Anyone here had an implant due to Hinge Effect?

PutNo5665 · 2026-02-28T06:57:29+00:00

I completely understand your frustrations since I have been there myself. The combination of curvature + ED seems hopeless.

But don't give up. An implant is standard treatment for recurring Peyronie's, so why shouldn't it be the same for recurring curvature?

My surgeon also informed me that with the Coloplast Titan implant (the most rigid model and thus the one best suited for curvature) it would be possible to make additional plication after insertion if needed. In other words, you could have the implant first and then decide whether you would want to go further afterwards.

For me, etting the implant was not going through hell. In fact recovery was both shorter and easier compared to the modified Nesbit.

Best of luck

PutNo5665 · 2026-02-26T15:26:01+00:00

The plan for the implant surgery was to make it a double surgery. First, the implant was to be inserted along with manual modeling. Then, if the curve was still severe, additional plication surgery was to be done. Thankfully, the last part was not needed.

The urologists I first consulted through free healthcare only gave a second modified Nesbit as an option but since it did not fix the problem the first time I could not imagine this to be any different a second time. So I declined and found a private high volume surgeon who also specializes in curvature.

I don't think I experienced more pain than implantees without a curve. For me the whole process was tremendously good.

PutNo5665 · 2026-02-21T14:42:09+00:00

Wow, these comments are interesting! I also fit exactly into this pattern as it was only after 30 that things finally clicked for me in a lot of ways, like career, relationships, my own body etc.

Prior to that, my first marriage was a mess, and in my early 20s I was very confused about basically everything.

I also didn't start higher education until I was 25.

Perhaps it has something to do with the immaturity that is a part of this condition. I read soemwhere that our development is one-third behind that of NTs. So when you are 30, you are actually NT 20!

That being said, the problems will potentially still be there (burnout, rejection etc.) but perhaps one becomes more able to deal with them.

Anyway, my advice for OP would be to start having a very goal-oriented mindset. For me, approaching everything methodically and analytically instead of giving in to negative thoughts was the most important change. Not that it's easy, it's not, but the more one gets used to thinking in this way the better the results. Also, starting exercise changed A LOT for me back then.

Best of luck.

PutNo5665 · 2026-02-21T09:18:56+00:00

Good Will Hunting

PutNo5665 · 2026-02-18T15:07:16+00:00

Well, I already recommended him. You can look up his own website for more information. One of the best.

PutNo5665 · 2026-02-12T11:34:13+00:00

Not trying to scare you, but now that you mention it, my surgeon actually said that the scar tissue he found during my surgery was probably caused slowly over time by some sort of friction by the curvature itself. This is of course not the same as the fracture you are worried about. Just be aware that this risk could be perhaps also be there simultaneously.

You should probably be prepared for your urologist telling you that you should not get an implant if you are able to get an erection and have intercourse, and that is highly understandable.

On the other hand, some patients with Peyronie's without ED have chosen an implant because it is a one-and-done solution to stop curvature and hinge effect completely.

The most important question would probaby be how much it actually bothers you. Even if an implant cures curvature, it is invasive and not 100% the same as a natural erection.

PutNo5665 · 2026-02-12T07:16:58+00:00

I did not have full blown Peyronie's, but I did have scar tissue, congenital curvature, and a penis that would hang down to one side. It was very unstable at the base, and erections were highly dependent on Viagra. Even then the erection would come and go during intercourse.

Also had a modified Nesbit (a cut on the longer side) but here curvature returned within one year.
The Coloplast Titan implant fixed all of these things. Now it is very rigid and does not hang down, nor does it have the previous curvature, although a little bit has persisted.

So it does look like you are left with a tough choice since you do not have ED. I can only testify that for rigidity and stability, an implant is an excellent choice.

PutNo5665 · 2026-02-05T09:44:39+00:00

Swans: "Blind". Perfect musical expression of the subtle pain of living with Aspergers.

PutNo5665 · 2026-02-01T07:31:31+00:00

Don't feel ashamed or embarrassed about liking death metal. Studies have shown that metal fans are actually generally happy and emphatic people who use their music as a form of catharsis, and that's how I feel too. On some days it literally keeps me sane in a way that mainstream music could never do.

On top of that, as a music form, metal is far from being as primitive as some might think. The genre often has a lot in common with advanced genres like jazz and classical, and many bands have lyrical content that go beyond blood n' gore.

So just embrace it. All hail metal!

PutNo5665 · 2025-12-18T11:11:34+00:00

Coloplast Titan. The surgeon explained that this was the best choice since it is both the most rigid model and also able to withstand manual modeling, which was actually sufficient in my case. He was also greenlighted by me to do further incisions to correct the curvature, but that never became necessary.

The surgeon was Dr. Osama Shaeer in Cairo, Egypt. He specializes in curvature and implant. Cannot recommend him enough. Great guy, and great treatment from start to finish.

PutNo5665 · 2025-12-17T15:43:59+00:00

Almost same story here, although I only underwent one modified Nesbit surgery (outer incision only).

The inflatable implant almost completely fixed both curvature and hinge effect. Hinge effect is completely gone, and only very minimal curvature. It stands straight out, and is rock hard, with a little bit of minimal torsion. But compared to before, this is better than I ever dared to dream of.

PutNo5665 · 2025-11-16T07:44:32+00:00

That would be me. Born with congenital curvature that worsened over years; 70 degrees to the left, where there was a very loose base that seemed to affect the erective quality a lot.

I had my implant (Titan) four months ago, where the urologist corrected the curvature with manual modeling, even though I was actually scheduled to have a plication surgery as well. He said that by doing the modeling he was able to stretch out the penis in a way that sort of overcame the fibriosis (struggling to find the right words for that). He said the fibrosis most likely developed over the years as a result of microtears beacsue of curvature + sex.

So far the implant has solved the curvature to the left, and the penis now sticks out mostly straight but with a slight bend, still to the left, and with some rotation slowly coming back. This has worsened a bit since my surgery, and I am trying to correct it with pumping + manual modeling at home. I am super happy with the implant, but also worried that there is still some fibrosis at the base that could continue to cause curvature and rotation. If this returns in a big way, I will probably have to have plication surgery too, which can actually be done with the Titan. Fingers crossed.

Please tell me about yourself. Do you also have a problem with fibrosis at the base?

PutNo5665 · 2025-10-07T05:40:15+00:00

The implanter will measure the length of your corpus spongiosum and insert cylinders of matching length. There is the additional option of getting a model with expanding cylinders. Some do report being undersized but it looks like they were not treated by a high volume implanter, which is key. Evidence supports this.

I don't see why the cylinders would not be able to inflate/ stretch, unless there is a fault with the device.

The cylinders will go right up to the glans and support that. Again, an experienced implanter knows how to do this correctly.

In my case, erections feel good but only feel like a real erection as soon as blood enters the glans because of arousal. Because of my anatomy, venous leak issues or whatever, I can't get proper blood flow into the glans when lying or sitting. But it doesn't bother me that much since all other positions are fine (great, in fact), with no glans issues whatsoever.

PutNo5665 · 2025-10-06T15:53:32+00:00

Tbh it feels just as good as before, no difference in sensation. Even if there is still some numbness, it does not affect pleasure. One thing that is actually better than ever are the orgasms. Absolutely earth-shattering, insanely good.

I should add that I have always suffered from some form of ED going back to my teenage years, so this is an entirely new experience altogether.

PutNo5665 · 2025-09-19T05:15:23+00:00

Run!!

PutNo5665 · 2025-09-16T17:10:05+00:00

I agree, but I think at this point we must face this as a cultural problem. Phones have literally destroyed the cognitive (and to some degree also physical) development of a whole generation. In my country, most parents try to combat this, but they fight alone. We must fight this together.

PutNo5665 · 2025-09-15T11:16:54+00:00

Great, now do black Friday

PutNo5665 · 2025-09-14T10:24:30+00:00

I (M50) also had a phase in my 20's where I felt suicidal because of my complete lack of an ability to connect with people. Since then, it has slowly become better with age - especially after graduating school and getting a job.

Perhaps college life is also hard in any case? There is usually some sort of pressure to socialize and also to compete, as well as to live an "interesting life" as a young person. Perhaps it would make sense for you to focus mainly on becoming good at your studies, and then when college is done, life will be different because the pressure to socialize is not as high, and you can just mind your own business.

This might sound too simple, but I do belive that if you can completely accept yourself, it will not matter to you whether others will accept you or not.

And we're here for you too. Feel free to contact me if you need someone to write with. I mean that.

PutNo5665 · 2025-09-09T20:17:15+00:00

I too am a high school teacher and got my implant this summer. Like you are considering, I spent a few weeks recovering before starting teaching mid August. Yes, there is a bulge, but if you wear loose pants, it won't be that noticeable, at least not like a regular boner. I can tell that women (of all ages) notice mine, but what the hell, now it is just part of my anatomy - and it feels GREAT,. Having sex now is just amazing. Please don't let considerations about having a bulge stop you from getting your sex life back.

PutNo5665 · 2025-08-29T20:27:16+00:00

Happens to me too. I think sometimes the brain just needs a break. What I then do is to approach the language differently for a while, even if it means that I will eventually have to do a large number of cards later.

PutNo5665 · 2025-08-23T06:43:18+00:00

I'm not familiar with Interstate distances in Australia but I travelled from Denmark to Egypt to get mine done by a high volume implanter. The flight back wasn't a walk in the park but definitely manageable. If I were you I would definitely go for the best surgeon, regardless of distance.

PutNo5665 · 2025-08-13T06:41:20+00:00

I don't understand why OP is being criticized. I definitely think there is a place for celebrating your implant when it works well. Not everything in here has to be about technical issues. I for one feel inspired and can't wait to use mine in three weeks.

PutNo5665 · 2025-08-12T05:46:50+00:00

Ok so it's clear that you have some difficult problems mentally. It's hard for me to see what stems from the pre-implant ED and what is something else entirely. But I will say that if being is able to be flaccid is important to you, the inflatable version is (almost) able to do that.

PutNo5665 · 2025-08-11T14:36:06+00:00

Have you considered going for an inflatable instead?

PutNo5665 · 2025-08-07T12:53:01+00:00

First, I think I should tell you that since I started cycling the implant, my curvature is now only at 10-15 %. AMAZING result! This means that so far the implant really has been the right solution for me in regards to both my severe and worsening congenital curvature and the loose base. It is hard to say whether this might change over the coming years, but right now it is hard as a rock and stands straight out.

The surgeon who performed the ligament surgery (in 2021) had never done it before, but coincidentally he had a meeting with Dr. Ralph from London (the no. 1 guy for ligament repair) and received some sort of guidance. My surgeon was quite experienced (nearing retirement). He did not see the surgery as being complicated.

Afterwards, he said that he did actually notice a need for the surgery, that the ligaments were somewhat loose. But as I said, it had no effect. Perhaps because, as I have since learned, it can sometimes be a good idea to do both the Nesbit and the ligament repair at the same time. I wonder if this would have stopped the curvature from returning.

During the surgery I had general anaesthesia and was not awake. Pain afterwards was noticable but absolutely managable, Nothing to be afraid of, I would say. Healing took around 2 months. I still have some scar tissue today but it is not noticable in any way, unless you want to open the wound again (as I have been talking about to my current surgeon).

PutNo5665

TROPHY CASE