gauging if the reward (device with a true flaccid state, likely best possible rigidity, maybe even gain some size back) is worth that extra risk!

No matter what though - I know that an implant is the right choice for me next. Regardless of outcome, I’ll be proud of myself for just trying to take charge of my situation.

[JohnnyBorg]

I decided to start with an MPP and hope to get 20+ years out of it. My surgeon was initially a little hesitant, but he also said he felt more comfortable with this plan because “it’s best to have few surgeries as possible” when you’ve got a long time horizon. By the time I ever need a replacement, I’m confident Coloplast will have refined their tubing or overall reliability and hell maybe even something like a Bluetooth-enabled implant will exist by then.

For me, the biggest practical factor was insurance. I didn’t want to risk an IPP lasting less than 12 years and then discover that my job’s health plan wouldn’t cover a replacement, leaving me with a $25k bill. I’ll take that gamble when I’m in my 50s.

I also like the idea that if I ever move to an IPP, it will feel like a real upgrade in both functionality and quality of life, something to look forward to. Going from an IPP back to an MPP, on the other hand, would feel more like a downgrade.

That said, I completely understand why someone would choose the better IPP functionality while they’re still younger. It really is a tough call and everyone has to weigh the trade-offs a little differently.

This is a really great perspective and congratulations on your implant!

Yes dude - insurance is such a pain in the ass. I’m fortunate to have a decent plan but if the procedure ultimately isn’t approved, the MPP I really suspect will come out on top for me. Basically for all the same reasons you stated. I can’t downplay the impact the financial side has on this decision for me.

I think you and ElbowRoom have the inverse perspective when it comes to whether one should start with an IPP or MPP, and both have strong points. Can summarize them like this:

IPP -> MPP = swing for the fences. You might gain back some lost size, and you also might actually better prep the corpora for an MPP later on (ie: TheDriver’s experience with the Genesis). In the end, if it doesn’t work out you have a reliable backup option with the MPP.

MPP -> IPP = you might actually really love the MPP, and if you don’t, you could upgrade later on (and especially if Coloplast has the tubing updated at the time, this could be huge).

Really looking forward to reading more about your experience with your MPP!

[JohnnyBorg]

i typed out a long reply and it was deleted when i went to post it
so ill say , i like my malleable , its simple reliable . no excuse me while i go pump . .its stiff . it is not uncomfortable . Concealment issue is overblown by doctors who make more money on ipp's
the one negative is loss of girth . but for $2500,i found an androfill clinic here in the Philippines . so in a few weeks ,ill have my original fat girth back AND a reliable 24/7 hard on . just one second to pull him up and it's guaranteed go time .
For me i couldn't fathom all the potential unreliable hardware going inside me ,and the accompanying involved surgery . Then eventually having to do it all over again .
by the way my tactra does not "bend" . cow girl ,reverse cow girl, doggie . all butt cheek slapping good fun .
i cant comment on inflatables since i dont have one . the temptation with a ipp would be the possibility to regain any previous lost size . but i only need to regain girth . and thats coming up shortly .

Hey ready2go, appreciate your comment and yeah ive seen your posts in some of the big malleable threads (DukeCicero’s comes to mind).

The simplicity of the MPP is definitely appealing. And I’m VERY interested in following the outcomes of your girth enhancement! This is something I also have considered, and for me I think it could go a very long way. The procedure I considered was for Urofill, although I know that requires a fairly regular “top up”. I think Hakky offers Urofill but I might be mistaken.

Regardless, I think that a procedure like that to increase girth could go hand in hand with a solid malleable implant. Something for me to keep in mind if I end up going with the MPP but experience poor girth outcomes.

[JohnnyBorg]

If I snagged a good insurance or a Powerball jackpot tomorrow , I'd only go for the gold-standard IPP until 3 infections knocks me out. That way I can die with my proud MPP (or totally fibrosed corpora) and satisfaction thinking, I tried my 100% best to fight this ED.

Good to see you LastHope you commented in one of my other threads too, yeah I really think the insurance approval / rejection is going to have a major impact on my decision. But in the end, no matter the choice I just wanna try DOING SOMETHING about it finally!

[JohnnyBorg]

If I end up going with the IPP I can only hope to have as successful recovery as yourself!

Uff, my recovery was not pretty. But once I recovered, I’ve been putting it to good use! I hope the same for you, with a better recovery, haha.

Whatever you get, it’s going to be great. I’ll go back to my original advice to you: you may be able to get insight into individual’s experiences here, but this is a tough place to get an answer to your question of which is better for you. Partially because this forum is just not susceptible to that (almost none of us have experience with both, the loudest of us has experience with neither), and partially because for the last few months there has been a lot of unreliable info posted here on this topic.

Talk to your doctor. You have a good one. Free anonymous advice, including this advice from me, is only worth so much.

Be well,
Leto

Thanks for the perspective Leto - the “ Whatever you get, it’s going to be great” perspective is one I’m trying to keep reminding myself of. I’m just glad that I’m trying to do something about my ED. Even if I end up going with an MPP and end up losing size - even though I’m already a smaller dude! - I’ll still be able to be proud, because ANYTHING is better than Mr. Floppy I’ve been dealing with my whole life

And yeah im really looking to run my perspectives by Hakky in early October and get his feedback. I trust his experience and perspectives on it all.

Cheers man

[tooyoung]

And why the hell do you guys talk about revisions as easy peasy projects ? ...let alone you talk about prosthetic infections as a cold flu that's guaranteed to be solved.

Thanks Tooyoung, yeah the revision and infection risk is the BIG hesitation for me. It’s a huge part of my assessment on account of my age and trying to estimate best and worst case scenarios, given my personal case.

I think if I swung for the fences with the IPP and got a bad infection (my worst case scenario) the honest truth is I’d be incredibly bummed out and kicking myself a little bit. I’m a very resilient guy and would be ready to pick up the pieces and move forward: but MAN it would suck.

I do think that with some things in life, you need to be bold and take a little extra risk. But the tricky part is gauging if the reward (device with a true flaccid state, likely best possible rigidity, maybe even gain some size back) is worth that extra risk!

No matter what though - I know that an implant is the right choice for me next. Regardless of outcome, I’ll be proud of myself for just trying to take charge of my situation.

Ofcourse man a prosthesis is a no brainer for refractory ED..it's a must rather than a choice...just as a knee replacement or a heart valve surgery..it goes without saying.

I see what you are saying...risk is sometimes essential for a reward..but again it's a matter of relativity...If I can get no less than 10 years out of ipp reliably without feeling daily russian roulettes in our prime when we need to focus on career and starting a family I would do an ipp without a hesitation...having a revision every 10 years is an acceptable risk for me (even though infection is a nuke and shouldn't be discussed lightly)...unfortunately, it usually doesn't stay that long..Lasthope exposed em with his monthly MAUDE reports....Also the countles profiles here who had multiple revisions due to mechanical failure in less than 10 years and sometimes less than 5 years and the scarcity of profiles who made it past 10 years exposed the beneficiaries as well..

In other words I won't take daily russian roulettes for flaccidity and marginally better rigidity for my size as I'm average.

Maybe if I were a medicared 70 y/o swinger I would've cheerled but it would make me a cheap asshole if I tried to dismiss young men trying to reclaim their lives or avoid suicide.

But again if you are one of those who don't think much about tommorrow then ipp might fit you more.