Titan / AMS decision, considerations..

[2435tjklAS]

Gt1956, no further thoughts or info about my last reply? From what I've seen and heard I have good reasons for believing AMS 700 LGX does have a maximum girth of about 5.5", but the CX can maintain at least half an inch more if not even more than that.
This seems like really important information for men choosing between Titans and AMS, as well as choosing between LGX and CX, so more reliable information would be appreciated

I don't have a LGX. I don't think I've ever given info that implies that I do. I stand by my signature line which says a 21cm CX with no RTE's. I've had 6" girth since just before my 3 month exam. Maybe it was at 6 weeks. I can't remember which date it was. Like many men, your anatomy may give you different results. I'm sure that you have read Rodsman's posts.

My belief is simple, stating that aTitan will get you more girth everytime is false. A better indicator is your historical girth. Which in my case was 6", pehaps a very slight more. My CX delivered my historical girth. I'm happy & don't see any reason to question my results. I really doubt that a Titan would of given me more girth. I think the tunica limits both brands.

Sure, not really what my earlier comment was about though. I'm talking about maintaining girth between the AMS 700 LGX and the CX, which I did state was clearly yours. The LGX seems to have a maximum girth of 5.5" based on my experience and that of others while your experience with your CX doesn't have that issue. I know nothing about Titans.

[Gt1956]

Gt1956, no further thoughts or info about my last reply? From what I've seen and heard I have good reasons for believing AMS 700 LGX does have a maximum girth of about 5.5", but the CX can maintain at least half an inch more if not even more than that.
This seems like really important information for men choosing between Titans and AMS, as well as choosing between LGX and CX, so more reliable information would be appreciated

I don't have a LGX. I don't think I've ever given info that implies that I do. I stand by my signature line which says a 21cm CX with no RTE's. I've had 6" girth since just before my 3 month exam. Maybe it was at 6 weeks. I can't remember which date it was. Like many men, your anatomy may give you different results. I'm sure that you have read Rodsman's posts.

My belief is simple, stating that aTitan will get you more girth everytime is false. A better indicator is your historical girth. Which in my case was 6", pehaps a very slight more. My CX delivered my historical girth. I'm happy & don't see any reason to question my results. I really doubt that a Titan would of given me more girth. I think the tunica limits both brands.

Sure, not really what my earlier comment was about though. I'm talking about maintaining girth between the AMS 700 LGX and the CX, which I did state was clearly yours. The LGX seems to have a maximum girth of 5.5" based on my experience and that of others while your experience with your CX doesn't have that issue. I know nothing about Titans.

Honestly, I fail to see a girth vs brand problem. If your historical girth was 5" what does it matter if a LGX tops out at 5.5"? Lots of men have a 5" girth in their signature line. An LGX has them covered perfectly with room to spare. Obsessing over huge girth isn't healthy for your mind. At what point is too much girth a thing. Some women struggle for the first few minutes at 6" girth.

I think Dr Kramer got this started. In his YouTube videos he frequently mentioned how girthy the Titans were. Now him & most of his videos are gone from YouTube. It leads me to believe he was PAID to hype Titans. His comments sold a lot of Titans. I see several recently implanted men by him have Boston Scientific implants not Titans.

[2435tjklAS]

I don't have a LGX. I don't think I've ever given info that implies that I do. I stand by my signature line which says a 21cm CX with no RTE's. I've had 6" girth since just before my 3 month exam. Maybe it was at 6 weeks. I can't remember which date it was. Like many men, your anatomy may give you different results. I'm sure that you have read Rodsman's posts.

My belief is simple, stating that aTitan will get you more girth everytime is false. A better indicator is your historical girth. Which in my case was 6", pehaps a very slight more. My CX delivered my historical girth. I'm happy & don't see any reason to question my results. I really doubt that a Titan would of given me more girth. I think the tunica limits both brands.

Sure, not really what my earlier comment was about though. I'm talking about maintaining girth between the AMS 700 LGX and the CX, which I did state was clearly yours. The LGX seems to have a maximum girth of 5.5" based on my experience and that of others while your experience with your CX doesn't have that issue. I know nothing about Titans.

Honestly, I fail to see a girth vs brand problem. If your historical girth was 5" what does it matter if a LGX tops out at 5.5"? Lots of men have a 5" girth in their signature line. An LGX has them covered perfectly with room to spare. Obsessing over huge girth isn't healthy for your mind. At what point is too much girth a thing. Some women struggle for the first few minutes at 6" girth.

I think Dr Kramer got this started. In his YouTube videos he frequently mentioned how girthy the Titans were. Now him & most of his videos are gone from YouTube. It leads me to believe he was PAID to hype Titans. His comments sold a lot of Titans. I see several recently implanted men by him have Boston Scientific implants not Titans.

I’m not sure why we seem to be on slightly different pages on this topic (though I can speculate why, which I’ll get to later). While girth may not specifically be a brand issue, it’s undeniably a device issues for selecting the right one for you. The fact that the AMS 700 LGX tops out at 5.5” girth is highly relevant because, for men with a larger girth, they will lose size. Why would they care? Simply put—size matters. It always has, and it always will. Women might tell you enough times that “SizE dOEsN’T MaTTer!” you start believing it, but it doesn’t change tens of thousands of years of evolutionary biology that prove it.

The LGX's ability to expand both length and girth makes it appealing for those seeking size increases. However, for someone with a natural girth of 5.6”+, the device reducing it to 5.5” is a crucial consideration. Knowing your exact length and girth before choosing an implant is vital, and even if men are obsessively extreme about it, let Dr. Alex Comfort explain it in his seminal book, The Joy of Sex (1972):

“Preoccupation with the size of their genitals is as built-in biologically to men (it is a 'dominance signal', like a deer's antlers) as sensitivity about their breasts and figure is to women. That, however, is its only importance. The 'average' penis is about 6 inches overall when erect and about 3 1/2 inches round, but penises come in all sizes - larger ones are spectacular but no more effective except as visual stimuli. Smaller ones work equally well in most positions. Accordingly, excessive preoccupation with size is an irrational anxiety, on which quacks batten one can't increase it, any more than one can increase stature. Girls should learn not to comment on it except favorably, for fear of creating a lasting hang-up - men should learn not to give it a second thought. The few cases where male genitalia are really infantile go with major gland disturbances and are treatable but rare."
(Dr. Comfort, pg. 56)

The takeaway is clear: men care about size—it’s deeply ingrained, even if it’s not always rational. Choosing an implant that either maintains or increases your size is desirable, while losing size is undesirable. The differing effects of implants on size are key pieces of information every man should have before making a choice.

To address your point that too big of a size can be a problem, it's not because the vagina is incredibly elastic and can accommodate to basically anything with enough time. While a girth of 6.5” may be painful and uncomfortable initially, by the 50th encounter, it’s significantly less so. Importantly, this adaptability doesn’t result in the bullshit "looseness" argument unaware idiots made in high school about frequent sex causing women to become more loose. If you go on a work vacation for a month, the vaginas will revert to its original size and you'll start at square one when you return.

I think part of our misalignment stems from your original point that it bothers you how people mistakenly believe the Titan naturally increases girth but it actually does not. That’s a valid perspective and I never disagreed. However, it doesn’t address the fact that the LGX might increase size for some men but would decrease girth for others over 5.5". In your case, the CX avoids this limitation, which is excellent, but the LGX wouldn’t have been as favorable for you given its constraints. Greater girth than 5.5" now becomes a choice between CX, Titan, or any others I don't know about it, while men of different sizes want to choose different devices based on their specific interests.

To conveniently source this that these facts are correct here is confirmed because today I happened to have my first consult appointment with Dr. Hakky to discuss the tunica expansion procedure (TEP). We talked about girth and devices. He told me flat out that my surgeon was wrong to give me an LGX. He held up the cylinders from mine on our left with the Titan on the right:



This LGX is significantly thinner than Titan. If you want more girth, first what Gt1956 says is probably correct - the Titan is bigger but it won't naturally increase girth sizes. But depending on your size, the LGX might decrease it while CX or Titan might not. That fact helps you choose wisely.

[sambalamba]

The takeaway is clear: men care about size—it’s deeply ingrained, even if it’s not always rational. Choosing an implant that either maintains or increases your size is desirable, while losing size is undesirable. The differing effects of implants on size are key pieces of information every man should have before making a choice.

To address your point that too big of a size can be a problem, it's not because the vagina is incredibly elastic and can accommodate to basically anything with enough time. While a girth of 6.5” may be painful and uncomfortable initially, by the 50th encounter, it’s significantly less so. Importantly, this adaptability doesn’t result in the bullshit "looseness" argument unaware idiots made in high school about frequent sex causing women to become more loose. If you go on a work vacation for a month, the vaginas will revert to its original size and you'll start at square one when you return.

I think part of our misalignment stems from your original point that it bothers you how people mistakenly believe the Titan naturally increases girth but it actually does not. That’s a valid perspective and I never disagreed. However, it doesn’t address the fact that the LGX might increase size for some men but would decrease girth for others over 5.5". In your case, the CX avoids this limitation, which is excellent, but the LGX wouldn’t have been as favorable for you given its constraints. Greater girth than 5.5" now becomes a choice between CX, Titan, or any others I don't know about it, while men of different sizes want to choose different devices based on their specific interests.

To conveniently source this that these facts are correct here is confirmed because today I happened to have my first consult appointment with Dr. Hakky to discuss the tunica expansion procedure (TEP). We talked about girth and devices. He told me flat out that my surgeon was wrong to give me an LGX. He held up the cylinders from mine on our left with the Titan on the right:

This LGX is significantly thinner than Titan. If you want more girth, first what Gt1956 says is probably correct - the Titan is bigger but it won't naturally increase girth sizes. But depending on your size, the LGX might decrease it while CX or Titan might not. That fact helps you choose wisely.

Are you thinking of switching from an LGX to a TItan? Also what is a tunica expansion procedure and why would it be needed?

[Jage64]

hahaha, that picture is a joke. Have you ever seen the pictures of the guys holding up the fish they caught or the deer they shot and using forced perspective in a photo to make it look MUCH bigger? That's what's going on here. The Titan is in the foreground by quite a bit, look at his hands. Not only that, but the AMS implant is not inflated, see how it's pinched in his finger, yet the TItan is fully inflated. The AMS will be much more comfortable in a flaccid state and LOOK like a natural penis, the Titan will not.

Seems Dr. Hakky isn't been entirely forthcoming here, and that's worrisome. Flat out misinformation.

Watch this:

https://youtu.be/vMyIOsHJoUs?t=615

[2435tjklAS]

Are you thinking of switching from an LGX to a TItan? Also what is a tunica expansion procedure and why would it be needed?

I initially planned to stay with LGX and have Dr. Hakky give me a new one while also doing the TEP. He had compelling reasons that first I need a classic Titan to get me back to my natural girth, then a TEP 6 months later for a safer procedure and one with better results (CX is an option, and he'll be examining me to find out).

The tunica expansion procedure (TEP) is a way for men with implants to increase their girth and length. I need it because I lost girth with the LGX and I want it back, plus more, because I am a man. A simple google can find you a plethora of reliable medical studies about it being safe and effective. Here's a brief explanation of it and the link to the source proving it works,

Overall, the TEP strategy is based on recovery of tissue by expansion instead of substitution, which allows penile enlargement to the limit of the dissected NVB [neurovascular bundle]. The multiple, small (5–8 mm in length), staggered incisions (spaced 2–3 mm apart) positioned on the TA [tunica albuginea] in a meshed pattern promote length and girth enlargement in the TEP strategy (11).

https://pmc.ncbi.nlm.nih.gov/articles/PMC11074682/

hahaha, that picture is a joke. Have you ever seen the pictures of the guys holding up the fish they caught or the deer they shot and using forced perspective in a photo to make it look MUCH bigger? That's what's going on here. The Titan is in the foreground by quite a bit, look at his hands. Not only that, but the AMS implant is not inflated, see how it's pinched in his finger, yet the TItan is fully inflated. The AMS will be much more comfortable in a flaccid state and LOOK like a natural penis, the Titan will not.

Seems Dr. Hakky isn't been entirely forthcoming here, and that's worrisome. Flat out misinformation.

Watch this:

https://youtu.be/vMyIOsHJoUs?t=615

Well first, the Titan being in the foreground was simply a result of me choosing there to take a screenshot. Before that they were side by side. interestingly you do seem to be correct about the rest, but there is still a difference.



And you can't deny that since the LGX is proven to drop larger girths down to 5.5", men don't really care much about the exact sizes of the cylinders, because one works to maintain larger girths and one does not.

About this,

Seems Dr. Hakky isn't been entirely forthcoming here, and that's worrisome. Flat out misinformation

.
Doctors also work to sell things, and if some exaggerations convince his patients what devices work for them, I'm not too bothered by that reality. I understand it as him trying to support his claims that my urologist was wrong to give me the AMS 700 LGX, and given it made me lose girth, I think Hakky is right.

[sambalamba]

Are you thinking of switching from an LGX to a TItan? Also what is a tunica expansion procedure and why would it be needed?

I initially planned to stay with LGX and have Dr. Hakky give me a new one while also doing the TEP. He had compelling reasons that first I need a classic Titan to get me back to my natural girth, then a TEP 6 months later for a safer procedure and one with better results (CX is an option, and he'll be examining me to find out).

The tunica expansion procedure (TEP) is a way for men with implants to increase their girth and length. I need it because I lost girth with the LGX and I want it back, plus more, because I am a man. A simple google can find you a plethora of reliable medical studies about it being safe and effective. Here's a brief explanation of it and the link to the source proving it works,

Overall, the TEP strategy is based on recovery of tissue by expansion instead of substitution, which allows penile enlargement to the limit of the dissected NVB. The multiple, small (5–8 mm in length), staggered incisions (spaced 2–3 mm apart) positioned on the TA [tunica albuginea] in a meshed pattern promote length and girth enlargement in the TEP strategy (11).

https://pmc.ncbi.nlm.nih.gov/articles/PMC11074682/

hahaha, that picture is a joke. Have you ever seen the pictures of the guys holding up the fish they caught or the deer they shot and using forced perspective in a photo to make it look MUCH bigger? That's what's going on here. The Titan is in the foreground by quite a bit, look at his hands. Not only that, but the AMS implant is not inflated, see how it's pinched in his finger, yet the TItan is fully inflated. The AMS will be much more comfortable in a flaccid state and LOOK like a natural penis, the Titan will not.

Seems Dr. Hakky isn't been entirely forthcoming here, and that's worrisome. Flat out misinformation.

Watch this:

https://youtu.be/vMyIOsHJoUs?t=615

Well first, the Titan being in the foreground was simply a result of me choosing there to take a screenshot. Before that they were side by side. interestingly you do seem to be correct about the rest, but there is still a difference.



And you can't deny that since the LGX is proven to drop larger girths down to 5.5", men don't really care much about the exact sizes of the cylinders, because one works to maintain larger girths and one does not.

Thanks for the info. Are you sure he showed you an AMS CX and not a CXR. When I visited his office he showed me a AMS CXR as he said he didn't have the AMS CX. The pic looks awfully similar to what he showed me. But nonetheless it was very clear to me that Hakky is a Titan guy through and through.

[2435tjklAS]

Thanks for the info. Are you sure he showed you an AMS CX and not a CXR. When I visited his office he showed me a AMS CXR as he said he didn't have the AMS CX. The pic looks awfully similar to what he showed me. But nonetheless it was very clear to me that Hakky is a Titan guy through and through.

Hah, fast reply and I didn't get time to finish editing in my thoughts on the bottom of my last comment about why Hakky didn't do anything wrong, but all good.

He told me it's the AMS 700 LGX on our left and the Titan on our right. As far as I know that's true, and he never mentioned the CXR (this is also my first time hearing about that one. Assuming it's either new or I should spend more time here. )

If anyone really cares I did record this consult. I live in a one-party consent state and I checked to see Atlanta is also one. And I'm a dude with a brain injury so he would've let me record if I asked since I can't remember shit. Plus tbh Dr. Hakky is freaking awesome, lol. He's an expert and if you can afford it he can give you whatever you want. The video would be an advertisement for him, but I don't especially want to share my private convo with everyone, so PM me if it's important to you.

[Gt1956]

2435tjklAS, I'm not sure how I keep getting dragged into justifying an LGX. But for clarity, I maintain its a very tough job to increase past your historical girth. So if your historical girth is around 5.5 girth? The LGX should be acceptable. My historical girth was 6" plus a very small amount. My CX delivers close enough that I'm not concerned about a very minor loss. For the record. Despite claims that men are evolved to worry about penis size. I never measure for most of my adult life.

Now, for what a vagina can pass. That is not revelent to sex. Her body spends 9 months prepping her body with a load of hormones to facilitate a birth. Even the bones in her pelvis get softer to allow her pelvis to spread. We were married young. At the ripe old age of 15. My wife delivered a 7lb 14oz baby faster that I could get her signed into the hospital. 3 1/2 years later she had twins that in total weighed 11 pounds plus 2 complete placentas. All 3 were fast deliveries.

Now for my comment about getting used to my girth. Over 50+ years of marriage. She'd pause at the start of sex to wiggle her hips inorder to get adjusted to my girth. After 50+ years of sex, she always did that. Her vagina never permantly stretched to make that accommodation.

[Jage64]

[But nonetheless it was very clear to me that Hakky is a Titan guy through and through.

Another reason it's important (in my opinion) to consult with a doctor that offers both Coloplast and Boston Scientific, and INSTALLS both products. One size does not fit all, but if you go to a Ford dealer you're going to hear how Chevy sucks, and vice-versa. Each implant has it's pros and cons, and if you aren't well aware of those pros and cons, then you can't make an informed decision. You must be your own advocate. For heaven's sake, it's your sex life we're talking about here....is there anything more important?

It's one thing for a surgeon to say "yeah, I can offer you either prothsesis, but why would you even want the other one?" That would lead me to believe that they don't want what's best for YOU, they want to plug in the implant they're used to and a company they have an agreement with.

The conversation should be "what kind of lifestyle do you lead, what's your sex life like, what are your goals in terms of an implant, what type of penis do you have now, what did you have before, do you have a bend that needs correcting, how bad is it, is flaccid state a big concern or not, what type of activities do you participate in, does your partner have any sort of preference that matters to you, what research have you done and which way are you leaning and why, etc. etc."

I have it on very good authority that the AMS implants cost quite a bit more to purchase than the Titan implants. From a surgeon's point of view, which of these will generate more income if they offer a flat rate fee?

If you don't think that money is a hugely motivating factor for high volume surgeons, then you need to watch the video wherein Dr. Perito states clearly that he is a fan of the infrapubic approach because he can do it quicker than penoscrotal and charge more patients in a day than otherwise. I think he bragged that he can do an infrapubic in 15 minutes and it takes closer to an hour doing a penoscrotal. Sounds like what may or may not be best for the patient is not a factor, $peed is.