Might as well chime in as so many have done, and state I'm set for an implant by Dr. Karpman this coming Tuesday. After years of struggle with ED medications, trying several expensive VEDs to little result, and failing a penile ultrasound which diagnosed both venous leak AND arterial insufficiency, I'm like so many FT members:
out of other options.
I have the usual worries: infection, malfunction of the device, costs not covered by insurance, being "shortchanged" in dimensions, etc. But I figure if I can't have sex, and haven't been able to have sex through several presidential administrations, what could go wrong? That I'll end up impotent?

I'm basically soloing on this, as my spouse has had no interest in sex for years, so I haven't even discussed it with her. I have it arranged where I can be away from home for a few days, so this is truly a lone experience. Oh well!
Decades+ ED; finally ultrasound showed venous leak+arterial insufficiency. Infrapubic (Yay!) implant by Dr. Karpman 8/9/22; with 13 cm distal, 9 proximal Titan. Cleared for new life 9/1/22 and hoping to make up for lost time.