Peyronies Society Forums

Erectile Dysfunction Forum - for all men with ED => Penile Implants => Topic started by: Sonic on February 03, 2024, 11:28:18 AM

Title: Malleable Implant?
Post by: Sonic on February 03, 2024, 11:28:18 AM
There is a chance later down the road I will have to go down the implant route.

Since we do not have any ''high volume surgeons'' here in sweden I am wondering, is a malleable implant a good idea? I know there is a chance of erosion with these, but since the 3 way inflatable is a more complicated surgery maybe it would be wiser to go for the ''simplest'' surgery being as we have no really greatly experienced implant surgeons over here? I am not sure how comfortable I would be with the idea of having to pump my scrotum every time I want an erection.

Any advice?
Title: Re: Malleable Implant?
Post by: Mikel7 on February 04, 2024, 06:31:14 AM
Hawk would be the one to give a correct answer on this because of his knowledge of implants. I would think it would be a royal pain always walking around with an erection as these implants are always rigid. Also are they as rigid as a 3 piece implant?
Title: Re: Malleable Implant?
Post by: Sonic on February 04, 2024, 07:02:28 AM
Quote from: Mikel7 on February 04, 2024, 06:31:14 AMHawk would be the one to give a correct answer on this because of his knowledge of implants. I would think it would be a royal pain always walking around with an erection as these implants are always rigid. Also are they as rigid as a 3 piece implant?

I have heard this is definitely a negative aspect but it seems with time guys get used to it. I honestly hope it doesn't come to this. I am hoping I can save myself by my current routine but I know there is a chance I might end up needing an implant. Feels a bit sad being only 30 and having to go down that road.

As for the rigidity, I am pretty sure a malleable has much worse rigidity than a 3 piece inflatable. The 3 piece really is the gold standard and if I could get one done right now by someone like Eid or Hakky I would do it right now however I am not too sure how keen I am on performing such an invasive surgery with doctors who maybe do 10 implants a year at a maximum.
Title: Re: Malleable Implant?
Post by: Stepone on February 04, 2024, 07:56:00 AM
Sonic,
If you read the other posts and journals of the guys on here, you will discover you are not the only young guy to even think of getting an implant.
Where do you live?
Other men including myself have gone through this and most are very happy with their decisions.
You have to make the decision on this, maybe list the reasons and it may be clearer as to what your choice is.
Does your cock get hard?
Does it stay hard?
Are there other close by countries you can go to? Does Germany do them?
Are you prepared to do some hard work in finding a great surgeon?
We made a decision and took the leap.
But it's up to you.
Think this out.
What are your choices?
Hope this helps.
StepOne
Title: Re: Malleable Implant?
Post by: Sonic on February 04, 2024, 08:30:20 AM
Thanks, Step
Title: Re: Malleable Implant?
Post by: Hawk on February 04, 2024, 10:29:15 PM
I am sure you have some high-volume implant surgeons closer to Sweden than the U.S.
With the more liberal attitudes toward sex in Scandinavian countries and Denmark, I am surprised there is not a high-volume surgeon within a half-day drive of you. There is certainly one in the UK, which is a very short flight.

My guess is that you will have to pay out-of-pocket if you go to any country other than Sweden, and that is the issue holding you back.

If my choice had to be between a malleable implant and no intercourse, I would go with a malleable implant, but I think you still have options.
Title: Re: Malleable Implant?
Post by: Gap63 on February 05, 2024, 05:20:04 AM
I have no regrets on flying halfway around the world to the US to get my surgury, 3 days after surgury I was on a plane heading home, so not even a week away, no issues what so ever.


I agree with alot of advice on here about getting a surgeon that specializes in Implants and does many every week, less chance of complications IMO
Title: Re: Malleable Implant?
Post by: Pfract on February 05, 2024, 09:46:34 AM
Hey Sonic,

Doctors try to steer young patients away from malleable implants unless they have a preference for such implant types or the patient has a condition that makes him not a suitable for a 3 piece IPP. The implant is easier to install for the doctor, but it has many drawbacks compared to the other more complex alternative. There is no control over the erection rigidity, there is a bigger risk of erosion on the glans, and the flaccid penis will be way harder to conceal, in terms of the bulge.

There are a few surgeons in europe that deal with international patients that you can pay out of pocket. Flying to the US to get the surgery done out of pocket would cost you around 30/35 USD. Just a ballpark estimate.
Title: Re: Malleable Implant?
Post by: Sonic on February 05, 2024, 01:29:08 PM
Quote from: Hawk on February 04, 2024, 10:29:15 PMMy guess is that you will have to pay out-of-pocket if you go to any country other than Sweden, and that is the issue holding you back.

You are very much correct. Thing is if I ever went out of my way to travel to have it done I would opt for someone like Hakky because I would want to make sure I get the best results I can and the smoothest recovery. The expenses as of now is just impossible for me. I would have to save up for years. The surgery in Sweden would practically be free. Just a fee of around 25 $ but the results would not be close to that of a high volume surgeon.
Title: Re: Malleable Implant?
Post by: Hawk on February 05, 2024, 04:52:53 PM
This might seem like an extreme measure, but if I were you, I would consider a VISA to the U.S. and get a job and insurance.  Your earnings plus saving $30,000 in surgical fees would likely add up to be more cost-effective than working to save $30,000 in Sweden and then paying for the surgery totally out of pocket.  You would be established here for any aftercare complications or concerns.  It can be nerve-wracking to fly back overseas and worry about "what if", even if "what if" never happens.
Title: Re: Malleable Implant?
Post by: Stepone on February 06, 2024, 06:59:49 AM
Sonic,
And while we are talking extremes, can you investigate your country more.
Perhaps you could ask various doctors if they know of a surgeon that does implants.
When I first started having penis issues, back in 2015, I asked two doctors if they knew doctors that treated for Peyronie disease and they did not, they told me there was really nothing a doctor could do. The 3rd doctor was a doctor at world renowned Johns Hopkins Hospital in Baltimore, Md.
I met with the lead urologist and he offered some hope, by doing a Nesbit procedure(wrong thing to do), but he never mentioned an implant even though one of the tests for venous flow showed venous leak.
Many years and physicians later, did I learn that there was a well respected implant surgeon in Baltimore that I think is now in Provincetown, MS.
What I am trying to say is that penis implant doctors in Sweden could be very low profile and your country could be in the same position where the USA was back in 2014.
Maybe there is an excellent surgeon and you just don't know it.
Even on this site, I have requested that my surgeon from Duke Hospital be put on the high volume list of surgeons several times, he has not been put on the list. When he did my surgery back in 2019, he was doing over 100 penis implants per year.
I hope this helps
StepOne
Title: Re: Malleable Implant?
Post by: Sonic on February 06, 2024, 09:48:08 AM
Stepone & Hawk. Thanks for the posts. If the time comes where I have no other option but an implant I will take everything into consideration. I will never make a rushed decision. I will consult with my urologist and see what options I have.
Title: Re: Malleable Implant?
Post by: Hawk on February 06, 2024, 12:02:56 PM
Quote from: Stepone on February 06, 2024, 06:59:49 AMEven on this site, I have requested that my surgeon from Duke Hospital be put on the high volume list of surgeons several times, he has not been put on the list.

StepOne

StepOne, I beg to differ  :)  Dr. Lentz is on the list and has been there for some time.  I was horrified to read your comment because I thought "Oh No! I should have added him!"

You listed him back in July but did not include his address, phone, or web link. However, it lists Duke Univ Hospital NC so anyone could find him.

If there is some other list he is absent from, please send me the link.
Title: Re: Malleable Implant?
Post by: Stepone on February 06, 2024, 04:18:46 PM
Hawk, sorry, I was referring to the surgery center of excellence. I don't understand the criteria to be on this list
I thought it was for surgeons that do 100+ implants per year?
I would think Hakey could fall onto that list too?
Kramer was the 5th doctor I located in Baltimore, but I had moved out of state and was referred to Lentz as an expert in implants.
Kramer has since relocated to "who knows where", yet he is still on excellence list. Whatever happened to Kramer?
Makes no sense to me
Sorry for hijacking Sonic's thread. You can move it if you want.
StepOne
Title: Re: Malleable Implant?
Post by: Sonic on February 06, 2024, 04:23:13 PM
It's okay Step, I love the discussion!  ;D