FrankTalk.org

There seems to be a lot of stigma on the forum against RTE's, but there are still a lot of high-volume implanters that use them. At least this study seems to show that there could be some benefit beyond instances where using them are necessary:

Biomechanical Comparison of Inflatable Penile Implants: A Cadaveric Pilot Study
Jared J. Wallen, MD, Enrique V. Barrera, PhD, Liehui Ge, PhD, Alexander W. Pastuszak, MD, Rafael E. Carrion, MD, Paul E. Perito, MD, and Tariq S. Hakky, MD

"We also observed that for all implants, increasing the total length of RTEs (1cm, 1.5cm, to 2cm) resulted in the phallus tolerating a higher maximum column load before significant deformation. This RTE-enhanced biomechanical performance will be seen in our other tests as well."

"Horizontal Stiffness via Modified Cantilever Deflection - Modified cantilever deflection is an assessment of quality of erection where a load is applied to bend the penis supported by only 1 pivot point. Figure1C shows how the horizontal stiffness via modified cantilever deflection was tested using the CX, LGX, and Titan implant cylinders...All devices appear to perform better on this test with physiological inflation versus LTMI and also with increasing RTE size."

"Furthermore, we observed that all of the IPPs appear to have greater maximum loads as RTE length increases (in this study, up to 2cm). This is contrary to expert opinion; these new data suggest that increasing the length of RTEs may improve a patient’s ability to penetrate because a lack of RTEs on IPPs was associated with increased pressures resisting similar forces. This will have to be further studied to confirm what exactly the relationship is between RTEs and IPP performance.

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I think you are missing another part of this. I read a document for surgeons to follow from AMS about the surgery and measuring was part of this. In that document it had different ways to measure and one used little or no RTE's and the other a larger number of RTE's. The information was reference the dilation of the crus. The RTE's are narrower than the inflated cylinders. The document stated if the Crus could not be dilated to a certain amount then RTE's are added to move the junction of the tubing to the cylinder out to the incision in the Tunica where the cylinders are inserted. If the space in the Crus permits then little or no RTE/s are used. Some doctors just use more RTE's and have the junction of the tubbing and cylinders at the incision in the Tunica in every surgery they do. The problem with this is like putting a 3/8" rod in a 1/2" hole. As the RTE's do not inflate to fill the larger area. With little or no RTS's the junction and part of the tubbing is inside the crus and when inflated the part of the cylinder that id inside the Crus expands and results in better support,

I would not say RTE's are bad as they are needed to fill the gaps in the size of the available cylinders. And for men with a narrow Crus. That being said there are cases where it is best to reduce or even do away with RTE's for more support of the device in the Crus.

I am living proof that there is life after receiving 5 cm of RTEs. As my signature admits, I’ve got 23 cm of LGX in a 18+5 configuration.

Why? I don’t know. I was totally happy with my surgeon and his staff. I got answers to every arcane question imaginable. Except for that one: why 18+5 instead of 21+2?

The PA in the clinic, when I asked him specifically, told me “thats just the way the Doc wanted to do you. He had all the equipment in the OR to do anything he wanted. He thought this would work best.”

The Doc tap danced around and I never got a really good answer. I couldn’t really tell if he preferred the 18 cm LGX over the 21 cm version or what.

The proof is in the pudding. Pics are in members only DOTD p.99. I’ve got an erection angle to kill for…close to 45 degrees or between 1 and 2 o’clock. December will make 4 years of trouble free operation with the absolute best erections of my life.

Stability and strength have never been an issue at all.

So while some say avoid RTEs I will tell you that if it takes RTEs to get my result again when I have to have a new one installed, by all means bring them on.

Bingo Newby and Tx
My dr said he would use an Ams 18 over the 21 as it is known to be low failure vs the 21. And rtes also use used to adjust where the connection tubes go in, we have all seen guys here that have buldges on there dicks form poorly placed implants/ tube connections.
And o yes my erection angel is 2:30 w rtes. They are a tool to get it right.