Revision

The final frontier. Deciding when, if and how.
LMCatman
Posts: 1019
Joined: Wed May 08, 2013 11:11 am
Location: South Florida, USA

Re: Revision

Postby LMCatman » Fri Nov 04, 2016 6:01 pm

mine slips out occasionally...could be the angle, could be 'cause it's small. I find controlling the girl allows me to "stay in better"*. I hate it when I'm on the "home stretch" and it slips out. Better than pre-implant, when it wouldn't "slip in".

*my best orgasms are generally "cowgirl". If the girl bends forward to kiss me, I'll come out. I'll usually keep my arms fairly stiff and my hands just at the bottom of her boobs. Some girls I hold almost by the throat, so really, by about the shoulders.

Practice, practice, practice....)))) and...good luck.....
73 Years old. RP Oct 2010, No erections after, Botched Titan implant April, 2013, Successful Titan revision, April , 2014 by Dr. Paul Perito, Miami. Titan failure Feb 2017. Rev. by Dr Perito March 1st, 2017. Titan failure Nov 2020. New Titan January 2021

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: Revision

Postby merrix » Mon Nov 07, 2016 5:06 am

Guys, for whatever my knowledge is worth, here it is:

All implants have a non-inflatable part in each end of the implant, meaning in the tips and in the rear end.
RTEs (Rear Tip Extenders) are non-inflatable as well.
The perfect implant would have 100% inflatable length. This is however not possible with today's knowledge/technology/materials/design.
So all implants have a non inflatable part in both ends.
One reason more inflatable length is better is because it does not provide force 100% of the time against the surrounding tissue. An inflatable implant is a deflatable implant. (Same problem as with semi-rigid implants. Because they are constantly pressing agains the tissue, there is higher frequency of erosion and of the implant eventually not fitting tight to the cavernosa walls anymore, reducing erection quality).
When adding RTEs in the back, a longer part of the crus will be constantly stretched. Something that is constantly stretched will inevitable get larger as time goes by, and the fit will become looser than it originally was.

That is why more RTEs will over time cause poor (-er) erection angle and some degree of hinge effect, as in a penis with a hard shaft but which can be bent at the base. Think of a stick taped on a wall. The stick itself is hard (as a stick...) but it can be swung back and forth, up and down where it is taped to the wall.
The best implants are the ones with the highest proportion of the implant being inflatable (and hence deflatable). Today, the implants with highest proportion being inflatable is the Titan XL models (i.e. the 24cm, 26 cm, and 28 cm models which are the longest cylinders available). Of course, a longer implant will always have a higher inflatable-to-fixed ratio, since the fixed parts in the ends will remain constant in length, but the longer the implant the longer the inflatable part.
Adding RTEs will of course always decrease the inflatable part and increase the fixed, non-inflatable part. And besides, just because a Titan 28 cm implant has the highest proportion of inflatable length, we cannot all choose to have it. If our dicks can only take a 16 cm implant, then there is no room for anything else...

My doc told me this was the main reason he preferred Titans. They can be implanted without RTEs and still provide good pump placement because the tubing from pump to cylinders are effectively longer. If using no RTEs with an AMS, the pump will in many male anatomies end up too high, and there will be a trade-off between erection quality (no RTEs) and good pump placement (use of RTEs).
He also told me he made many revisions on guys who had (long) RTEs and initially were very pleased with their implants angle and rigidity, but after a few years were not so pleased.

Another reason some (less experienced) docs like to use long RTEs is because it makes the surgery easier. The longer the fixed part is in the rear end, the easier it is to place the implant all the way back in the crus.

My two cents.
Good luck to all.
And to those about to get an implant, learn as much you can, make an informed decision.
Last edited by merrix on Mon Nov 07, 2016 7:18 am, edited 3 times in total.
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

jonbaldbg
Posts: 658
Joined: Mon Aug 08, 2016 9:26 am
Location: Kentucky

Re: Revision

Postby jonbaldbg » Mon Nov 07, 2016 6:48 am

merrix wrote:Guys, for whatever my knowledge is worth, here it is:

nflatable part.
Adding RTEs will of course always decrease the inflatable part and increase the fixed, non-inflatable part.

My doc told me this was the main reason he preferred Titans. They can be implanted without RTEs and still provide good pump placement because the tubing from pump to cylinders are longer. If using no RTEs with an AMS, the pump will in many male anatomies end up too high, and there will be a trade-off between erection quality (no RTEs) and good pump placement (use of RTEs).
He also told me he made many revisions on guys who had (long) RTEs and initially were very pleased with their implants angle and rigidity, but after a few years were not so pleased.


Thanks for all this good detail Merrix. This confirms what my doctor told me and is very helpful. My pump hangs a little high and to the left and he checked it and said it was fine. I can reach both the pump and the deflate button. When I asked laterr in an email, he responded that it was a judgment call during surgery. He chose a longer implant (LGX) than adding RTEs because I'd have a stronger column and more axial rigidity. I am glad he made that call. I do not want something that will get looser as time goes on.
62 years old. ED for years. High BP and meds have done me in. AMS 700 CX /3.0 cm RTE Implanted by Andrew Kramer on 10/12/16. Involved revision to relocate tubes and pump performed 12/29/16 by Dr. Knoll of Nashville, TN.

Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
Contact:

Re: Revision

Postby Donnie1954 » Mon Nov 07, 2016 8:44 am

I have 5.5cm RTE's and a good straight stiff (no hinge) 7X5 inch dick and a pump low between my balls. Total deflation and no auto fill. :D I hope it stays that way for a long time~ ;)
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
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