Chronicle #2: AMS replaced with Titan to gain girth

[splitpeach]

I spoke to Prof Ralph about TEP. I have a slight congenital curvature. He said TEP would just worsen the Curvature.

[2435tjklAS]

How so? He states that some men will gain girth, so it is not limited by the tunica.

And the Dr. Hakky video explains it much better when he refers to the implant as being "like a scaffold" and describes easy ways (for him) to expand the tunica itself.

Right, Hakky does say that unless the cylinders are contracted doing a TEP won't do anything and do he would recommend filler instead. If the cylinders are fully expanded the TEP technique won't do anything is what he said.

I have a much different interpretation about what Dr. Hakky was trying to say there.

I spoke to Prof Ralph about TEP. I have a slight congenital curvature. He said TEP would just worsen the Curvature.

I was first going to say google results disagree and I know many of you probably think this is fake, but ChatGBT is pretty damn reliable I promise. And it just explained why Prof Ralph seems to be right with your implant, but the answer can be much different with a Titan.

Would having an Infla10 implanted and you have a downward curve, is it possible that a tunica expansion procedure could worsen the curvature?

ChatGBT:

Yes, if you have a downward curvature and undergo a tunica expansion procedure (TEP) after getting an Infla10 implant, there's a risk the curvature could worsen. Here’s why:

Weakened Tunica Structure – A TEP involves making multiple incisions in the tunica albuginea, reducing its structural integrity. If the tunica is already weaker on the underside due to congenital curvature, the expansion could exaggerate the bend when the implant cylinders fill.

Asymmetrical Healing – If the incisions don’t heal uniformly, scar tissue or fibrosis could form unevenly, pulling the implant downward even more over time.

Implant Pressure & Expansion – The Infla10 cylinders expand both lengthwise and girthwise, and if the tunica is unevenly expanded due to TEP, the implant may press more forcefully on one side, reinforcing the downward curve.

Possible Solutions:
Surgeon Modification – A skilled surgeon could counteract the curve by modifying the expansion technique or using modeling during the implant placement.
Additional Support (Grafting or Plication) – If the curvature is severe, some surgeons might suggest grafting or plication techniques to balance out the tunica after TEP.
If maintaining or correcting curvature is a concern, you might want to discuss alternative options with a specialist in implant & reconstructive penile surgery before proceeding with TEP.

Is the same likely to happen if you instead had a Titan classic?
Answer: Yes it's possible, but Titan is much different and a skilled surgeon can solve it.

ChatGBT:

Yes, the same risk applies if you have a Titan Classic instead of an Infla10, and you undergo a tunica expansion procedure (TEP) while having a downward congenital curvature. However, there are some differences to consider:

Why the Risk is Similar:
Tunica Weakening – Like with the Infla10, a TEP alters the structural integrity of the tunica albuginea. If the tunica is already weaker on the underside due to curvature, the expansion could exaggerate the downward bend.
Uneven Expansion – If the tunica doesn't expand symmetrically, the implant could apply more pressure to the weaker side, making the curve worse.
Fibrosis & Healing Issues – Scar tissue could form unevenly, which could lock in or worsen the curvature over time.
Titan Classic-Specific Considerations:
More Rigid Cylinders – The Titan Classic has stiffer, girthier cylinders than the Infla10. This could be a double-edged sword:
Pro: The added rigidity might resist some worsening curvature.
Con: If the curvature is severe and the tunica isn’t evenly expanded, the stiffness could make the curve feel more pronounced when inflated.
Length Expansion – The Titan Classic doesn't expand in length as much as the Infla10, meaning the downward curve might not get as exaggerated during inflation, but it could still be an issue.
What to Consider:
If your curve is mild, a skilled surgeon could implant the Titan Classic in a way that minimizes the risk of worsening curvature.
If your curve is moderate to severe, you may need additional surgical techniques, such as grafting, plication, or modeling, to counteract the potential worsening from TEP.
Bottom Line:
Yes, a Titan Classic + TEP could also worsen a congenital downward curve, but the severity depends on individual factors like tunica flexibility, healing, and implant positioning. It’s best to discuss your case with a highly experienced implant surgeon before making a final decision.

Anyone mind if I ask robots for answers to these questions? I mean, it's always your doctor first but this is certainly good information for people to learn.

[splitpeach]

And the Dr. Hakky video explains it much better when he refers to the implant as being "like a scaffold" and describes easy ways (for him) to expand the tunica itself.

Right, Hakky does say that unless the cylinders are contracted doing a TEP won't do anything and do he would recommend filler instead. If the cylinders are fully expanded the TEP technique won't do anything is what he said.

I have a much different interpretation about what Dr. Hakky was trying to say there.

I spoke to Prof Ralph about TEP. I have a slight congenital curvature. He said TEP would just worsen the Curvature.

I was first going to say google results disagree and I know many of you probably think this is fake, but ChatGBT is pretty damn reliable I promise. And it just explained why Prof Ralph seems to be right with your implant, but the answer can be much different with a Titan.

Would having an Infla10 implanted and you have a downward curve, is it possible that a tunica expansion procedure could worsen the curvature?

ChatGBT:

Yes, if you have a downward curvature and undergo a tunica expansion procedure (TEP) after getting an Infla10 implant, there's a risk the curvature could worsen. Here’s why:

Weakened Tunica Structure – A TEP involves making multiple incisions in the tunica albuginea, reducing its structural integrity. If the tunica is already weaker on the underside due to congenital curvature, the expansion could exaggerate the bend when the implant cylinders fill.

Asymmetrical Healing – If the incisions don’t heal uniformly, scar tissue or fibrosis could form unevenly, pulling the implant downward even more over time.

Implant Pressure & Expansion – The Infla10 cylinders expand both lengthwise and girthwise, and if the tunica is unevenly expanded due to TEP, the implant may press more forcefully on one side, reinforcing the downward curve.

Possible Solutions:
Surgeon Modification – A skilled surgeon could counteract the curve by modifying the expansion technique or using modeling during the implant placement.
Additional Support (Grafting or Plication) – If the curvature is severe, some surgeons might suggest grafting or plication techniques to balance out the tunica after TEP.
If maintaining or correcting curvature is a concern, you might want to discuss alternative options with a specialist in implant & reconstructive penile surgery before proceeding with TEP.

Is the same likely to happen if you instead had a Titan classic?
Answer: Yes it's possible, but Titan is much different and a skilled surgeon can solve it.

ChatGBT:

Yes, the same risk applies if you have a Titan Classic instead of an Infla10, and you undergo a tunica expansion procedure (TEP) while having a downward congenital curvature. However, there are some differences to consider:

Why the Risk is Similar:
Tunica Weakening – Like with the Infla10, a TEP alters the structural integrity of the tunica albuginea. If the tunica is already weaker on the underside due to curvature, the expansion could exaggerate the downward bend.
Uneven Expansion – If the tunica doesn't expand symmetrically, the implant could apply more pressure to the weaker side, making the curve worse.
Fibrosis & Healing Issues – Scar tissue could form unevenly, which could lock in or worsen the curvature over time.
Titan Classic-Specific Considerations:
More Rigid Cylinders – The Titan Classic has stiffer, girthier cylinders than the Infla10. This could be a double-edged sword:
Pro: The added rigidity might resist some worsening curvature.
Con: If the curvature is severe and the tunica isn’t evenly expanded, the stiffness could make the curve feel more pronounced when inflated.
Length Expansion – The Titan Classic doesn't expand in length as much as the Infla10, meaning the downward curve might not get as exaggerated during inflation, but it could still be an issue.
What to Consider:
If your curve is mild, a skilled surgeon could implant the Titan Classic in a way that minimizes the risk of worsening curvature.
If your curve is moderate to severe, you may need additional surgical techniques, such as grafting, plication, or modeling, to counteract the potential worsening from TEP.
Bottom Line:
Yes, a Titan Classic + TEP could also worsen a congenital downward curve, but the severity depends on individual factors like tunica flexibility, healing, and implant positioning. It’s best to discuss your case with a highly experienced implant surgeon before making a final decision.

Anyone mind if I ask robots for answers to these questions? I mean, it's always your doctor first but this is certainly good information for people to learn.

I can't believe how advanced AI already is... Look at the complexity of those queries... That's crazy.

However, the responses referenced the Infla10 as being expanding in length. This isn't accurate. The Infla10 only expands in girth like the Titan. It's the Infla10 AX that expands in both length and girth.

Son how much weight should we give AI accuracy...?

[2435tjklAS]

Son how much weight should we give AI accuracy...?

I'm not positive but I would first ask if you're positive that the Infla10 is truly incapable of that. Secondly, it's still a robot and it might not have known the distinction between those two almost identically named devices. Doesn't mean it's wrong, but does mean we do still need to do some of the work ourself. At least for now.

[fucked0ne]

Actually I never had the CX. I did learn long after the fact that it would have preserved my girth of 5.75."

So, to clarify, the CX has greater girth expansion capabilities than the LGX?

[2435tjklAS]

Actually I never had the CX. I did learn long after the fact that it would have preserved my girth of 5.75."

So, to clarify, the CX has greater girth expansion capabilities than the LGX?

Leaving that to Gt1956. For girth expansion and LGX (yes I'm citing an advertisement, but one that also cites real science) there's evidence of a baseline girth increase of 2cm. Note the LGX can't seem to be larger than 5.5" girth so keep that in mind.

[Discovernew]

Hey! i see you changed your implant in January, want to ask you how you are feeling now with the Titan, can you compare the pros and cons now vs the LGX you had before? as you are one of the few people who actually had both.

[Alex258]

Hey! i see you changed your implant in January, want to ask you how you are feeling now with the Titan, can you compare the pros and cons now vs the LGX you had before? as you are one of the few people who actually had both.

I'm hoping he answers you cause I'd like to hear about it too. I see you have a journal attached to your message. I'll check it out. I'm over 2 years Coloplast Titan with nice growth both L and G. How's yours doing?

[2435tjklAS]

Hey! i see you changed your implant in January, want to ask you how you are feeling now with the Titan, can you compare the pros and cons now vs the LGX you had before? as you are one of the few people who actually had both.

Not much I can think to say right now. I most certainly understand complaints about the Titan dog ears. I don't particularly care but I can see how most men would worry that it looks very not natural and less attractive. It's probably like that for a reason? But I need to say I haven't found any fundamental differences between the devices and doubt I will. They're both good implants that do what they're supposed to do.

I'm hoping he answers you cause I'd like to hear about it too. I see you have a journal attached to your message. I'll check it out. I'm over 2 years Coloplast Titan with nice growth both L and G. How's yours doing?

Size I haven't paid much attention to yet. I was supposed to cycle after a week and it took me almost a month. I wasn't particularly in a rush because I waited longer on my LGX and didn't have any problems, but what was stopping me here was I could not figure out how to deflate it. It would take like an hour of too much force until it finally releases, often right when I really needed to get going. And then it's sore the next day and I'm discouraged to try again. Finally I discover the trick is using my non-dominant left hand instead of my right, which I still can't get to work for some reason. I was considering going to the ER at some point and hoping someone is there who can show me how. Girth is the same so far, the lower 5.5" size the LGX dropped me to, which worries me if it'll suddenly expand and be larger. We'll see.

[Discovernew]

Hey! i see you changed your implant in January, want to ask you how you are feeling now with the Titan, can you compare the pros and cons now vs the LGX you had before? as you are one of the few people who actually had both.

Not much I can think to say right now. I most certainly understand complaints about the Titan dog ears. I don't particularly care but I can see how most men would worry that it looks very not natural and less attractive. It's probably like that for a reason? But I need to say I haven't found any fundamental differences between the devices and doubt I will. They're both good implants that do what they're supposed to do.

I'm hoping he answers you cause I'd like to hear about it too. I see you have a journal attached to your message. I'll check it out. I'm over 2 years Coloplast Titan with nice growth both L and G. How's yours doing?

Size I haven't paid much attention to yet. I was supposed to cycle after a week and it took me almost a month. I wasn't particularly in a rush because I waited longer on my LGX and didn't have any problems, but what was stopping me here was I could not figure out how to deflate it. It would take like an hour of too much force until it finally releases, often right when I really needed to get going. And then it's sore the next day and I'm discouraged to try again. Finally I discover the trick is using my non-dominant left hand instead of my right, which I still can't get to work for some reason. I was considering going to the ER at some point and hoping someone is there who can show me how. Girth is the same so far, the lower 5.5" size the LGX dropped me to, which worries me if it'll suddenly expand and be larger. We'll see.

Thanks for the update. Whenever you manage to inflate, i want to ask you about rigidity as well. It is often said that LGX has less rigidity compared to coloplast, i wonder if you personally feel it, and if it does make any difference when it comes to having sex.