Needing answers about AMS implant.

[Iceman100250]

Got the AMS LGX implant done almost a year ago, but haven't seen any gain or even getting back to pre ED size, lost a 1 in length and inch in girth. Now I am just wanting to get back to normal not wanting or looking to gain 3 4 inches with the LGX, but thought I would atleast get back to pre ED days but still inch short all way around.

Now here is what was implanted the 700 LGX, 18cm with 2cm RTE w/ a 65ML reservoir, when I look on Boston Scientific break down it show when using 18CM to use the 100ML reservoir. Now with that being said and I do plan to call Boston Scientific in the next month. I have cycled off and on twice a day or once a day to the point I can't pump anymore getting roughly 10 to 15 pumps.

With that all I am getting I still have loose skin on shaft, like it not fully erect to the point of skin being tight from base to head. So I know there room for "growth" but still like cylinders are stiff.

Is it something that I am doing wrong or something not sized correctly?

Doc who did implant didn't mention anything about using a VED device before surgery and stressed after I asked NOT to use a VED after I read about it here on Frank Talk.

Trying to look into possibility of having another surgery with one of the docs mentioned here and seeing what they say. But want to get with Boston Scientific first. Just see if anyone has gone thru this or what possibly others may have found out if they themselves have dealt with what I am going thru.

Thanks

[Journeyman]

I was wondering who was your surgeon . As I was reading your post I was thinking that maybe you weren't sized correctly . I'm also wondering what your pre-surgery and post op measurements are . If you don't want to share that info , I understand.

[Iceman100250]

Surgeon was Terlecki, before was 5 1/2 x 5 now it 4 1/2 x 4. As far as being sized incorrectly I am wondering same thing but thought with the LGX being used that it would get back to normal. I am not looking like I said for huge gains on either just like to get back to normal and it been close to a year since surgery. I have emailed Boston Scientific to see if it something I might be doing wrong and if I am if there time for me to correct what ever I am doing wrong.

If not then what other option I may have to fix this. I am not greedy by no means just like to get back to pre op sizes.

Thanks for replying also.

[wolfpacker]

When guys here talk about "not losing size", they are referring to size immediately pre-implant vs post-implant. The "pre-ED days" are unfortunately long gone and the penis has potentially permanently atrophied in that time hope this gives some perspective

[Txagq8]

Disclaimer: I’m not a doctor. I don’t play one on TV. I don’t like to go to the doctor unless I really need to.

I do, however, have an 18 cm LGX with 65 ml reservoir just like you. Only difference I can tell is I have 5 cm of RTEs whereas you have 2 cm.

When I do implant math, I’m making a hell of a lot of assumptions. The first and most important assumption is how much of that implant is visible and how much of it is tucked back behind the public bone.

Guys vary. Typically, the visible amount ranges from 2/3 to 3/4. There are guys with a very deep crus and they’ll have less in front and more in back. On the other hand there are guys with a shallow crus and they show more of their implant. But right now we are talking typical.

First things first. You have 18+2 cm of implant. That’s 20 cm. 7.874 inches. So where is it?

If you figure 2/3 is visible, that’s 5.11 inches. That’s from the public bone to the end of the implant which hopefully is embedded in your glans. From the end of the implant to the absolute tip of the penis is probably another .4 or .5 inch. So you really ought to expect a Bone Pressed Erect Length (BPEL) of 5.5”.

If you have a shallow crus, and have less implant behind the pubic bone, a BPEL of as much as 6.2” with 20 cm of implant is not outside the realm.

I’ve been on this website for 4 yrs since shortly before I went bionic. I think it’s safe to say that the vast majority of guys I’ve talked to who received 20 cm of implant ended up between 5 1/2” and 6” when all was said and done.

Were you undersized? I have no clue. But you can tell. Pump yourself up as much as you can, as much as the device will go. Then gently palpate the underside of your glans trying to feel where the tips of the implant are. If they are in there within a cm or so of the absolute tip of your dick, they’re probably in the right place. If not, you need to go talk to your doctor.

My LGX did what it’s supposed to do. You’re not going to gain any size erect. But it ought to take you back very close to where you were when you started.

It’s a shame there’s no exact chart that says this much implant equals that much erect cock. Due to varying anatomies there just isn’t. There are some common sense rules of thumb, though, and I’ve shown them to you.

[2435tjklAS]

You would have been a lot more likely to regain and possibly gain more size if you used a VED, definitely before implant, and probably after too. Quite frankly I don't agree with your doctor and I think his perspective is outdated compared to current publications in scientific journals about modern implants. viewtopic.php?f=6&t=18561&p=169469#p169469

If you want to put in effort to get your size back, exercising will help you do exactly that - not only VEDs but Perito's THE exercise, cycling, and possibly other exercises over.

[Iceman100250]

Now to start with replying to Wolfpacker, the doc did mention the atrophied but giving using the LGX that could potentially expand I figured that would help getting back to before ED issues begin. But this why sort of looking for answers and which way to go with this. Thanks for replying.

Txagq8, Thanks for the break down. whether the reservoir is the right size that will help me get to or close to what I was that is fine. Your right I can't find a chart that tells what the end result should be, I try to cycle twice a day. I do get some pain which after reading some posts here that should be normal to which helps the stretching. Don't know how true but just trying to get back to before hell even when dealing with the ED due to diabetes I was still able to get to 5 and half but took work for sure but still was able to get there.

With you having the 65ML I am to assume there plenty of fluid to fill the cylinders. But that a guess of course. As for how much tucked or how much is noticeable, well if I do measure from up against the pubic bone I get 5 if measure up against skin getting about 4 3/4 so dont know what that means but that another half inch of say fat/skin before pubic bone.

I don't have a clue either about being undersized, maybe I misunderstood or misunderstanding the expectation of the LGX possiblity of expanding to normal size.

Should the skin be so loose though also? I figured it would get sort of tight instead of loose?

Thanks for replying

To 2435jklas, well considering I wasn't told to use a VED before hand and now really hesitant to use one afterwards due to not knowing what issue it may create I am sort of stuck, where can I find Perito's "The Exercise" I have seen the name a couple times but no link or where to find it.

Thanks for replying

Everyone of you that have replied I appreciate it. Anyone else that had ideas or helpful advice on where to find ideas I welcome them. When I get a call back from Boston Scientific if they tell me anything different than what you all have I will be more than happy to post it.

Thanks again

[2435tjklAS]

To 2435jklas, well considering I wasn't told to use a VED before hand and now really hesitant to use one afterwards due to not knowing what issue it may create I am sort of stuck, where can I find Perito's "The Exercise" I have seen the name a couple times but no link or where to find it.

I wasn't told about VEDs either, because my surgeon was actually just about to retire. Go to page 3 of that thread I just linked about VEDs and read my story starting with, "haha, well ty, though don't ever forget I'm still an idiot..."

I don't think a VED would create any problems now, but I don't know that either. Anyone else have some wisdom? I mean, they just won't break your dick, but I have not heard from someone first using one a year after surgery. I very much believe it is safe and will help you reach your goal (getting size back, they're proven to do that) but of course this is your decision about what you're comfortable trying.

Crazyjoe first posted Perito's exercise here: viewtopic.php?f=6&t=18843

[newbie443]

Got the AMS LGX implant done almost a year ago, but haven't seen any gain or even getting back to pre ED size, lost a 1 in length and inch in girth. Now I am just wanting to get back to normal not wanting or looking to gain 3 4 inches with the LGX, but thought I would atleast get back to pre ED days but still inch short all way around.

Now here is what was implanted the 700 LGX, 18cm with 2cm RTE w/ a 65ML reservoir, when I look on Boston Scientific break down it show when using 18CM to use the 100ML reservoir. Now with that being said and I do plan to call Boston Scientific in the next month. I have cycled off and on twice a day or once a day to the point I can't pump anymore getting roughly 10 to 15 pumps.

With that all I am getting I still have loose skin on shaft, like it not fully erect to the point of skin being tight from base to head. So I know there room for "growth" but still like cylinders are stiff.

Is it something that I am doing wrong or something not sized correctly?

Doc who did implant didn't mention anything about using a VED device before surgery and stressed after I asked NOT to use a VED after I read about it here on Frank Talk.

Trying to look into possibility of having another surgery with one of the docs mentioned here and seeing what they say. But want to get with Boston Scientific first. Just see if anyone has gone thru this or what possibly others may have found out if they themselves have dealt with what I am going thru.

Thanks

You are late for most answers. I tell men to follow your doctors instruction for everything including cycling until you are fully healed and released from your doctor for this surgery. That is most times around 3 months or a bit more. I had very bad pain the one and only time I used a VED post implant. So I do use it. I did use it before surgery. Instructions with a good medical grade VED limit the amount of time to have the constriction ring on for sex to around 20 minutes. And only for about 3 times a week. If you do a search on penis damage from VED use you will find some information. It is out there if you look for it. So if you use a VED post implant do not leave it VED on vacuum for long periods of time. Just apply vacuum for short periods and release. There is a good article in the general discussion section of this forum in the documents worth reading thread called penis exercise and it also explains some of the caution if you take the time to go and read it.

There is aggressive cycling. This is where you inflate to max and then wait 5 or so minutes and then add more pumps. I also did manual stretching. I just would place my thumb on top and index and middle finger on the bottom at the base of my glans. Then I would gently pull my penis out, up. down, left, and right. After stretching out and holding a few seconds I would return back to flaccid length. I did that before surgery mostly when I did not have time to use the VED. I did just mostly pulling out post surgery when I did not have time to cycle for an hour or even a 1/2 hour.

Thing is you are so late with this it will be really difficult to stretch the tissue. As you are finding out now. Another implant I do not think will help. You can try VED just go slow when applying vacuum and keep the vacuum low as close to 5HG as you can. You can do aggressive cycling and manual stretching. These are all a lot of work and any gains will be small and slow to occur. I would not measure again until you do at least a month of work with one of those methods. Two months might be better to wait for a small gain to show. Remember that when you have vacuum applied to your penis you are stopping circulation. That is why there is restrictions in place. And the small blood vessels in your penis cannot move blood as fast as some pumps can draw it into your penis. Vacuum too fast can cause blood vessel damage and is why in the article about penis exercise you are told to turn the electric pump on for only 3 seconds and then wait to repeat inflating slow. Then after a short time to release the vacuum to permit circulation to start again and then starting over.

There was a study done to compare the stiffness of the LGX and the Titan. When they applied 20 PSI of pressure to the 18cm LGX the 2 devices they had measured 21 and 21.2 cm's. At 15 psi 21 and 20.7 cm's. Your LGX will expand if there is room for it. Your tissues has just formed at the current size and will be very difficult to expand. It will do it you just need to do the work for a really long time. I had gains out past one year. And if I wanted to do the work again I am sure I could get some really slow and small gains.

Whatever you do be careful. A stretching feeling like you get when you stretch a muscle is what you are looking for. That tingling almost pain feeling. Maybe even a little bit of low pain. Good luck with this.

[Gt1956]

I have a tendency to think out of the box. Txagq8 is hitting the general guidelines very well. I do not disagree with him on the basic concept. But & its a huge but. The distal & proximal measurements are not from the pubic bone as we think. I'm not sure of the tissues name but I think the edge of it is where the tunica is entered at. I'll point to my own surgery. I have a 21cm implant. Pre surgery I was only dreaming about getting 21cm's. I forget which measurement was which but my distal was either 10cm or 11cm. Hold that thought. My pre surgery stretch test was 12.5cm. So my measurements were done either 2.5cm or 1.5cm IN FRONT of my pubic bone. This tells me that the starting point for distal & proximal are definitely only moderately related to the pubic bone.
Sorry but that data doesn't help the OP one iota. Reading what he has posted makes me ask a few questions. Btw, his dr was well regarded in the past. But yes errors can happen. OP says that he has loose skin on his shaft. His girth is listed as being 4 inches. I propose that to better understand his issue a few more questions need to be answered. Has he been circumcised? How far back was he circumcised? Years prior to his ED & implant did he have loose shaft skin. This would help put the loose skin into perspective.
Where I'm going is to armchair diagnose that his pump isn't working for shit. He doesn't say that he gets to empty pumps like he has ran out of saline. To me the next step seems to blame the pump. I'd guess the valving isn't delivering the needed pressure to expand the cylinders. I'm not well versed on hydraulics but I'm pretty sure if you're not getting the output you shold be getting. The pump is NFG. But the questions that I taised need to be answered first.