Recommendations

[Pau1pau1]

Hi which make and model would you suggest.
I’m 57 quite fit happily married.
I’m not interested in the way the flaccid looks as it’s only me and my wife seeing it.
I’m interested in erect. I’m 6 inch by 5 1/2 inch girth.
I really carnt afford to loose either.
Which make model would you recommend .

[newbie443]

I think it would be more important the doctor than the device. I am 6 x 5.5 at 100% inflation with my LGX but a Titan would have been just as good if done by a very good doctor. You may have reasons for one device or the other. A very good doctor that uses both brands and knows your medical history would be the best one to talk to about this. Other very good doctors would have used a Titan for me.

Go to the general section of this site and find the documents worth reading threaded that is pinned to the top and do some reading. VED therapy prior to surgery will help slow down size loss caused by ED. And may help your doctor use a bit larger device. Talk with your doctor about maintaining size. You can also search for the best doctor you are able to use for this. No doctor is perfect but you may find a better doctor and increase your chance of a great outcome.

If you are comfortable with your doctor and trust him/her for this then that would be your best source for a recommendation.

Good luck going forward with this.

[SW0110]

A bit more info please. Do you have any issues. Peyronies etc.

My first was a titan. It took care of my curve right off. Got my length back after a few months.

Revision with ams still the same.

I will say if no peyronies or reason for a really stiff cylinder I love the ams softer cylinders. Hate their pump though. I talked about that a lot with pictures. To fin big.

Love the titan pump their cylinders are stiff though and take a while to get used to.

Best advice. Find the best doc you can and trust them.

[Pau1pau1]

Hi no scarring or plaque.
Just lost about an inch over the years through Ed. Don’t want to loose anymore with a implant.
Like I say not bothered about flaccid feel. Want the one which gives most girth and length

[implant1959]

discussion to be had with surgeon, once he examines you, he will have better idea of best plan of action for you.
I have Titan and I have no issues with the cylinders and I am 10 weeks post op.
For some there seems to be a competition over whose cylinder is best, for me I just want one that works. lol

[TANGERINE]

the question of ams versus coloplast is important, and has been often addressed here on franktalk. I agree with prior comments that you should decide with your surgeon--since they will know exactly what they are working with. I have posted my opinions on the ams versus titan debate at the following franltalk thread:

https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=16298&p=146383&hilit=wiki#p146383

You can see my summary remarks in chapter 20 of my Implant pamphlet wiki.

I hope this helps, but, in general, agree that the best person to advise you is your surgeon.

[Lost Sheep]

Hi which make and model would you suggest.
I’m 57 quite fit happily married.
I’m not interested in the way the flaccid looks as it’s only me and my wife seeing it.
I’m interested in erect. I’m 6 inch by 5 1/2 inch girth.
I really carnt afford to loose either.
Which make model would you recommend .

Which make model would you recommend for me?
I need to haul the occasional desk, lumber, etc but sometimes need to carry up to three or four passengers (plus driver)
I want good gas mileage and four-wheel drive is an absolute necessity.
Trailer hauling capacity nice, but optional.

Similar question. Equally difficult to make an unbiased recommendation.

Factors for IPPs that are important to the user vary. You have specified no loss of length. That is more a factor of the surgeon than the implant.
At 6 inches, either the Coloplast or AMS devices would do equally as well. They both get as rigid as anyone needs - or (generally) wants.

As far as the flaccid "look", even though only you and your wife actually see it, everyone who sees you would be able to discern the bulge of your penis through your pants, gym clothes, bathing suit, etc. If your normal flaccid is substantially smaller than your erect size, that is a point in favor or the AMS LGS.

Girth favors the Coloplast, as the Titan cylinders are larger diameter than the AMS cylinders. The Titan (I surmise) can expand to fill the tunica albuginea, whereas the AMS devices are "tunica-independent" and provide their rigidity without depending on the man's -perhaps compromised- tunica -an advantage to men with damage to the tunica.

My advice is to make yourself an integral part of your medical/surgical team's decision-making process. If your surgeon resists this, find another surgeon. If your surgeon has both manufacturers' products available at the time of surgery and can make the decision DURING THE SURGERY what model it best for you, that is ideal.

Implant1959's assessment of the competition over which device is best is spot-on. (I suspect he is referring to Merrix and various parties, including me, who have debated with varying amounts of heat applied.) Enthusiasm for (or against) a particular manufacturer's device should be ignored while gleaning the facts reported by those reporting first-hand experience. Note that first-hand experience, while valid, is by definition anecdotal. Read peer-reviewed analyses published in legitimate medical journals to establish a knowledge base and get familiar with the medical terminology. Take that knowledge with you to your medical team. It will encourage them to give consideration to your opinions and desires.

Like newbie443, I am an advocate of pre-surgery use of Vacuum Erection Devices to 1) emulate the blood flushing through your penile tissues (usually done by nocturnal and daytime erections, absent with sufferers of ED) which keeps the tissues oxygenated and 2) maintain elasticity and size.

[mike123]

I did a lot of reading here and elsewhere trying to answer that question for myself before my surgery. Do I want a CX or a Titan? I wanted the strength of the Titan cylinders and the greater flexibility of the CX. In the end, I decided that the CX would be better for me because I would spend a lot more time flaccid than hard. Turned out to be a moot point on two accounts. First, my surgeon only did Titans so I couldn't have gotten the CX anyway (because of insurance, I didn't have time to find another surgeon). After a just couple of months of cycling, my Titan has loosened up quite a bit and my flaccid looks pretty much like a normal flaccid. My concern over brand wound up not meaning much.

As LS did a good job of saying, the choice of implant brand is much less important than finding a good surgeon to implant it.

I've got to second (no third) the recommendation for the use of the VED pre implant. Take a look at this paper.

http://file.scirp.org/pdf/ASM_2013012514045982.pdf