AMS implant

The final frontier. Deciding when, if and how.
markt3857
Posts: 7
Joined: Sun Jan 14, 2024 12:03 pm

AMS implant

Postby markt3857 » Tue Aug 06, 2024 6:57 am

Hi all
So I saw my consultant this morning and we discussed the pros and cons of the AMS v Coloplast. Decided that I would go for the AMS but my big concern is my estimated size. He reckons on no more than 4 to 4.5 inches which to me is quite a drop from my original 6. I’m very small flaccid wise but my concerns are will my wife be satisfied with what I end up with? I carry a fair girth and the wife reckons it will be fine. Be good to hear from anyone with a similar experience and how things have progressed.

Cheers

wolfpacker
Posts: 1127
Joined: Thu Dec 12, 2013 10:16 pm

Re: AMS implant

Postby wolfpacker » Tue Aug 06, 2024 7:38 am

When you say originally 6", was that recently? Or back before ED?
Early 30s with ED for years from penis enlargement stretching and jelqing. Implant by Dr Eid on 24 June 2021 with a Titan 24cm with +1cm RTE on one side and -1cm cut off on the other side

My journal: viewtopic.php?t=17202

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: AMS implant

Postby FinallyBionic » Tue Aug 06, 2024 7:40 am

I am not sure why your surgeon is saying that you will end up with about4 -4 4.5 inches, while your present length is 6". AMS is a good choice for your size, but just make sure that you have the right surgeon for the job. You may try to get a second opinion. If the surgeon undersize you, there is no way to correct it without a revision that replaces all the implant components.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

wilsonmill
Posts: 243
Joined: Mon Mar 11, 2019 9:50 am
Location: Raleigh NC

Re: AMS implant

Postby wilsonmill » Tue Aug 06, 2024 7:52 am

Wolfpacker has a good question, Whatever you are now should be about what you get back, I just had a revision and got it all back, were you going with the AMS CX or LGX?
Age 64, type 1 diabetic, Married 20+ years, Titan implant 23 cm 27Feb2019, Duke Medical Hospital, Dr Lentz, failed March of 2024, revision 25Jun24 AMS700 LGX 18cm 5rte's Dr Andrew Chang associated urology Raleigh NC, Rex Hospital

markt3857
Posts: 7
Joined: Sun Jan 14, 2024 12:03 pm

Re: AMS implant

Postby markt3857 » Tue Aug 06, 2024 7:58 am

wolfpacker wrote:When you say originally 6", was that recently? Or back before ED?


Originally 6”, I know I would have lost some post op but seems a lot.
Was told that when using pump that doing this basically ‘oversizes’ so length after pumping is not an accurate guide so maybe the new length is what I should expect

markt3857
Posts: 7
Joined: Sun Jan 14, 2024 12:03 pm

Re: AMS implant

Postby markt3857 » Tue Aug 06, 2024 8:00 am

wilsonmill wrote:Wolfpacker has a good question, Whatever you are now should be about what you get back, I just had a revision and got it all back, were you going with the AMS CX or LGX?


Sorry not sure think it’s the LGX. Not sure what I have now, is either over inflated on the pump or small flaccid

User avatar
SWorks17
Posts: 473
Joined: Sat Jan 15, 2022 4:33 pm
Location: Garden Ridge, Texas

Re: AMS implant

Postby SWorks17 » Tue Aug 06, 2024 9:34 am

markt3857 wrote:Hi all
So I saw my consultant this morning and we discussed the pros and cons of the AMS v Coloplast. Decided that I would go for the AMS but my big concern is my estimated size. He reckons on no more than 4 to 4.5 inches which to me is quite a drop from my original 6. I’m very small flaccid wise but my concerns are will my wife be satisfied with what I end up with? I carry a fair girth and the wife reckons it will be fine. Be good to hear from anyone with a similar experience and how things have progressed.

Cheers


Markt, sounds like you are across the pond in the UK. I was concerned too, with loss of length before I got my implant.
I'm retired United States Air Force and I had my implant done at the largest military hospital in San Antonio, Texas. My docs go to implant was the AMS 700 CX which is supposed to be stiffer and stronger like the Titan implant.
I was supposed to have gotten the CX during surgery but the Doc and the AMS representative made a game time decision and went with the AMS 700 LGX, which does allow some expansion when fully inflated.
I never really measured before I got total ED but I'm pretty sure I was around 6 inches.
While I had total ED for 3 months after having the Rezume procedure for an enlarged benign prostrate, I used a VED several times a day to keep my penis stretched.
You can do a stretch test, where you stretch out your penis to see how far out you can go, but the Doc won't know the internal size of your penis until he does the measurements internally and then uses the closesest size of implant plus rear tip extenders.
I think he went with the LGX with me so that I wouldn't have lost some length.
After 6 weeks when I started cycling the implant I was only about 5 inches, but now that I'm 33 months out from surgery I'm at 5 3/4 inches and probably 6 inches if my glans is full of blood from being aroused.
If I were you, I would get one of those motorized vacuum erection devices that has the measurement on the side to see how much length you can get before the implant. It's just easier with the motorized ones so it's not as much work and on some models you can choose what vacuum setting. You've got to be careful though, you don't want to have too much suction and damage your penis.
Something like this one.
https://a.co/d/bk8jflX

Good Luck,
S-Works
Age 66, Garden Ridge Texas, Progressive ED after Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18 w 3cm rear tips installed 5 Nov 2021 by Dr Shane Barney, Brooke Army Medical Center, San Antonio, Texas, Married 36 years

markt3857
Posts: 7
Joined: Sun Jan 14, 2024 12:03 pm

Re: AMS implant

Postby markt3857 » Tue Aug 06, 2024 9:53 am

SWorks17 wrote:
Markt, sounds like you are across the pond in the UK. I was concerned too, with loss of length before I got my implant.
I'm retired United States Air Force and I had my implant done at the largest military hospital in San Antonio, Texas. My docs go to implant was the AMS 700 CX which is supposed to be stiffer and stronger like the Titan implant.
I was supposed to have gotten the CX during surgery but the Doc and the AMS representative made a game time decision and went with the AMS 700 LGX, which does allow some expansion when fully inflated.
I never really measured before I got total ED but I'm pretty sure I was around 6 inches.
While I had total ED for 3 months after having the Rezume procedure for an enlarged benign prostrate, I used a VED several times a day to keep my penis stretched.
You can do a stretch test, where you stretch out your penis to see how far out you can go, but the Doc won't know the internal size of your penis until he does the measurements internally and then uses the closesest size of implant plus rear tip extenders.
I think he went with the LGX with me so that I wouldn't have lost some length.
After 6 weeks when I started cycling the implant I was only about 5 inches, but now that I'm 33 months out from surgery I'm at 5 3/4 inches and probably 6 inches if my glans is full of blood from being aroused.
If I were you, I would get one of those motorized vacuum erection devices that has the measurement on the side to see how much length you can get before the implant. It's just easier with the motorized ones so it's not as much work and on some models you can choose what vacuum setting. You've got to be careful though, you don't want to have too much suction and damage your penis.
Something like this one.
https://a.co/d/bk8jflX

Good Luck,
S-Works


Cheers Sworks, you are correct I am from the UK and good to read your experiences
I’ve been happy with the manual pump which I’ve used regularly since July ‘23. Like I said I was told the size you get when pumping up is not your actual size, that it over inflates . I did have a measure up when I got home and stretched my friend from the glans and got near on 5” which I guess is what I’m gonna get. We shall see

All the best

Txagq8
Posts: 885
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: AMS implant

Postby Txagq8 » Tue Aug 06, 2024 10:18 am

A few observations Mark:

A vacuum observation will always be more optimistic than a stretch test.

A grower (guy with a small flaccid) will often have an erect cock larger than his stretch test will predict. My stretch was 15.5 cm (I told the doctor to pull harder, he didn’t have it stretched). At that point he told me the reason for doing a stretch test was to give him an idea as to what the AMS Rep should bring to surgery. That it correlated with erect size but didn’t determine it. He ended up installing 23 cm and 17.3 cm is visible erection. The doctor really won’t know until he opens you up. Anything gleaned in terms of size from a stretch test is speculation.

If you’re at 5” (12.5 cm) before then, a year afterwards, with a reasonably competent surgeon, you should be back right at 5” or so close that it doesn’t matter.

Will a 4 incher work when wife is accustomed to 5? Oh yes. 2 1/2 weeks after surgery, my wife - who had become accustomed to a Trimix dick that was 6 7/8 x 6, got her first session with a post surgery 4.7 x 5. Honestly, it was the best and hottest sex we’d had in years.

Your only real issue is do you have faith, trust. & confidence in the surgeon? One that knows his craft is not going to intentionally undersize you unless there are complications (fibrosis, scarring, anomaly in your anatomy - that interferes with cylinder placement). It’s going to be smaller after the procedure, guaranteed. For a while. There will be tissues swelling from the shock of a surgery. That goes away after 3 months or so and reveals more dick. And scar tissue is always a byproduct of a surgery and stretching via repeated cycling of the device conquers that.

The good news, for me it was good anyhow…is that you are not going to be really small flaccid anymore. For years I had a little 3” (cold it was even smaller) softy that turned into almost 7x6 of meat missile. (It was even shaped like a torpedo). While I still get back out past 6 3/4” hard…my flaccid hangs over 5 1/2” long and never gets smaller.
Age 68. Physically fit educated red neck in Texas. Very married. 23 cm (18+5) of LGX installed by Dr. Bryan Kansas 12/31/2019. I fought the ED and my wife & I won. I’m either full of shit or sound advice. You decide which.

markt3857
Posts: 7
Joined: Sun Jan 14, 2024 12:03 pm

Re: AMS implant

Postby markt3857 » Tue Aug 06, 2024 10:26 am

Txagq8 wrote:A few observations Mark:

A vacuum observation will always be more optimistic than a stretch test.

A grower (guy with a small flaccid) will often have an erect cock larger than his stretch test will predict. My stretch was 15.5 cm (I told the doctor to pull harder, he didn’t have it stretched). At that point he told me the reason for doing a stretch test was to give him an idea as to what the AMS Rep should bring to surgery. That it correlated with erect size but didn’t determine it. He ended up installing 23 cm and 17.3 cm is visible erection. The doctor really won’t know until he opens you up. Anything gleaned in terms of size from a stretch test is speculation.

If you’re at 5” (12.5 cm) before then, a year afterwards, with a reasonably competent surgeon, you should be back right at 5” or so close that it doesn’t matter.

Will a 4 incher work when wife is accustomed to 5? Oh yes. 2 1/2 weeks after surgery, my wife - who had become accustomed to a Trimix dick that was 6 7/8 x 6, got her first session with a post surgery 4.7 x 5. Honestly, it was the best and hottest sex we’d had in years.

Your only real issue is do you have faith, trust. & confidence in the surgeon? One that knows his craft is not going to intentionally undersize you unless there are complications (fibrosis, scarring, anomaly in your anatomy - that interferes with cylinder placement). It’s going to be smaller after the procedure, guaranteed. For a while. There will be tissues swelling from the shock of a surgery. That goes away after 3 months or so and reveals more dick. And scar tissue is always a byproduct of a surgery and stretching via repeated cycling of the device conquers that.

The good news, for me it was good anyhow…is that you are not going to be really small flaccid anymore. For years I had a little 3” (cold it was even smaller) softy that turned into almost 7x6 of meat missile. (It was even shaped like a torpedo). While I still get back out past 6 3/4” hard…my flaccid hangs over 5 1/2” long and never gets smaller.


Thank you, much appreciated


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