That is an interesting question.
Logic would tell me, just as it told Rider1400, that if an 18 cm LGX expands to 21 cm when inflated, it should be the equivalent (option) of a Titan 20 +1m RTE.
The LGX does, according to the study I posted earlier (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/) grow ~3 cm when inflated.
This of course, is not depending on how long the fixed part of the implant is (which by the way is ~5 cm).
That means an 18 cm LGX has 5 cm fixed part and 13 cm inflatable part. The inflatable part will expand to 16 cm and the fixed part will remain 5 cm for a total inflated length of 5+16=21 cm.
The Titan 20 cm with 1 cm RTE will have 5+1=6 cm fixed part and 20-5=15 cm inflatable part which will be 21 cm in both deflated and inflated state.
So for sure, the logic would be that if a doc measures one patient on the surgery table and concludes he needs a 21 cm long implant, his options would be an 18 cm LGX or a 20+1 Titan.
But - I am fairly certain I have read from what I considered a credible source that this is not the case.
A doc will in the case I just made up above choose between the Titan 20+1 or the LGX 21.
To me this is hard to believe, since if the man with room for a 21 cm implant gets an LGX 21 cm, the implant will start to expand from the first pump.
His dick will for sure not grow 3 cm, so either he won't be able to inflate very aggressively, or the implant will not grow more in length when inflated than there is room for.
The 3 cm growth from the article is in a lab, not in a dick.
Maybe it is just that simple, that the potential length expansion is 3 cm, but if there is only room for 0.5 cm, it will expand 0.5 cm in length, but continue to get harder with each pump.
This would provide some kind of insurance that the implant will be there to grow with its host dick if needed.
It would also provide some slack for a surgeon, that it doesn't matter that much if he is conservative when sizing. The implant has 3 cm insurance.
Which actually was indirectly what I remember my doc told me. That an AMS LGX will be easier for a doc to install, and hence why it is more popular than Titans among low-volume docs.
One reason as well being the thinner fixed part of the implant, and the thinner RTEs, which makes it easier to install the implant deep down in the crus compared to the Titans thicker fixed part and RTEs.
According to him though, the thinner fixed part in the crus can/will eventually lead to the wobble effect due to a looser fit in the crus after some wear and tear.
Unfortunately I cannot remember the source of the theory behind the statement that the LGX 21 indeed is the equivalent option of a 20+1 Titan (or that the LGX 21+1 is the equivalent option of a Titan 22), but I have a very clear memory of reading it and accepting the source as trustworthy.
Maybe someone on here can shed some light..?