FrankTalk.org

Titan or ams what are the advantages and disadvantages of each I would like your opinion

Most of us only have one, so we can’t quite compare. I thought this video by Dr. Rena Malik did a great job of sorting through the differences:

https://youtu.be/BAFIVJr3Ea8?si=STduea8Jq7wwWcrA

I have a Titan and I'm pretty happy with it but I often wonder about the AMS . Something I didn't think I'd ever care about ( flaccid, looks , feeling ) is now something that is important to me . Dr. Clavell also has a video on the pros and cons of each. Depending on what design advancements the future holds for each , I would be open to switching to the AMS . Here the short list of pros and cons if

of each ( as I remember)
Coloplast:
Pros - Slightly girthier , Slightly stronger
Cons - Dog ears when flaccid that some men find uncomfortable ( the implant will break in with time. Plus if you add a few pumps , the dog ears will be gone )

AMS:
Pros - the silicone properties make it more comfortable and natural looking when flaccid. The LGX expands in length AND girth ( it has its own issues though )
Cons - Not as girthy or as strong ( however it's plenty strong enough..... 100% inflation with both is usually TOO STIFF for some women and you have to deflate a little anyway)

There's more nuances between the two but either one is more than capable of doing the job . I just hit the highlights

I chose AMS based on a few things, and was happy that Dr. Clavell recommended AMS before I told him what I was leaning towards. I wanted his separate opinion, not a confirmation of mine. I know for a fact he installed a Titan just prior to my surgery and many here on FT have a Titan by Dr. Clavell, so I feel comfortable that he based his recommendation on me as a person what would be best for my lifestyle.

I think it's very important you see a surgeon that can and does install both Titan and AMS. Only then can you truly get the implant that is best for your needs and not just the one the surgeon has a business relationship with.

My extensive research on FT and reading white papers and studies for the 6 months prior to my surgery led me to choose the AMS CX. It has been said and repeated here many times on FT that "I didn't choose my implant for the flaccid", as if the man will be erect 100% of the time and want the thickest and hardest penis available, with absolutely no other considerations. If that is your criteria, then probably the Titan is for you (plus it has a much better and more impressive name than AMS CX, they really whiffed on naming the AMS implants). I believe that although this is machismo at it's finest, it's a bad phrase that blurs proper decision making.

Here's my thinking:

In the BEST case, I will use my penis for sexual activity 3x per week, for 2-3 hours per session. 9 hours out of the 168 hours in a week, BEST CASE. Which means that AT MOST 5% of the rest of my life will involve an erection. That's if I can still talk my wife into it 3x a week for 3 hours each time until the day I die...probably not realistic. So, it will be flaccid for at minimum 95% of the remainder of my life. For 95% of my time left do I want to be reminded of my implanted penis, worried about my grandkids on my lap, shifting my bathing suit to hide a semi, dealing with dog ears, crinkly noises, loud pumps, auto inflation, semi-rigid flaccid in nude situations or stiff cylinders? I don't even know how often I'd have to be using my dick to accept many or all of those issues, but I can guarantee you it's probably closer to the 50% mark than 95%.

If the tradeoff to having the thickest and hardest implanted penis is having to deal with all those things, then count me out. Both the CX and Titan get FAR harder than necessary for penetrative sex. As a matter of fact, my wife enjoys ~80% inflation of my CX, any stiffer and she's uncomfortable. So the ability to get nominally harder than a CX for me is of zero value.

Girth-wise, I wasn't particularly girthy to begin with, and I'm really no different now than I was pre ED. Average male erect penis girth in the US is 4.6 inches. I was bigger than that before, and I'm still bigger than that now (5.75", the 99th percentile)). Just for kicks, I put on one of those girth enhancer jelly tube things over my pumped up penis a few weeks ago before having intercourse with my wife. I wanted to see what her reaction would be. She made no mention of it, apparently she couldn't really tell I was wearing it. Once I showed her she said she thought maybe something was a little different, but it certainly did not enhance her pleasure or enjoyment one bit. For my needs, girth is not an issue, and even if it was, the difference between AMS CX and a Titan is negligible. I'm not convinced a recipient would be able to tell the difference.

Failure rates are similar, one is not appreciably better than the other. A study I read showed the AMS CX at a 5 year failure-free rate of 91% and the Titan at 87%.

Similarly on infection rates, a 2010 study found that the Titans using vancomycin/gentamycin coating had an infection rate of 4.4%, and the AMS Inhibizone impregnated implants was 1.3%. The rifampin/gentamicin coated Titans at that time had not had any infections. So, IMO the infection rates are either 0 or 1%. Not a factor in my decision making if I just keep my grubby hands off the incision until it's healed.

There are FAR more AMS units installed worldwide than Titans, so I believe the depth the data to be stronger just due to sheer volume of implants deployed.

Also, a consideration that likely won't be applicable to many, my wife and I frequent nude resorts and the last thing I want is a penis that looks unnatural or semi-erect when it shouldn't be. Whether it's the dog ears or the half mast, I don't want to be that guy. My AMS flaccid looks completely natural, hangs naturally, moves naturally, and feels pretty close to natural when flaccid. I'm now a shower rather than a grower, which is a very nice development which I wear with pride.

So, that's my story. I KNOW everybody has a different need, which is why Dr. Clavell will implant both. If he thought one was head and shoulders above the other I'd trust him to tell you. I don't think that's the case, each application, each person, each lifestyle and each penis is different. Educate yourself.

Jage64 wrote:I chose AMS based on a few things, and was happy that Dr. Clavell recommended AMS before I told him what I was leaning towards. I wanted his separate opinion, not a confirmation of mine. I know for a fact he installed a Titan just prior to my surgery and many her on FT have a Titan by Dr. Clavell, so I feel comfortable that he based his recommendation on me as a person what would be best for my lifestyle.

I think it's very important you see a surgeon that can and does install both Titan and AMS. Only then can you truly get the implant that is best for your needs and not just the one the surgeon has a business relationship with.

My extensive research on FT and reading white papers and studies for the 6 months prior to my surgery led me to choose the AMS CX. It has been said and repeated here many times on FT that "I didn't choose my implant for the flaccid", as if the man will be erect 100% of the time and want the thickest and hardest penis available, with absolutely no other considerations. If that is your criteria, then probably the Titan is for you (plus it has a much better and more impressive name than AMS CX, they really whiffed on naming the AMS implants). I believe that although this is machismo at it's finest, it's a bad phrase that blurs proper decision making.

Here's my thinking:

In the BEST case, I will use my penis for sexual activity 3x per week, for 2-3 hours per session. 9 hours out of the 168 hours in a week, BEST CASE. Which means that AT MOST 5% of the rest of my life will involve an erection. That's if I can still talk my wife into it 3x a week for 3 hours each time until the day I die...probably not realistic. So, it will be flaccid for at minimum 95% of the remainder of my life. For 95% of my time left do I want to be reminded of my implanted penis, worried about my grandkids on my lap, shifting my bathing suit to hide a semi, dealing with dog ears, crinkly noises, loud pumps, auto inflation, semi-rigid flaccid in nude situations or stiff cylinders? I don't even know how often I'd have to be using my dick to accept many or all of those issues, but I can guarantee you it's probably closer to the 50% mark than 95%.

If the tradeoff to having the thickest and hardest implanted penis is having to deal with all those things, then count me out. Both the CX and Titan get FAR harder than necessary for penetrative sex. As a matter of fact, my wife enjoys ~80% inflation of my CX, any stiffer and she's uncomfortable. So the ability to get nominally harder than a CX for me is of zero value.

Girth-wise, I wasn't particularly girthy to begin with, and I'm really no different now than I was pre ED. Average male erect penis girth in the US is 4.6 inches. I was bigger than that before, and I'm still bigger than that now (5.75", the 99th percentile)). Just for kicks, I put on one of those girth enhancer jelly tube things over my pumped up penis a few weeks ago before having intercourse with my wife. I wanted to see what her reaction would be. She made no mention of it, apparently she couldn't really tell I was wearing it. Once I showed her she said she thought maybe something was a little different, but it certainly did not enhance her pleasure or enjoyment one bit. For my needs, girth is not an issue, and even if it was, the difference between AMS CX and a Titan is negligible. I'm not convinced a recipient would be able to tell the difference.

Failure rates are similar, one is not appreciably better than the other. A study I read showed the AMS CX at a 5 year failure-free rate of 91% and the Titan at 87%.

Similarly on infection rates, a 2010 study found that the Titans using vancomycin/gentamycin coating had an infection rate of 4.4%, and the AMS Inhibizone impregnated implants was 1.3%. The rifampin/gentamicin coated Titans at that time had not had any infections. So, IMO the infection rates are either 0 or 1%. Not a factor in my decision making if I just keep my grubby hands off the incision until it's healed.

There are FAR more AMS units installed worldwide than Titans, so I believe the depth the data to be stronger just due to sheer volume of implants deployed.

Also, a consideration that likely won't be applicable to many, my wife and I frequent nude resorts and the last thing I want is a penis that looks unnatural or semi-erect when it shouldn't be. Whether it's the dog ears or the half mast, I don't want to be that guy. My AMS flaccid looks completely natural, hangs naturally, moves naturally, and feels pretty close to natural when flaccid. I'm now a shower rather than a grower, which is a very nice development which I wear with pride.

So, that's my story. I KNOW everybody has a different need, which is why Dr. Clavell will implant both. If he thought one was head and shoulders above the other I'd trust him to tell you. I don't think that's the case, each application, each person, each lifestyle and each penis is different. Educate yourself.

Can I ask what your girth was before and after your AMS implant?

Something I forgot to mention in my earlier post is pumps . Do your research on that to. Some pumps are easier to inflate, some are easier to deflate, some have 1 button, some have 2 . How's your hand strength / dexterity? Just another data point you need to look at in making your decision.

wolfpacker wrote:
Can I ask what your girth was before and after your AMS implant?

I had no reason to measure my girth pre-ED, it was what it was so I don’t know. Now I’m ~5 3/4 inches, which doesn’t seem different than pre-ED.

Jage64 wrote:I chose AMS based on a few things, and was happy that Dr. Clavell recommended AMS before I told him what I was leaning towards. I wanted his separate opinion, not a confirmation of mine. I know for a fact he installed a Titan just prior to my surgery and many her on FT have a Titan by Dr. Clavell, so I feel comfortable that he based his recommendation on me as a person what would be best for my lifestyle.

I think it's very important you see a surgeon that can and does install both Titan and AMS. Only then can you truly get the implant that is best for your needs and not just the one the surgeon has a business relationship with.

My extensive research on FT and reading white papers and studies for the 6 months prior to my surgery led me to choose the AMS CX. It has been said and repeated here many times on FT that "I didn't choose my implant for the flaccid", as if the man will be erect 100% of the time and want the thickest and hardest penis available, with absolutely no other considerations. If that is your criteria, then probably the Titan is for you (plus it has a much better and more impressive name than AMS CX, they really whiffed on naming the AMS implants). I believe that although this is machismo at it's finest, it's a bad phrase that blurs proper decision making.

Here's my thinking:

In the BEST case, I will use my penis for sexual activity 3x per week, for 2-3 hours per session. 9 hours out of the 168 hours in a week, BEST CASE. Which means that AT MOST 5% of the rest of my life will involve an erection. That's if I can still talk my wife into it 3x a week for 3 hours each time until the day I die...probably not realistic. So, it will be flaccid for at minimum 95% of the remainder of my life. For 95% of my time left do I want to be reminded of my implanted penis, worried about my grandkids on my lap, shifting my bathing suit to hide a semi, dealing with dog ears, crinkly noises, loud pumps, auto inflation, semi-rigid flaccid in nude situations or stiff cylinders? I don't even know how often I'd have to be using my dick to accept many or all of those issues, but I can guarantee you it's probably closer to the 50% mark than 95%.

If the tradeoff to having the thickest and hardest implanted penis is having to deal with all those things, then count me out. Both the CX and Titan get FAR harder than necessary for penetrative sex. As a matter of fact, my wife enjoys ~80% inflation of my CX, any stiffer and she's uncomfortable. So the ability to get nominally harder than a CX for me is of zero value.

Girth-wise, I wasn't particularly girthy to begin with, and I'm really no different now than I was pre ED. Average male erect penis girth in the US is 4.6 inches. I was bigger than that before, and I'm still bigger than that now (5.75", the 99th percentile)). Just for kicks, I put on one of those girth enhancer jelly tube things over my pumped up penis a few weeks ago before having intercourse with my wife. I wanted to see what her reaction would be. She made no mention of it, apparently she couldn't really tell I was wearing it. Once I showed her she said she thought maybe something was a little different, but it certainly did not enhance her pleasure or enjoyment one bit. For my needs, girth is not an issue, and even if it was, the difference between AMS CX and a Titan is negligible. I'm not convinced a recipient would be able to tell the difference.

Failure rates are similar, one is not appreciably better than the other. A study I read showed the AMS CX at a 5 year failure-free rate of 91% and the Titan at 87%.

Similarly on infection rates, a 2010 study found that the Titans using vancomycin/gentamycin coating had an infection rate of 4.4%, and the AMS Inhibizone impregnated implants was 1.3%. The rifampin/gentamicin coated Titans at that time had not had any infections. So, IMO the infection rates are either 0 or 1%. Not a factor in my decision making if I just keep my grubby hands off the incision until it's healed.

There are FAR more AMS units installed worldwide than Titans, so I believe the depth the data to be stronger just due to sheer volume of implants deployed.

Also, a consideration that likely won't be applicable to many, my wife and I frequent nude resorts and the last thing I want is a penis that looks unnatural or semi-erect when it shouldn't be. Whether it's the dog ears or the half mast, I don't want to be that guy. My AMS flaccid looks completely natural, hangs naturally, moves naturally, and feels pretty close to natural when flaccid. I'm now a shower rather than a grower, which is a very nice development which I wear with pride.

So, that's my story. I KNOW everybody has a different need, which is why Dr. Clavell will implant both. If he thought one was head and shoulders above the other I'd trust him to tell you. I don't think that's the case, each application, each person, each lifestyle and each penis is different. Educate yourself.

Excellent summary, Jager64

2nd that, excellent writing Jage64. Wish I got to share mine, still love the Ams …even for us solo men.

Wolfpacker. You ask about pre & post implant girth. Per my signature. Pre I had 6" girth. After implant is the same. Remember this is with a CX.

I know that this flies against the opinion of this forum. But I doubt that any of the major implant models will get you more girth than in your youth. I think the manufacturers are wary of tunica damage. IE the pump design won't generate enough pressure to overcome the strength of the tunica. Just way too much liability involved.

I had a discussion with my dr about the pressures that a man could expect to get with a pump. He claimed that the pressure is noticable less than what was used in a common quoted study.

Bottom line. The manufacturers want you to have an erection suitable for sex. They don't care about increasing your girth. If the public misreads their literature. So be it.