Titan OTR Premature Failure

The final frontier. Deciding when, if and how.
charlesr
Posts: 397
Joined: Wed Jun 24, 2015 11:28 pm

Re: Titan OTR Premature Failure

Postby charlesr » Sun Aug 21, 2016 6:24 pm

That's what I'm going to do!
Born 1951. Radical Robotic Prostatectomy on October 6, 2013. Bionic with Titan Touch with Bioflex Zero Degree 18cm w/ (1) rte Implant, Infrapubic, on July 13, 2015.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Titan OTR Premature Failure

Postby Lost Sheep » Sun Aug 21, 2016 6:56 pm

maxxxxx wrote:I've this from december 2015 never problem... The same as merrix' pump .. I found info about , coloplast Uses it from october - november 2013 ... And i think this video can be very helpful for titan owners here

http://coloplastmd.com/videos/innovatio ... r-engineer

After wathcing the video (the first time I have ever seen a drawing of the inside of the pump and valve assembly), I have to wonder what engineering genius thought it wise to use such a complex mechanism just to "simplify " operation. Or was it a marketing genius?

A much simpler way to achieve inflation, deflation and lockout would be a double ended version of their same valve that would NOT depend on squeezing the pump bulb to move the valve to the inflate position. Press one side to set the valve to the inflate position and press the other side to set to the deflate/lockout position. Fewer moving parts, less chance of jamming or failure.

Knowing the one side from the other side puts a little more more onus on the user, but makes for a much more reliable and easier to operate mechanism.

Lost Sheep

Edit: or the valve body could be on the side of the pump bulb and a rocker switch used to choose inflate or deflate
Last edited by Lost Sheep on Sun Aug 21, 2016 10:59 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Titan OTR Premature Failure

Postby Lost Sheep » Sun Aug 21, 2016 6:58 pm

Accidental double post
Last edited by Lost Sheep on Sun Aug 21, 2016 10:57 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

PFracture

Re: Titan OTR Premature Failure

Postby PFracture » Sun Aug 21, 2016 9:10 pm

I saved the video to my computer, just in case they take it down.

charlesr
Posts: 397
Joined: Wed Jun 24, 2015 11:28 pm

Re: Titan OTR Premature Failure

Postby charlesr » Sun Aug 21, 2016 10:21 pm

How did you save the video? I was trying to figure out how to do that.
Born 1951. Radical Robotic Prostatectomy on October 6, 2013. Bionic with Titan Touch with Bioflex Zero Degree 18cm w/ (1) rte Implant, Infrapubic, on July 13, 2015.

joedee
Posts: 3
Joined: Fri Aug 19, 2016 6:54 pm

Re: Titan OTR Premature Failure

Postby joedee » Mon Aug 22, 2016 9:11 pm

Thanks Charles. Panic over then I'll wait for Wednesday and see if they can do that. Tried it myself but it just won't budge and was a bit scared I might pop it or something :-0 Will report back soon.

joedee
Posts: 3
Joined: Fri Aug 19, 2016 6:54 pm

Re: Titan OTR Premature Failure

Postby joedee » Mon Aug 22, 2016 9:27 pm

Got more confidence after reading your post and tried to do it with both hands and managed to squeeze the pump so hard it gave and I heard it unblock. It's now working again-thanks for that!
Still got the floppy head syndrome going on so guessing a revision is in the cards one day anyway but that'll save me having to have an op in the immediate future ;-)

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

Re: Titan OTR Premature Failure

Postby merrix » Wed Aug 31, 2016 2:18 am

OK, since someone sent me a PM asking for my opinion on the contents of this thread, I'll share it.
First of all, this thread is exactly one of the reasons I rarely read or post anything anymore on FT. Why?
Well not because the thread is lacking quality. On the contrary. This is the type of thread people with issues related to their implants, as well as people thinking of an implant, can learn something from. And that's great.

But for someone (like me) with a well-functioning implant, someone who is just happy to have gotten rid of his ED and just happily fucking away while trying to forget the implant is even there and just wanting to feel normal, reading these sort of threads just reminds one about the fact that I do actually have a plastic prosthesis in my dick. And it can, and eventually (hopefully later than sooner though) will fail.
Hence, even though I have learned a lot here, and hopefully as my experience and knowledge accumulated during my journey, shared some knowledge as well, I simply just want to get on with my life and enjoy without worries. One day the day will come when it goes south and there will be a revision needed. But till that day, I just want to enjoy. Free of worries.

But, since I am here, I might as well give my opinion on the theme of the thread.
Those of you who have read my posts in the past (and that is a lot of posts...) know that I am a numbers/facts guy. I like to try the best to base opinions, recommendations and actions on facts. One guy telling FT that that his dick shrunk 2 inches with Implant X by Doc Y doesn't mean shit. The guy can be making it up, there might be other issues he is not mentioning, or it can simply be that the implant and the doc are both the best on the market but random variation just showed its ugly face in his case.

So what if there are more than one guy coming with the same reported issue? Well of course, three guys reporting the same thing means more than one. But we must know that we’re just a limited number of fishes in one little pond actually posting here. There are hundreds of thousands of bionic guys out there. And it could well just be the case of one guy posting a rare fluke issue, and the other two in the whole world with the same rare fluke issue see the post and decides to jump in with a random post to confirm they sure do have the same issue. And then we all of a sudden subjectively think that ‘everyone’ seems to have this issue. But actually that is far from the truth.

But – I sure always respect the good old saying of ‘no smoke without fire’. And I sure acknowledge the fact that two guys in this post claim one of the most respected IPP surgeons in the world says that the Titan Touch is rubbish. If these statements are true (which we still don’t know since this is just an anonymous internet forum where people can write any rubbish without a trace of truth if they want) then I sure think it is fair to say that it is rather likely that the Titan Touch does have reliability issues.

But what benefit is it to me to read it? The Titan Touch sits where it sits. In my scrotum. And it’ll stay there till the time it fails and I’ll need a revision. Till then I just want to enjoy without worries. Because there is nothing I can do to change the fact that (if it is true) the Titan Touch has reliability issues.

Well maybe there is. Some of you may remember this reasoning from a previous post of mine. I think it is fair to say we all can agree that the length of life of any mechanical device is depending on a combination of frequency and intensity of usage as well as simple aging.
Let us assume the implant manufacturers are right when they say that an implant should last about 10 years with moderate usage, as in 2 times per week.
Looking only at the usage, that would be like saying that it lasts for 10*52*2 inflations (and deflations). That means 1040 times.
If we inflate 10 times per week, this means we get 1040/10 weeks = 104 weeks, i.e. two years’ length of life instead. Quite a remarkable difference. Now I am not saying that this the simple truth. As said, length of life will depend not only on number of inflations. It will be pure time elapsed, how hard/long/soft/creative the sex sessions are, how active we are and how much stress our daily life exposes the implant to. Bike riding, general activity level, etc. And probably how well the implant/pump was inserted/positioned by our surgeons as well.
But I think it is fair to say that the number one factor deciding length of life will be how often it is used.

Hence we must find the right balance between the advantages (feel and possibly size) and disadvantage (more frequent revisions) of frequent inflation.
What I mean with 'feel' is that for me it simply feels better when I inflate rather frequently. If I don’t inflate for a couple of days, I simply feel the implant is stretching more and feels a tiny bit uncomfortable when inflating next time.
In terms of size, I have actually gained length from 16-16.5 cm erect length before surgery to 17.5 cm today. My girth has remained unchanged.
I have had the implant for 8.5 months and I estimate that I do on average inflate it 10 times per week, including the 2-4 times per week when I actually use it for sex.

So what if I really think about this? Let us say I have these two options:
Option 1:
Keep pumping 10 times per week, keep gaining size for another year, ending up at 18.5 cm before the size plateaus. Getting 3 years out of the implant before the (shitty?) Titan Touch gives up and I need a revision.
Option 2:
Reduce the pumping to when I use it for sex (or masturbation) and making sure that I at least pump it 2 times per week to do something to avoid atrophy even during times of no sex (which hopefully never will happen), and get no further size increase. Maybe even a tiny little reduction from today’s 17.5 back to 17.0. But – by doing this getting 8 years out of the (shitty?) Titan Touch instead of 3.

What would I choose? Fucking easy question answer. Option 2 seven times per week and twice on Sundays. Without any doubt.

And finally, for whatever it is worth (and I think it is worth a lot), here is what Dr. Eid had to say about the frequency of pumping:
“In the beginning, cycle the implant daily or twice daily for a few weeks or as long as you need to get rid of the stretching and pain when inflating. After that period, if you are using the implant twice per week, there is no additional benefit to inflate more often. It will to some extent negatively impact the length of life though.”

I seriously think my lesson learned from this thread, and the thinking required to write my post in the debate, is that I will reduce the frequency of pumping.
Postponing a revision is worth a hundred times more to me than a shitty quarter or half inch of size.

Adios friends…
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

Charlie999
Posts: 90
Joined: Sun Apr 27, 2014 3:49 pm

Re: Titan OTR Premature Failure

Postby Charlie999 » Thu Sep 01, 2016 10:27 pm

I had a Titan implant in July of 14. It died with a flat bulb 3weeks ago. According to surgical notes, 60 ml was loaded in. Don't have any idea what happened. This appears to be a fairly common problem. As I understand it, this will most probably result in a complete replacement. Have appt with dr Brady in Orlando next month. Will report back to forum with final results asap in hopes of helping someone else. Really disappointing.
85 married 36 yrs. implanted by Dr. Paul Perito June 14. Complete revision by Dr. Ralphael Carrion May 17 because of leaking Coloplast.

jimp444
Posts: 9
Joined: Wed Apr 20, 2016 6:12 am

Re: Titan OTR Premature Failure

Postby jimp444 » Mon Sep 05, 2016 9:02 am

Had a Coloplast Titan implanted by Dr. Garber in April 2016. As I read the post-op surgical notes, I saw that a Coloplast Titan with Genesis pump had been used. When I met with the doc on a follow up exam I asked why he didnt use an OTR Touch pump. He replied that in his opinion those pumps had become problematical and often failed, so he isn't using them any longer. While I was disappointed at first as the OTR Touch seemed simpler to use, I am very glad that my surgeon was aware there could be a failure and so avoided using the OTR Touch model with it's potential problems.
Another good reason (IMO) for seeking out a volume surgeon who specializes in implants.
64 yr old living in Southeastern, PA. ED for the past 10 yrs. Bionic on April 25. Coloplast Titan OTR.


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