Just implanted, RTE advice

[sswinsfba]

FWIW, I asked my doc pre-op (hypothetically) if he planned to use any RTEs.

In response, my doc said that problems only arise when RTEs exceed 2cm. He didn't say why but it was probably related to the hinge effect mentioned above. He only used a 1 cm RTE w/me.

[aussiePeyronies]

Hey mate, guess what? I think we're twins now.

I was implanted with Dr Love. Discussed that I didn't want RTEs also.

I ended up with 22cm + 3.5 RTE one side, 3 RTE the other.

He said he needed to use RTEs because of the pump placement and where the tubes are routed .

I have a very deep crus (over 4 inches...what a waste lol) and had he used the 24cm the tubes would have been too far to the back.

I'm a little disappointed too because (maybe wrong) I would've thought more Inflation toward the rear would be more stable and provide more feeling.

It works as it should so nothing can be done.

It just confuses me that he would say he prefers not to use RTEs, but then use RTEs.

[Bwtbbb]

The more RTEs, the more wobbly the erection over time.

https://www.youtube.com/watch?v=oGBMccEQERw

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559880/

[aussiePeyronies]

The more RTEs, the more wobbly the erection over time.

https://www.youtube.com/watch?v=oGBMccEQERw

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559880/

Interesting video, the 22cm with 4cm RTE was so wobbly, when he input the 26cm the erection was rigid. I am reallly hoping that does not happen to mine., but again, 4cm is quite excessive.

[aussiePeyronies]

I’m not sure where the “less RTEs is better” mantra came from.

I would not waste a moment worrying. You’ve got 24.5 cm of implant in there. You ought to get a great result.

I’m walking around with 23 cm total, 5 cm of that is RTE, I’ve got a great outcome and terrific angle and can not detect any issue at all. It’s like your doc said. They’re embedded way in the back, behind the pubic bone, and not in any way part of that portion of your dick that’s visible.

Don’t second guess your doc. It’ll be fine. Better than fine, most likely.

Hey, thanks for your message. I watched a video of Dr Eid removing a 22cm+4cm RTE implant with a 26cm implant, the 22+4RTE was signifcantly wobbly when erect. Do you have this issue? When he installed the 26cm, the erection was rigid and not wobbly at all.

I am worried about this occuring with my implant. How is your erection rigidity?

[oldbeek]

!5 cm with 5cm rte. No wobble at all. Hang a towel on it.

[newbie443]

Implanted one week ago, I asked my Doctor what size he gave me, and he said it was a 22cm Titan + 2.5cm RTTEs. I asked him why he didn't use the 24cm Titan and 0.5cm RTE as, he said himself in our initial consult that he prefers to use less RTEs. He said that, with the 24cm Titan, it would have caused complications for him putting in the pump? He told me that the RTEs are well placed in the rear, and that I would not feel them.

I was a bit disappointed as, from everything I have researched, the less RTEs the better.

Can anyone please advise on whether, using a 24cm Titan with 0.5cm RTE may have been better, or if having 2.5cm RTEs will cause any complications (dog ears, axial rigidity etc).

Thank you,
J

Dog ears happen when the early stiff cylinders bend. Take an empty paper towel cardboard hollow center and bend it. The tube flattens at the bend and there are sharp points on opposite sides. As the cylinders soften with use the dog ears will go away or greatly reduce. The stiffer the cylinders the greater risk of the problem. As far as RTE's it is considered best say some top doctors to use as little as possible. The doctor that did my first surgery and the well-known NY doctor listed above and there are others. The "main" reason for using RTE's is to bridge the gap between the available cylinder sizes. But it is not the only reason. If the proximal corpora cannot be dilated enough for the cylinder and tube from the pump to be inserted or if the doctor wants the location where the tubing from the pump attaches to the cylinder to be at the corporatomy, then RTE's are used.

When I first read OP I thought to myself the explanation given by the doctor was one that sounded like preconnected cylinders were used and the doctor did not want to splice. Not sure about Coloplast but AMS 700 cylinders come in pre-connected tubing and also in cut to fit tubing during surgery. My LGX was cut to fit. But Coloplast has more problems with tubing failures I can see why preconnected tubing would be used. It seems to me that a doctor that dose agree with the published data that less RTE's are better, would use them only for a real need. That need was stated by him as pump placement. The preconnected tubing was too short to use the longer cylinder. It would have resulted in a high pump that would have been very difficult to operate. The tubing could be cut and spliced like my doctor and other doctors do. But that doctor it seems did not want to do so and use the preconnected device. I did go to the web to view an implant surgery by that doctor and sure enough he was using a preconnected device. The RTE's were added so more tubing would exit the corpora and the pump would then be lower and easier to use.

Now for my take on RTE's. Yes less are better. Just like some doctors are better than others. Just like sometimes a doctor dose a better job than others. But not all of us can go to the best doctor. And even the really good doctors have a problem from time to time. No one is perfect even the best doctors. And some are better at different parts of this surgery than others. No need to be concerned about this now as it is already done. And you have not had any problems with it. Now is the time for the recovery process and to get this device up and working.

Best of luck to you.

[aussiePeyronies]

Implanted one week ago, I asked my Doctor what size he gave me, and he said it was a 22cm Titan + 2.5cm RTTEs. I asked him why he didn't use the 24cm Titan and 0.5cm RTE as, he said himself in our initial consult that he prefers to use less RTEs. He said that, with the 24cm Titan, it would have caused complications for him putting in the pump? He told me that the RTEs are well placed in the rear, and that I would not feel them.

I was a bit disappointed as, from everything I have researched, the less RTEs the better.

Can anyone please advise on whether, using a 24cm Titan with 0.5cm RTE may have been better, or if having 2.5cm RTEs will cause any complications (dog ears, axial rigidity etc).

Thank you,
J

Dog ears happen when the early stiff cylinders bend. Take an empty paper towel cardboard hollow center and bend it. The tube flattens at the bend and there are sharp points on opposite sides. As the cylinders soften with use the dog ears will go away or greatly reduce. The stiffer the cylinders the greater risk of the problem. As far as RTE's it is considered best say some top doctors to use as little as possible. The doctor that did my first surgery and the well-known NY doctor listed above and there are others. The "main" reason for using RTE's is to bridge the gap between the available cylinder sizes. But it is not the only reason. If the proximal corpora cannot be dilated enough for the cylinder and tube from the pump to be inserted or if the doctor wants the location where the tubing from the pump attaches to the cylinder to be at the corporatomy, then RTE's are used.

When I first read OP I thought to myself the explanation given by the doctor was one that sounded like preconnected cylinders were used and the doctor did not want to splice. Not sure about Coloplast but AMS 700 cylinders come in pre-connected tubing and also in cut to fit tubing during surgery. My LGX was cut to fit. But Coloplast has more problems with tubing failures I can see why preconnected tubing would be used. It seems to me that a doctor that dose agree with the published data that less RTE's are better, would use them only for a real need. That need was stated by him as pump placement. The preconnected tubing was too short to use the longer cylinder. It would have resulted in a high pump that would have been very difficult to operate. The tubing could be cut and spliced like my doctor and other doctors do. But that doctor it seems did not want to do so and use the preconnected device. I did go to the web to view an implant surgery by that doctor and sure enough he was using a preconnected device. The RTE's were added so more tubing would exit the corpora and the pump would then be lower and easier to use.

Now for my take on RTE's. Yes less are better. Just like some doctors are better than others. Just like sometimes a doctor dose a better job than others. But not all of us can go to the best doctor. And even the really good doctors have a problem from time to time. No one is perfect even the best doctors. And some are better at different parts of this surgery than others. No need to be concerned about this now as it is already done. And you have not had any problems with it. Now is the time for the recovery process and to get this device up and working.

Best of luck to you.

Thanks for this message, the way you explained it makes a lot of sense. I agree, I did go to a very well known surgeon, if he decided that it was of more benefit to use RTEs to achieve better pump placement, then this was probably the best option.

Have just read too many negative reviews about RTEs, but I guess, everyones situation is different.

Thanks again,
J