I finally got my medical records for my surgery. The doc installed an 18 cm cylinder. The record mentions nothing about rear tip extenders.
Are RTE's always used, or no?
Are RTE's always used with Titans?
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Re: Are RTE's always used with Titans?
DonBecker54 wrote:I finally got my medical records for my surgery. The doc installed an 18 cm cylinder. The record mentions nothing about rear tip extenders.
Are RTE's always used, or no?
No, they are not.
KMeister
Re: Are RTE's always used with Titans?
DonBecker54 wrote:I finally got my medical records for my surgery. The doc installed an 18 cm cylinder. The record mentions nothing about rear tip extenders.
Are RTE's always used, or no?
No they are not always used. The debate is on here on RTEs.
I think the common understanding is that they are firstly used for dicks which requires an implant of a length in between two of the existing cylinder lengths. In theory, this means they should be used less often with Titan than AMS, since Titan implants come in 2 cm increments and AMS implants in 3 cm increments.
Also, one usage of RTEs is fixing issues where one side requires longer length than the others.
I have had long talks with Eid, and his ideas about RTEs are:
Avoid them if possible, since they will to some (varying) degree reduce the quality of the erection over the years. It will get more wobbly (loose at the base).
They are mostly used to make it easier for the surgeon to insert the implant, and to get the tips at the right position in the glans. Getting a perfect insertion of the implant and perfect sizing without using RTEs require more surgeon skill than when using RTEs.
He also claims that in most cases they are required with an AMS implant to get the pump down to a low position in the sack (due to the relatively short tubing of the AMS versus Titan).
He also had a very technical discussion on how a bigger proportion of the implant being inflatable is better for several reasons. Obviously, the more RTE length that is added, the lower the inflatable part. If I remember right, the longer Titans, (22 cm and up) are the implants on the market today which have the highest proportion of inflatable length, and Eid thought they often gave the best results.
He also said he was working together with Coloplast in developing the next generation of implants which he suggested should have an even larger inflatable proportion than today's implants, since even a Titan without any usage of RTEs will have parts both in the rear end and in the tip which are not inflatable, but solid.
In my case, I have no RTEs. He inserted 22 cm Titan without RTE first.
Thought there was room for more and inserted 1.5 cm RTE.
It worked well, and there was possibly room for even more.
So he removed the 22 cm plus RTEs and scrapped them, then inserted a 24 cm Titan without RTE.
I have of course no idea what my result would have been with RTEs, but my erection right now is for sure hard beyond anything normal, and it is very much less wobbly (or flexible in the base) than a normal erection. Almost to the point where I wish there was a bit more flexibility in the base.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon
Re: Are RTE's always used with Titans?
Hi Merrix,
In terms of hardness beyond normal, can you just pump/inflate less so that it feels like a normal erection/hardness?
I have of course no idea what my result would have been with RTEs, but my erection right now is for sure hard beyond anything normal, and it is very much less wobbly (or flexible in the base) than a normal erection. Almost to the point where I wish there was a bit more flexibility in the base.
In terms of hardness beyond normal, can you just pump/inflate less so that it feels like a normal erection/hardness?
Re: Are RTE's always used with Titans?
tarzee27 wrote:Hi Merrix,I have of course no idea what my result would have been with RTEs, but my erection right now is for sure hard beyond anything normal, and it is very much less wobbly (or flexible in the base) than a normal erection. Almost to the point where I wish there was a bit more flexibility in the base.
In terms of hardness beyond normal, can you just pump/inflate less so that it feels like a normal erection/hardness?
Yes, I can choose whatever hardness I prefer. I actually very seldom pump full hardness when having sex, It just feels better when its hardness is similar to a normal erection.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon
Re: Are RTE's always used with Titans?
Good discussion. I can only speak from experience. Dr. Eid used 22cm and added a 1 cm RTE to the right. I had a vey slight curvature (not much), so maybe he just felt for best result he's add a RTE. Result was great. I am one year post op. That's my story.
Archway 64 years old married 43 yrs
Venous Leak 15 + years Tried everything to no avail
2/2015 Titan 22cm RT 1cm R RTE
Dr Eid NY NY
Venous Leak 15 + years Tried everything to no avail
2/2015 Titan 22cm RT 1cm R RTE
Dr Eid NY NY
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- Posts: 117
- Joined: Fri Dec 20, 2013 1:48 pm
Re: Are RTE's always used with Titans?
I can only go by my own experience. I have a Titan. The doctor told me that he installed a 26CM implant with a 1CM RTE on each side. It is my understanding that the Titan is made in even numbered sizes. The RTE allows the surgeon to install a odd numbered length. In my case it was 27cm.
Total ED since a 6/2010 RPA. Pills and injections didn't work. 2nd revision with a Coloplast Titan (24CM w & 2CM RTEs)on 12/15/2022. 68 years old
Re: Are RTE's always used with Titans?
Eid told me weeks back that tip extenders are necessary on AMS to avoid fit issues of tubing and the pump though some try to install without anyway but no tip extenders give a much better result with the Coloplast brand. Yours is Coloplast.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.
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