CX Vs LGX AMS Viewpoint

[Larry10625]

Today had my appt with Boston Scientific tech Nelson. Gave me 15 1/2 pumps no problem my tips hurt for the first time in months. Great! I had the angle wrong, kinked the hoses. And my death grip on them also kinked them. Now all is well.
I asked him straight up why Doc would choose the CX over the LGX? He said "Scarring". I asked the same question from different angles twice more. Scarring. Now I don't ever call BS right? (You don't know me very well) So I said explain to me exactly how the CX is better for scarring since they (LGX and CX) are exactly the same girth 12mm and the same hardness? He got that look, blushed and said. Well there is no difference really it's just that Doctors don't trust the LGX because it expands. I said That's exactly why you need it for scarring because guys like me who scar have also shrunk. Yeah but they were trained that over sizing causes distal erosion. (Here we go, practicing 30 year old medicine for products that no longer exist) We both know that's impossible it takes many years for the LGX to expand at all so unless you have uneven tip pressure that's not a problem. The CX would do just as much damage. I know, he said, despite the many studies these guys just won't change. I said, I had excessive scarring. He asked, What did Saracino say? He sent the AMS RN to beg me to use the CX just before I went under. Hell no, LGX or no surgery!" Nelson has had to beg surgeons to use the LGX on severely scarred patients who have lost length. Oh well.
So here is the ONLY difference between LGX and CX. In a year when you have finally stretched back out to your pre flaccid stretch length the LGX tips will keep applying pressure and the CX will not. But both are just a hard when fully inflated. Nelson confirmed that most patients never had sex fully inflated so never get the growth benefits of LGX anyway. He suggested that I not fully inflate either until my cystoscope did not need to for sex. I told him I already figured that out and had no need to do so.
Very informative discussion. It is the CXR that comes in 9.5 mm girth and is very hard for penetrating and opening scar tissue.

OK everyone... I just got off the phone with Jamie. Yes, the MATERIAL for both the LGX and the CX are the same BUT.. woven differently. Both the CX and LGX start at 12mm and both have the ability to stretch to 18mm DIAMETER. Now, as for length, the CX will stretch to the length of the cylinders but because of the way it's woven, the LGX has the ability to stretch 20 to 25% longer than the cylinders. I really hope this helps. Nelson was not wrong he just didn't realize just how detailed he needed his answer to be. Sometimes I think that these people forget that we do a LOT OF RESEARCH and highly educate ourselves. Have a great day everyone.

Larry

[Larry10625]

I really do not want to dissuade anyone considering an implant from making that miracle choice. Just do it wisely. Twice before my implant I told Jamie that there were surgeons out there who did not follow AMS recommendations. No reply. In tears I asked for help finding a good Doc and told her of my latest experience with Dr Sarat. I told him about an Italian length preserving study done on a Doctor and he replied Well I'm not Italian then proceeds to tell me that he doesn't care what my length is now that if he decides I'll be 4 1/2" that's what I'll be. Then he brags about having just shortened a guy by 2". And he said the guy was upset as if that were bizarre. Jamie said he's just tempering your expectations. But had the guy cut me down to 4 1/2" she would have supported his decision even though the guy I went with only took half an inch actual and one inch potential. Twice the AMS rep dissuaded me from going to Kramer in favor of the guy who butchered me.
Larry sorry this is so long I know you get tired of reading me over and over. Some time ago I gave really stupid advice to contact your prosthesis rep and have them help you choose the best surgeon. FT is forever has an excellent find function. I don't want that worst ever advice on there. Could you please find that thread and delete it? Thank you.
It has been my experience that the AMS RNs are most interested in keeping patients happy with what they ended up with and not in giving them the best Doctor for the job. Had a patient complained to Jamie that he had his heart set on the CX and woke up with an LGX she would have supported the uro and found an advantage that fit the guys choice.
This tech on the other hand was a straight shooter. He was strictly AMS science and not the smoke and mirrors that surgeons hide behind. He told me that the 3 top surgeons in Florida and the only ones qualified to do my graphs were Perido, Carrion and Brady. But that Brady only used Titans so no help there. I almost went to see him it was a toss up between Sarat or Brady. He also told me that Kata was exclusively infra-pubic and that the only reason he went scrotal on me was because it was only to move my pump. So had I agreed to let him replace it all and would have if I could had lost more days from work then SURPRISE!!! I would have awaken with yet another scar on my abdomen and a much more difficult healing.
You guys who are looking for the right implant doc do your due diligence first. You will never regret it. And pay no attention to the OZ RN rep behind the curtain.

For the record on company reps.When I was first considering an implant I contacted the ED cure and Coloplast web sights. When I spoke to the AMS rep she wanted to come to meet me and tell me all the wonderful things about her product. I told her I was contacting Coloplast also her response was we are the best. When I asked questions to the Coloplast rep he told me that there were several doctors in my area and a center for excellence Dr. in Boston I asked him about Dr. Eid in NY city his response was he has a very good reputation but he's not in my area but if that is who you chose you will be happy you did.I also talked to the AMS rep her story was there are doctors right next door to you I asked about her recommendations she told me of several unknown local guys and one female doctor I asked her about Dr. Eid she acted as though she had never heard of him. A few weeks later she called me back and offered to get together and tell me about the AMS products I told her I had made my choice of Doctors and I would let him choose the product she asked me who? I told her Dr. Eid and then she said well I wish you luck. I never heard from her again.
I'm extremely happy with my choice Dr. Eid met all of my expectations and delivered everything he said he would I was cycling in three days and using it in three weeks. When I read about guys here that are up to six weeks before they start to cycle I wonder what is such a big deal or are these surgeons so uninformed or are they just not interested in the patients. Why can one doctor have you activated and cycling in three days and others can't were is the magic?
Dave

Hey Dave... when I was talking to Dr. Eid he told me that his preference was the Coloplast. Maybe the AMS people know that. Not that that is a good excuse but just insight. They told me that they were the best too but I took it one step further and asked why they thought that and they explained the material, the weaving, the engineering of the pump and the antibacterial coating.

Larry

[Larry10625]

I really do not want to dissuade anyone considering an implant from making that miracle choice. Just do it wisely. Twice before my implant I told Jamie that there were surgeons out there who did not follow AMS recommendations. No reply. In tears I asked for help finding a good Doc and told her of my latest experience with Dr Sarat. I told him about an Italian length preserving study done on a Doctor and he replied Well I'm not Italian then proceeds to tell me that he doesn't care what my length is now that if he decides I'll be 4 1/2" that's what I'll be. Then he brags about having just shortened a guy by 2". And he said the guy was upset as if that were bizarre. Jamie said he's just tempering your expectations. But had the guy cut me down to 4 1/2" she would have supported his decision even though the guy I went with only took half an inch actual and one inch potential. Twice the AMS rep dissuaded me from going to Kramer in favor of the guy who butchered me.
Larry sorry this is so long I know you get tired of reading me over and over. Some time ago I gave really stupid advice to contact your prosthesis rep and have them help you choose the best surgeon. FT is forever has an excellent find function. I don't want that worst ever advice on there. Could you please find that thread and delete it? Thank you.
It has been my experience that the AMS RNs are most interested in keeping patients happy with what they ended up with and not in giving them the best Doctor for the job. Had a patient complained to Jamie that he had his heart set on the CX and woke up with an LGX she would have supported the uro and found an advantage that fit the guys choice.
This tech on the other hand was a straight shooter. He was strictly AMS science and not the smoke and mirrors that surgeons hide behind. He told me that the 3 top surgeons in Florida and the only ones qualified to do my graphs were Perido, Carrion and Brady. But that Brady only used Titans so no help there. I almost went to see him it was a toss up between Sarat or Brady. He also told me that Kata was exclusively infra-pubic and that the only reason he went scrotal on me was because it was only to move my pump. So had I agreed to let him replace it all and would have if I could had lost more days from work then SURPRISE!!! I would have awaken with yet another scar on my abdomen and a much more difficult healing.
You guys who are looking for the right implant doc do your due diligence first. You will never regret it. And pay no attention to the OZ RN rep behind the curtain.

I never get tired of reading posts from members... without posts, we wouldn't have a forum type web site.

The AMS RN's and Reps are only going off of complaints. Considering they get complaints about all doctors, it's pretty challenging to choose.

Larry

[Dave52]

I really do not want to dissuade anyone considering an implant from making that miracle choice. Just do it wisely. Twice before my implant I told Jamie that there were surgeons out there who did not follow AMS recommendations. No reply. In tears I asked for help finding a good Doc and told her of my latest experience with Dr Sarat. I told him about an Italian length preserving study done on a Doctor and he replied Well I'm not Italian then proceeds to tell me that he doesn't care what my length is now that if he decides I'll be 4 1/2" that's what I'll be. Then he brags about having just shortened a guy by 2". And he said the guy was upset as if that were bizarre. Jamie said he's just tempering your expectations. But had the guy cut me down to 4 1/2" she would have supported his decision even though the guy I went with only took half an inch actual and one inch potential. Twice the AMS rep dissuaded me from going to Kramer in favor of the guy who butchered me.
Larry sorry this is so long I know you get tired of reading me over and over. Some time ago I gave really stupid advice to contact your prosthesis rep and have them help you choose the best surgeon. FT is forever has an excellent find function. I don't want that worst ever advice on there. Could you please find that thread and delete it? Thank you.
It has been my experience that the AMS RNs are most interested in keeping patients happy with what they ended up with and not in giving them the best Doctor for the job. Had a patient complained to Jamie that he had his heart set on the CX and woke up with an LGX she would have supported the uro and found an advantage that fit the guys choice.
This tech on the other hand was a straight shooter. He was strictly AMS science and not the smoke and mirrors that surgeons hide behind. He told me that the 3 top surgeons in Florida and the only ones qualified to do my graphs were Perido, Carrion and Brady. But that Brady only used Titans so no help there. I almost went to see him it was a toss up between Sarat or Brady. He also told me that Kata was exclusively infra-pubic and that the only reason he went scrotal on me was because it was only to move my pump. So had I agreed to let him replace it all and would have if I could had lost more days from work then SURPRISE!!! I would have awaken with yet another scar on my abdomen and a much more difficult healing.
You guys who are looking for the right implant doc do your due diligence first. You will never regret it. And pay no attention to the OZ RN rep behind the curtain.

For the record on company reps.When I was first considering an implant I contacted the ED cure and Coloplast web sights. When I spoke to the AMS rep she wanted to come to meet me and tell me all the wonderful things about her product. I told her I was contacting Coloplast also her response was we are the best. When I asked questions to the Coloplast rep he told me that there were several doctors in my area and a center for excellence Dr. in Boston I asked him about Dr. Eid in NY city his response was he has a very good reputation but he's not in my area but if that is who you chose you will be happy you did.I also talked to the AMS rep her story was there are doctors right next door to you I asked about her recommendations she told me of several unknown local guys and one female doctor I asked her about Dr. Eid she acted as though she had never heard of him. A few weeks later she called me back and offered to get together and tell me about the AMS products I told her I had made my choice of Doctors and I would let him choose the product she asked me who? I told her Dr. Eid and then she said well I wish you luck. I never heard from her again.
I'm extremely happy with my choice Dr. Eid met all of my expectations and delivered everything he said he would I was cycling in three days and using it in three weeks. When I read about guys here that are up to six weeks before they start to cycle I wonder what is such a big deal or are these surgeons so uninformed or are they just not interested in the patients. Why can one doctor have you activated and cycling in three days and others can't were is the magic?
Dave

Hey Dave... when I was talking to Dr. Eid he told me that his preference was the Coloplast. Maybe the AMS people know that. Not that that is a good excuse but just insight. They told me that they were the best too but I took it one step further and asked why they thought that and they explained the material, the weaving, the engineering of the pump and the antibacterial coating.

Larry

I ask the same questions and when I spoke with Dr Eid he asked me which product I wanted him to put in. He told me that I could make the choice and that they were both very good. After my exam he told me that because of my large girth he thought that the Titan with the bigger cylinders would most likely be the best fit but he also said that once he dilated the corpa. He would know for sure. I told him to do the best job he could with what he had to work with. After the surgery he said that there were two reasons that he went with the Titan the most important was that I measured out at 21 cm and if he used the AMS he would have had to use 3 cm of RTE's instead o 1 and along with the girth would have left with a less rigid erection and I would not be as happy with it. I truly believe he was looking out for my best interest and i'm very pleased with the outcome.
Dave

[Larry10625]

For the record on company reps.When I was first considering an implant I contacted the ED cure and Coloplast web sights. When I spoke to the AMS rep she wanted to come to meet me and tell me all the wonderful things about her product. I told her I was contacting Coloplast also her response was we are the best. When I asked questions to the Coloplast rep he told me that there were several doctors in my area and a center for excellence Dr. in Boston I asked him about Dr. Eid in NY city his response was he has a very good reputation but he's not in my area but if that is who you chose you will be happy you did.I also talked to the AMS rep her story was there are doctors right next door to you I asked about her recommendations she told me of several unknown local guys and one female doctor I asked her about Dr. Eid she acted as though she had never heard of him. A few weeks later she called me back and offered to get together and tell me about the AMS products I told her I had made my choice of Doctors and I would let him choose the product she asked me who? I told her Dr. Eid and then she said well I wish you luck. I never heard from her again.
I'm extremely happy with my choice Dr. Eid met all of my expectations and delivered everything he said he would I was cycling in three days and using it in three weeks. When I read about guys here that are up to six weeks before they start to cycle I wonder what is such a big deal or are these surgeons so uninformed or are they just not interested in the patients. Why can one doctor have you activated and cycling in three days and others can't were is the magic?
Dave

Hey Dave... when I was talking to Dr. Eid he told me that his preference was the Coloplast. Maybe the AMS people know that. Not that that is a good excuse but just insight. They told me that they were the best too but I took it one step further and asked why they thought that and they explained the material, the weaving, the engineering of the pump and the antibacterial coating.

Larry

I ask the same questions and when I spoke with Dr Eid he asked me which product I wanted him to put in. He told me that I could make the choice and that they were both very good. After my exam he told me that because of my large girth he thought that the Titan with the bigger cylinders would most likely be the best fit but he also said that once he dilated the corpa. He would know for sure. I told him to do the best job he could with what he had to work with. After the surgery he said that there were two reasons that he went with the Titan the most important was that I measured out at 21 cm and if he used the AMS he would have had to use 3 cm of RTE's instead o 1 and along with the girth would have left with a less rigid erection and I would not be as happy with it. I truly believe he was looking out for my best interest and i'm very pleased with the outcome.
Dave

Yup, no doubt in my mind. Although I only spoke with him for 45 minutes or so, he seems like a very concerned, conscientious patient advocate.

Larry

[DougAnd]

I apologize for being such an arse. Still mad that Jamie said she could not help me. My problem was actually caused by the product not being offered in 1 mm increments. So I'm left to solve something that I am not qualified to do.
I'm actually happy that I have the softest implant on the market. Gives me hope that I might be able to straighten out the tips. Right now I am pumped to 6.5" and the tips are screaming. Going to work 100% pumped. Wish me luck that I don't start bleeding again.

[TomW46]

Dr. Kramer did my first implant. I subsequently met face to face with Dr. Eid, Dr. Perito, Dr. Kata and Dr. Martz (local uro). My revision was done by Dr. Carrion (recommended by Kramer) who was also local for me (Tampa - Univ of South Florida). Carrion did a great job. IMO, he's as good as it gets. I've had my LGX for six months now. I cycle 1.5 hrs twice a day and have now stretched a measly .5 cm. I lost about 1.5 inches in length compared to my pre-ED days. I would sure like to see that 20% stretch potential which would get me back to within half an inch of my original.