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Among the implants available in the U.S., are there differences in how well the glans is supported? That is, which implant is least susceptible to "floppy head"?

I am deciding primarily between Coloplast Titan and AMS LGX, but any other models are also open for consideration.

Lost Sheep

p.s. I know the surgeon has the most influence on this, particularly through sizing, but I just ask to find out if there is ANY influence at all from the model of prosthetic, and if there is any reason to take that influence into consideration when choosing the implant.

I suppose that a length-expanding prosthetic MIGHT mitigate the effect of a bit of undersizing, too, but have no testimony, much less evidence, for this theory.

Floppy glans has nothing to do with the type of implant, but everything to do with the surgeon. It usually comes about by the surgeon implanting cylinders that are too short for the cavernosa and the tips not being placed into the glans sufficiently far to support it.

The Doctor who is doing mine goes 3/4 into the glan. Dr Gerald Brock
has wrote many papper on this subject.

A link to one of Dr.Brocks papers on this please. Mine is just flush with the corona unless pumped up hard, then goes maybe 1/3rd into glans if measured from the top but even with the bottom of the coronal edge if measured from the bottom side.

Guys,
If I press the glans while flaccid, I feel the tips of the implant 1/3 down. Head is not floppy at all. It does swell and get firmer during foreplay and intercourse. My Urologist surgeon, Dr. Edward Kata rocks!
Donnie

Do implants expand in LENGTH when pumped?

Because otherwise it seems like the penis would need to be stretch to full erect length, even when flaccid, to accommodate the length of the implant.

My LGX model does indeed expand in length when inflated (not going from 4" to 12" or anything like that though!).

And the fact that it is present inside my penis all the time has caused me to go from being a grower (originally it more than doubled when going from soft to hard) to being a shower (just an inch shorter when soft/uninflated than when hard/inflated).

David_R wrote:My LGX model does indeed expand in length when inflated (not going from 4" to 12" or anything like that though!).

And the fact that it is present inside my penis all the time has caused me to go from being a grower (originally it more than doubled when going from soft to hard) to being a shower (just an inch shorter when soft/uninflated than when hard/inflated).

My experience with the lgx was the same

Robert-CA wrote:Do implants expand in LENGTH when pumped?

Because otherwise it seems like the penis would need to be stretch to full erect length, even when flaccid, to accommodate the length of the implant.

The AMS LGX does (LGX reportedly signifies "Length/Girth Expanding"). I now have reports that the Coloplast Titan also expands in Length and Girth, but do not believe them yet. I will be talking to the regional Coloplast representative next week to ask that question.

And, to answer your question, it seems logical. An implant that is the same length when inflated as when deflated would (unless it folds or buckles or otherwise "backs up" when deflated) hold the penis length at full erect length. The magic of the implant is that the penis girth and flexibility is (respectively) less and more, allowing the penis to be "parked" in your clothes to be unobtrusive, easy to deply for urination, etc.

I have neard NO repoerts of flaccid penile length being the same after implant as before. Every report I have heard is that guys whose flaccid length was short before implantation (growers) now have flaccid length longer (showers) than before implantation. Even though erect length (between the two groups of men) is much the same.

So, an implant does not make anyone's erect length longer. but does lengthen the flaccid length of men whose falccid length was short. In all men, however, the implant makes the penis rigid.

In other words, two typical men:
A before implantation: 3" long and 3/4" girth when flaccid and 5" long and 2" girth when erect
B before implantation: 4.5" long and 1" girth when flaccid and 5" long and 2" girth when erect

are likely to be

A after implantation: 4 7/8 long and 1" girth when flaccid and 5" long and 2" girth when erect
B after implantation: 4 7/8" long and 1" girth when flaccid and 5" long and 2" girth when erect

The 1/8" length increase attributable to the fact that the implant inflatable tubes reach into the body, press against the pelvic bone and can contribute to moving the entire distal portion of the implant forward a bit.

NOTE: I am not a medical professional and pulled these numbers/dimensions out of thin air, but have studied extensively in the past several months to try to get this right and get my understanding correct. If anyone has corrections, pleas PM me and I will fix my post, or post here so everyone can be disabused of any false notions I have engendered.

Lost Sheep

The AMS literature says "up to 20% expansion in length is POSSIBLE" but an AMS rep I talked to and 2 well noted doctors here plus a study posted here recently all stated that it can be limited to no expansion or even contraction due to the capsule that forms around the implant cylinders. Shrinkage from scar tissue is common. The capsule IS scar tissue. Scar tissue as a general rule does not stretch which is a common reason additional surgeries are needed on burn patients. This I know well having a family member who has had to deal with the issue and many many surgeries for years. Scar tissue is a dense tissue that has very little vasculature compared to normal tissue thus it is very dense or tough. If you had peronies or plaque you already have scar tissue. It is very likely the scar tissue can be stronger than the pressure you can apply to it inflating with the implant. Even if not, it will still be a very very slow and long process to gain length in most cases. I've discussed this with some who had successful implants with no length loss or even a slight gain. We all agree that being young and not having peronies nor having ED for any length of time were very much the reason for their length success which I qualify as a reason to not waste time getting an implant if that is the route you chose. Time is not in your favor with ED.