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Has anyone done a comparison of he various implants as to pros and cons? Does one just rely on the surgeons recommendation? The manufacturers all claim there products are the best. I suspect doctors prefer certain devices because they are used to them.

Reggieman wrote:Has anyone done a comparison of he various implants as to pros and cons? Does one just rely on the surgeons recommendation? The manufacturers all claim there products are the best. I suspect doctors prefer certain devices because they are used to them.

There's a great deal of discussion of this in the Implants forum - just do a search and you'll see lots of threads. The top surgeons implant plenty of AMS and Titans - some here think it's about payola, but others (me included) believe that each doc has his/her preference for any of a number of reasons. IMO the devices are not all that different. Some say the AMS has a more natural flaccid state than the TItan - if that's the case I would rather have had the AMS, but at the time Dr. Kramer said he thought the Titan was a better choice for me (this was in 2008, though, so things may have changed since then). Since there's no point, I very rarely inflate mine, maybe once every couple of months. My Titan tends to auto-inflate a bit - I deflate as much as possible every night in the shower, but it's not long before I have a bit of a stiffie again. I'm long since used to it, but if I had my druthers I'd have the AMS if it remains softer when deflated.

I would find a doctor who is well-respected and who has done plenty of implants, and then follow his/her advice. (I'm a non-medical person, so I wouldn't feel comfortable making decisions about what this good doctor should or shouldn't do.)

Most of the time it's the surgeon's choice. I was able to handle both an AMS and coloplast on the table at a consultation before surgery. The coloplast feels thicker, and produces a bit harder erection and the AMS does indeed provide a more natural flaccid. My doc prefers AMS. That's what I have and I am happy. My advice is always to go to a top surgeon, and follow his advice

Reggieman wrote:Has anyone done a comparison of he various implants as to pros and cons? Does one just rely on the surgeons recommendation? The manufacturers all claim there products are the best. I suspect doctors prefer certain devices because they are used to them.

Of the inflatables and in the United States of America, I believe there are only two manufacturers available, AMS and Coloplast. Elsewhere in the world, there are more choices, though. Where are you going to have the surgery (I see from your profile you are in Central California)?

Lost Sheep

Well Lost Sheep, I have no surgery scheduled. I am still investigating the process to prepare my mind in case nothing else works. I live in Modesto, CA. by the way. I'm a pessimist by nature and expect no miracles from the other treatments available. I want to be prepared to make the big step to the implants if all else turns to shit. I don't want to want years to make up my mind as to what my next step will be. Knowledge is power.

Reggieman, you should wait about two years before getting an implant anyway. I did mine after 21 months but I had some real logistics problems between insurance, medicare and my wife's teaching schedule. I have heard some stories that things start to come back after 3 years, but the majority of the reports I hear are guys who have severe ED and nothing comes back after any length of time.

I had absolutely nothing and no medication whatsoever worked. I did get a vacuum erection device (VED) but it really only worked for penile rehabilitation. If you haven't gotten one yet get one IMMEDIATELY. They are almost always covered by insurance. Mine was a $500.00 motorized Pos-T-Vac and I didn't have to pay a dime. The VED pump is very important as it will maintain your penis size and blood flow. Don't wait another second if you haven't gotten one already. If or when you get an implant, the pump still has done it's job as it makes the surgery easier and your penis will be able to get fitted with a larger prosthesis than if you didn't do penile rehab.

I know that the two year wait seems like a dessert for sexual activity (it did for me, but it passes quickly.) But you really can start thinking in terms of an implant after about a year and a half. And, trust me, you will not be disappointed with an implant! I couldn't be happier even though we all get that first 2 to 4 months where we say "What the hell was I thinking?" That sure happened with me. But that passes and you will eventually enjoy sex better than in your teens.

HI, just thought i would add my .02 after investigating this. Generally speaking, the coloplast is a little more rigid when erect and more rigid when flacid. The AMX is more relaxed flacid state and slightly less in hardness in erect state. But if you read various people's experience with each, some like the Coloplast and others like the AMX. It depends on you. There is a good video on Dr. Eid's site where the reps compare the two devices. Definitely worth while. I have pretty much decided on the Coloplast Titan. i am willing to put up with more flacid size to obtain possible a firmer erection. YOu need to do the research. I I hope the larger flacid size will not be uncomfortable. I wear boxers which are much more comfortable anyway.