For the Brits with implants on NHS

[splitpeach]

I'm on the waiting list for an implant at UCLH.

Here's my dilemma;

I'm under the care of Prof. Ralph, probably the best implanter in Europe and one of the best worldwide. However, I want a Rigicon IPP and UCLH don't have a contract for Rigicon at present and won't for at least another 18 months.

Ralph is expected to retire in about a year so I either wait for the Rigicon at UCLH and miss Ralph or get Ralph to implant but with a Titan.

The alternative is to be referred elsewhere and get the Rigicon at a trust that currently offer it. I have heard the Manchester Royal Infirmary offer Rigicon's but I don't know any others.

Does anyone know of any other trusts / departments on NHS in the UK that offer Rigicon IPPs and are there any surgeons at them that can get close to Ralph?

That's hard though... I don't think there are many that can compete with Ralph... But I'm open to considering options!

[LiverpoolLad]

How long have they said the wait time is at UCLH? And has he said he is retiring?

My opinion would be go with him whilst you can, guess this would be a titan though? What are your thoughts behind the rigicon instead? Isn’t it a fairly new implant so won’t have long term studies?

[irishguy]

My opinion and it's probably very biased at this stage... I got my virgin implant and there last week the revision...
I would go with Ralph and the titan... having one of the best in the world do your implant is the best option in my opinion...

[splitpeach]

How long have they said the wait time is at UCLH? And has he said he is retiring?

My opinion would be go with him whilst you can, guess this would be a titan though? What are your thoughts behind the rigicon instead? Isn’t it a fairly new implant so won’t have long term studies?

UCLH wait time I've been told is roughly 9 to 12 months.

He's given hints that he might not be around this time next year. With Ralph at UCLH it would be a Titan.

Rigicon is just over 5 years old now and it's already being used in some trusts so it must be good enough if it's approved for NHS.

It just seems to be using new material. I think a new implant with a new design with give years of history will likely be superior than say a Titan which was designed around 25 years ago.

Apparently better rigidity, better girth capacity yet with a better more natural flaccid state.

If so, then that's a huge improvement all round. I'm just curious about the pump...

[splitpeach]

My opinion and it's probably very biased at this stage... I got my virgin implant and there last week the revision...
I would go with Ralph and the titan... having one of the best in the world do your implant is the best option in my opinion...

Yeah I see the benefits of that for sure. However a decade with a Titan implant when you could have had a latest technology with Rigicon for all that time?

Its not so straightforward. The guy doing Rigicon implants on NHS is Vaibhav Modgil

Saw a post from someone on here that had had seen him and got a Rigicon on NHS. He spoke very highly of him. But who knows.

Other than that I don't know of anyone else implanting Rigicon's on NHS?

[irishguy]

But the latest technology... how is it so different to a titan implant??
Also I have heard of that guy and he seems to be legit.. very high volume implanter

[splitpeach]

But the latest technology... how is it so different to a titan implant??
Also I have heard of that guy and he seems to be legit.. very high volume implanter

Well the AMS was released 40 years ago and the Titan released in 2002. Rigicon was released 6 years ago. So by designing from the ground up I think it's fair to consider that the materials and designs will be an improvement on decades older alternatives.

Six years is pretty new but also long enough for stability to have been achieved.

They claim to have a fourth layer of material compared with Titan or AMS three on the cylinders. Apparently this helps to prevent erosion, dog ears, produces a more natural feel when flaccid etc.

Apparently the pump allows for 20% more inflation volume (so allegedly quickest pump on the market)

https://www.youtube.com/watch?v=4kNJhIBWhjA

The other guy was Ian Pearce who is the largest volume implanter in the North West and also has access to Rigicon's.

https://www.manchesterurology.org.uk/co ... ian-pearce

So its not a bad option, but do I go for the best possible surgeon or have a possibly superior implant for the next ten years in a Rigicon. Neither are guaranteed though, Titan might just be as good as Rigicon and the Manchester surgeons might perform just as good a surgery on me as David Ralph.

[LiverpoolLad]

How long have they said the wait time is at UCLH? And has he said he is retiring?

My opinion would be go with him whilst you can, guess this would be a titan though? What are your thoughts behind the rigicon instead? Isn’t it a fairly new implant so won’t have long term studies?

UCLH wait time I've been told is roughly 9 to 12 months.

He's given hints that he might not be around this time next year. With Ralph at UCLH it would be a Titan.

Rigicon is just over 5 years old now and it's already being used in some trusts so it must be good enough if it's approved for NHS.

It just seems to be using new material. I think a new implant with a new design with give years of history will likely be superior than say a Titan which was designed around 25 years ago.

Apparently better rigidity, better girth capacity yet with a better more natural flaccid state.

If so, then that's a huge improvement all round. I'm just curious about the pump...

Fair enough I don’t think you could go wrong with Ralph to be honest, like irishguy said he’s one of the best in the world.

Whether Rigicon will be better to you than the Titan.. who really knows. I would just say you know exactly what you’re getting with the Titan, whereas Rigicon is slightly more unknown given the newness to market. I know what I’d be choosing but you seem informed to make a decision regardless.

Wish you the best of luck whatever way you go!

[irishguy]

Listen it is a difficult decision..
Like on one hand, the rigicon promises to be a better implant in every aspect...
Rigidity,size and natural feel...
But I can only speak for myself and some friends I met through franktalk that have a titan..
1. You couldn't get more rigid, nothing more to be said about this aspect

2. The size is the same as our original size, but we didn't have a loss in size to make up for.. so I can't speak on the titan helping with size if you had a big loss before getting the implant!! Maybe the rigicon is better for this, but a lot of implanters say the ams lgx(which is like the size increase in rigicon) is just all gimmick and does nothing for you, but some men on franktalk have said its helped them,so I don't know about that..

3. Natural feel
Most definitely for me, the titan flaccid doesn't feel or look very natural, I have dog ears and when 100% of the liquid is out of the cylinders and there's very little blood in its not very natural... they say the ams is far more natural, so maybe the rigicon would be too

4. Rigicon, ams, titan
The ams already has an implant that increases in size and has(supposedly) a more natural feel to it... but Titan seems to be the choice of a lot of high volume implanters particularly for younger men

5. Warranty
This is a big one to think about, because I got my titan 12 years ago I have a life time warranty, I don't know what it is now, my friend that got his titan in Germany last year told me he has no warranty at all, I've heard of different countries having a 10 year warranty.
Now because the rigicon is new, it has a life time warranty.. which if you get it and you like it.. at least it's covered for life!!!

6. Old/new
There has been improvements since both ams and titans inception, so it's not fair to think of them as them been the same as when they were first brought out...
Also as liverpool said they are tried and tested where as the Rigicon hasn't been....

So If I was in your shoes I wouldn't know either...
Maybe a seriously high volume implanter and the rigicon would be a great option..

But again pure biased at this stage... Ralph is a implanter elite, tried and tested for what, probably 40 years, and the titan,although not perfect, but I doubt any implant is, is tried and tested also, very high satisfaction rates and survival rates... some studies say nearly 76/78% at 10 years

I wonder are there any men on here that switched from a titan or ams to a rigicon? They could advise you a bit better maybe!!

[splitpeach]

Listen it is a difficult decision..
Like on one hand, the rigicon promises to be a better implant in every aspect...
Rigidity,size and natural feel...
But I can only speak for myself and some friends I met through franktalk that have a titan..
1. You couldn't get more rigid, nothing more to be said about this aspect

2. The size is the same as our original size, but we didn't have a loss in size to make up for.. so I can't speak on the titan helping with size if you had a big loss before getting the implant!! Maybe the rigicon is better for this, but a lot of implanters say the ams lgx(which is like the size increase in rigicon) is just all gimmick and does nothing for you, but some men on franktalk have said its helped them,so I don't know about that..

3. Natural feel
Most definitely for me, the titan flaccid doesn't feel or look very natural, I have dog ears and when 100% of the liquid is out of the cylinders and there's very little blood in its not very natural... they say the ams is far more natural, so maybe the rigicon would be too

4. Rigicon, ams, titan
The ams already has an implant that increases in size and has(supposedly) a more natural feel to it... but Titan seems to be the choice of a lot of high volume implanters particularly for younger men

5. Warranty
This is a big one to think about, because I got my titan 12 years ago I have a life time warranty, I don't know what it is now, my friend that got his titan in Germany last year told me he has no warranty at all, I've heard of different countries having a 10 year warranty.
Now because the rigicon is new, it has a life time warranty.. which if you get it and you like it.. at least it's covered for life!!!

6. Old/new
There has been improvements since both ams and titans inception, so it's not fair to think of them as them been the same as when they were first brought out...
Also as liverpool said they are tried and tested where as the Rigicon hasn't been....

So If I was in your shoes I wouldn't know either...
Maybe a seriously high volume implanter and the rigicon would be a great option..

But again pure biased at this stage... Ralph is a implanter elite, tried and tested for what, probably 40 years, and the titan,although not perfect, but I doubt any implant is, is tried and tested also, very high satisfaction rates and survival rates... some studies say nearly 76/78% at 10 years

I wonder are there any men on here that switched from a titan or ams to a rigicon? They could advise you a bit better maybe!!

Well that's really the two questions I think.

1.Which NHS departments and surgeons in the UK offer Rigicons.

2. Who has had both Rigicon's and Titans and what is their feedback.

I think the natural flaccid feel is enough to sway me to opting for high volume surgeon with a Rigicon....

Sucks though that id miss out on Ralph because of that.