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Does anyone have rear tip extenders? If so, what is your experience with them? I hear they are not as stable as an implant without them.

THANKS!

I've heard the same thing, too many and you get the "hinged" effect. The theory is that the more inflatable part that's in your body the better the erection. Some docs even cut the posterior ends to eliminate the hard plastic tips.

The hinge effect is perfectly valid if you have ever held the sample implant in your hand and played with it. I have NO extenders and no hinge above 40 pumps but I have tubing and high pump issues which Dr. Eid explains are due to my LGX not being able to fit correctly because it is designed and needs tip extenders. There apparently are pro's and cons depending on the model of implant you have and the size of your big fat swinging schlong.

I have one rear tip extender and I don't feel any hinge effect. Maybe one or two is okay. Don't the implants come in 2 to 3 cm increments? If that's the case you would never need more than two unless you were in a hospital with such bad resources that they only had access to a few implants. Somehow I don't see that happening.

According to my Operation Report, have 5 cm of RTE. Don't know if it is one, two or three of them. Cannot tell they are there, do not feel them when deflated, no hinge.

If installed/connected properly, when inflated your IPP should be hard as a rock and straight as an arrow.

BTW There is a similar discussion on the thread... how's it hanging when inflated

Here's something I posted on the topic AMS vs Coloplast.. quote..

Note that I did not use Dr.Eid, nor met or talked to him, so cannot give personal opinion on him, but in an email exchange with him about my own AMS 700 CX - 18+4 RTEs his answer included...

" you have a huge amount of rear tip extenders and these are only 9mm in diameter so they do not provide any rigidity. Of the 18cm only 13.5cm inflates the rear, of the cylinder is solid, measures 4.5cm does not inflate and the diameter is also only 9mm. So in summary if you add 4cm to 4.5cm you get 8.5cm which indicates that close to 40% of your cylinders are non inflatable. You would have been better served with a 22cm Coloplast which is also much wider than the 18CX and would have avoided the need for rear tip extenders. The erection would have also pointed up when inflated. "

He also said
" AMS implants are thinner than the Coloplast cylinders and this device is better suited for the older frail patient. Coloplast cylinders provide the penis with a rounder more youthful appearance. The Coloplast pump is also smaller, easier to conceal and easier to manipulate so the cylinders can be inflated to higher pressure, which again is better for the younger patient."

Just $0.04 worth from Dr Eid !

roninhouston wrote:According to my Operation Report, have 5 cm of RTE. Don't know if it is one, two or three of them. Cannot tell they are there, do not feel them when deflated, no hinge.

If installed/connected properly, when inflated your IPP should be hard as a rock and straight as an arrow.

BTW There is a similar discussion on the thread... how's it hanging when inflated

Well Ron, sorry to break it to you, but according to the common definition here on FT you do have quite a pronounced hinge. It's just that you have a different definition of hinge. Your definition of hinge is what other would call a bending shaft.
So in your case, the RTE gives hinge theory is supported.

On the other hand, you don't seem to have any problem with your hinge, so then the next question is whether a hinge effect is such a bad thing.

More all the time I am beginning to believe no tip extenders have a very good purpose providing the implant is designed to fit that way. At this point my understanding is the AMS CX and the Titan do. LGX not unless you require a smaller size implant in the perineal area. No tip extenders seem to create a more natural effect that your hard on does not swivel around at the base of your dick. By this concept, the only purpose a tip extender gives is a length filler. I do not know what the average length tip use is, they come in many lengths and some models are stackable, but if the product design was modified a bit to move the tubing connection further from the end ( looking at the sample implant), I think more people would be suited for no tip extender. It is very likely in my opinion the tip extenders are cheaper to manufacture than the cylinders themselves so that may make a cheaper implant if they put as much solid silicone rod on the end as possible.

Another thought I have had about this seemingly recent trend to not use tip extenders is the tubing and cylinder are both stuffed together inside the cavernosa. I have concern that the 2 rubbing on each other may wear over time. Being this seems to be a recent trend in installation, I assume only time will tell if that becomes an issue requiring revisions. Would be nice to here feedback on any studies.

I am not a URO but since the penis has about one third of the shaft behind the scrotum. It would seem if you did not have RTEs to balance the other two thirds you would get a hinge where the cylinders are attached to the tubes.

BTW on Dr. Eid's conversation concerning the use of RTEs:
1. He seems to be pushing the Titan,
2. Was quick to criticize another URO without seeing the patient,
3. I should be lucky that mine works at all. No hinge here!

However my URO
- studied at the Scott Urology school where the IPP was developed by Dr. Scott in the Houston's Texas Medical Center. The patent is now held by AMS.
- studied surgery at the DeBakey School, home of the famous heart surgeon.
- has repaired Dr. Eid's botched IPP OP. Do a search on FT, you will find at least one case of a botched IPP where he fixed Eid's mistakes.