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In a month I have the revision operation after 15 years of the Titan implant. For the next one I wanted an ASM 700 GLX, but planning the intervention, the doctor thinks it is better to implant a Titan again. As he told me, the rigidity of the Titan is not the same with an Ams and there is a risk that, accustomed to the rigidity of the Titan, I will not like the AMS. I wanted an AMS 700 GLX because it is said that it grows in length and thickness, although I think that the thickness that the Titan has given me is not the same as the AMS, that is, I think that an AMS will not improve the thickness. What do you think? Do you think that I might not like an AMS after 15 years with the Titan?

Some factors to consider:
What is your current length/girth when erect?
What size implant did you get back in 2009?
What is your current height/weight/age?

Coloplast is often recommended for longer, thicker penises and relatively younger men.
My surgeon told me that the AMS LGX claim to support length increase up to 25% is just marketing bullshit. He only recommends the LGX for guys with shorter, thinner penises. For everyone else he recommends either AMS CX or Coloplast Titan.

15 years is great. As much as I wouldn't want to be in your shoes right now, my thought is go with what you are familiar with. I know the Titan and AMS kind of work the same way, but the doc knows a lot more about how these things work. I'd stick with what the doc recommends.

Had the Titan for 5 yrs before it failed, it was great because my pecker stood up again, my revision was a AMS LGX 8 months ago, so far my wife as well as myself like the AMS better but that stuff is all subjective, I did talk to 2 surgeons and they both recommended the LGX for me, so that's what I went with.

Implant2025 wrote:Some factors to consider:
What is your current length/girth when erect?
What size implant did you get back in 2009?
What is your current height/weight/age?

Coloplast is often recommended for longer, thicker penises and relatively younger men.
My surgeon told me that the AMS LGX claim to support length increase up to 25% is just marketing bullshit. He only recommends the LGX for guys with shorter, thinner penises. For everyone else he recommends either AMS CX or Coloplast Titan.

You can imagine that with Peyronie's aggressive since the age of 16, 2 hourglasses, two failed implants, infection... I don't think the doctor chose the Titan for the reason of the length. What worried him was the narrowness from the middle to the end. Along with the Titan he had other models with smaller diameter cylinders (Ams CX,...). Finally, with great skill, he was able to implant the Titan. I don't like the great thickness of Titan that it has given me from the base to the middle compared to the thickness from the middle to the end, which is the part where I had the fibrosis plate and the two hourglasses. The positive point that is always mentioned about Titanic is the rigidity, but I only activated the maximum for cycling, because for sex it didn't feel good, at 100% it is too rigid. With the revision, the doctor plans to place the pump further back, correct the dent in the base and the angulation.

Parmenides wrote:In a month I have the revision operation after 15 years of the Titan implant. For the next one I wanted an ASM 700 GLX, but planning the intervention, the doctor thinks it is better to implant a Titan again. As he told me, the rigidity of the Titan is not the same with an Ams and there is a risk that, accustomed to the rigidity of the Titan, I will not like the AMS. I wanted an AMS 700 GLX because it is said that it grows in length and thickness, although I think that the thickness that the Titan has given me is not the same as the AMS, that is, I think that an AMS will not improve the thickness. What do you think? Do you think that I might not like an AMS after 15 years with the Titan?

For what it’s worth, a number of the top surgeons dislike the LGX. It is harder to size correctly. Overshoot a bit and you can get erosion, undershoot a bit and you can get floppy glans. The cylinders of the LGX also had to be weakened to get the lengthwise expansion. This makes the cylinders more likely to fail than in other models. Personally, if I went for an AMS, I would 100% do the CX. You get the benefits of a more natural flaccid while still having a strong pair of cylinders.

In the end I think the best thing is to implant Titan again in my case. But a second opinion not about the prosthesis model but about the process and my specific case has left me full of doubts and very very worried.

I agree that the LGX claims are bullshit and misleading. It's marketing genius. They make guys think that the LGX will make your dick longer and wider but it'll only expand as far as your corpora will allow it. I think it was Dr. Clavell that said ( I'm paraphrasing )an implant is like putting a balloon into a football. It's only gonna expand to the size of the football, no more. From what I've read the LGX is not as rigid, and has a higher failure rate . I've also read that many guys are thrilled with their LGX and the rigidity is plenty good enough ( I have a Titan and the wife says it's too hard at 100% and hurts , so I have to dial it back ) . If you've been happy with the Titan why change ? I don't want you to mistakenly go with the LGX because of the illusion that'll make your dick bigger . I may switch the AMS CX at revision because I think I want a more natural flaccid feeling...something that I never thought would matter to me after years decades of ED.

You have had a great run with the Titan, I read this on another thread,
https://pmc.ncbi.nlm.nih.gov/articles/PMC5654325/

16 years old Peyronie, waking up every morning with an hourglass or rather an eight, an incorrect implant, an implant that became infected??? (I don't know) and all the problems that it entailed... Of course the Titan changed my life. Just to stop seeing hourglasses would have been worth it. I have been able to have a love life, decent sex, but there have been aspects that I did not like and it is not a criticism of the doctor. I know very well what my situation was. In 15 years I have never called the doctor and I have his personal cell phone. A few months ago, when the implant was still working, it was the doctor himself who told me that in a future revision he would place the pump further back and aesthetically it would look better and I told him about the discomfort??? what it caused me when having sexual relations. I also mentioned the issue of angulation and he told me that he would do something, I think he told me about the suspensory ligament???reinforce the anchorage??? Now I have to face the 4th implant and if all this can be improved, why not? If I could believe I could improve with another model, why not take advantage of the opportunity? I wish the Titan had lasted 15 more years, I wouldn't consider changing the model or anything else. I'm optimistic but that doesn't mean I'm worried.