Coloplast vs My current AMS CS

[DougAnd]

I was 6 2/3 inch girth the night before my surgery. I chose the LG X because I didn't trust my surgeon to give me the proper length I had two surgeons at the same time they both showed me that they were going to shorten me about 3/8 of an inch which was fine but I didn't trust them. Well they did exactly as they promised. My wife and I have discussed this situation several times now. we both agree that my current 5 1/8 inch girth is just perfect for both of us. For me it's the same amount of pleasure for half the work. call me lazy but it works. I was dilated to 20 mm during surgery. You only need 18 mm for a Titan and 12 mm for an LG X I don't know what your girth is right now or what it was before e d but what if your doctor thinks that a Titan will fit then it probably will. If someone was shorted an inch and a half it wasn't the AMS that caused it it was their stupid surgeon the AMS will accommodate up to seven and a half for 8in and and every brand offers r t e s as far as I'm aware. It's just a some surgeons choose not to use them especially with the Titan because it comes in more different links and you really don't need them to make it fit. But unless you have an unusual Anatomy three or four are Tes are not going to make a difference because the inflatable part of prosthesis will still be 405 cm down inside of your body. But oh well beauty is in the eyes of the beholder in your particular case I would listen to your doctor and let him make the choice good luck

[DougAnd]

My voice recognition is at it again. I said 4 or 5 CM inside the body. Several other funnies are there too read between the lines ha

[Lost Sheep]

After considering both responses to my private messaging yesterday, I decided to post this in the hopes that it may inspire all of us to consider composure when composing posts, keeping uppermost in our minds the effect our public conversations may have on readers NOT involved as principals in the exchanges.

Larry10625.

It is unbecoming and counterproductive of a moderator to display intemperance. Chastize when appropriate, in private is best. With authority comes responsibility.

Please, take a higher road. Your office demands it.

Having said that, I recognize that we all are human and heir to normal human frailties. I realize how irritating it is when anyone appears to be behaving badly but not badly enough to get sanctioned.


Merrix,

It appears to me you mis-characterized Larry10625's position when you posted, "You also keep saying people should go to their local doc even though research has proven large difference in success between high volume doctors and low volume doctors". That is an easy position to refute, but is not what Larry10625 suggests.

That "straw man" logical fallacy in your argument is (in my opinion) disengenuous.

Local doctors are not necessarily low volume or low quality surgeons and therein is your miscast of Larry10625's position.

As I read it, larry10625's position is the same as what Drs Kramer, Eid and Shaw told me. Dr. Eid put is artfully when he wrote to me, "Find a surgeon in love with his craft." Dr. Shaw put it most succinctly when he said (in response to my thinking it worhwhile to fly 3,000 miles from Alaska to Maryland to be treated by Dr. Kramer), "If you fly to Baltimore, you will be overflying a lot of good surgeons."

I had my choice of Kramer (3,000 miles away), Ostrowski (relatively high volume and trained under Dr. Walsh), Dr Allen (local moderate volume implanter) and Dr. Shaw (a relative unknown). I chose Dr. Shaw following Dr. Eid's advice. By personal interview with Dr. Shaw, I determined that Dr. Shaw is my preferred surgeon, all things considered.

Both of you,

Disagreeing respectfully is appropriate on any forum that attempts to be a "Support Group" See this thread, viewtopic.php?f=3&t=11666, wherein there is this post

i have no idea of the situation, but I'm going to guess that some guys might not understand that Frank discussion is not the same as offensive discussion. Frank means open, honest, unvarnished, putting aside euphemisms and talking plainly. Bad manners is not the same as frank. Even though we are speaking frankly, we must use language that shows respect to others.
Does that help?

To which I add:

We are here to help those of us who need help, advice or support, not to grind axes, please.

Respectfully submitted with the hope that we may all dedicate ourselves to the raison d'être of FrankTalk and, indeed, our own presence on this Earth.

Lost Sheep (Larry)

p.s. I am prepared to ask forgiveness for any violation of propriety I have committed and to apologize for any insult delivered to or felt by anyone I have offended. Those accomodations to civility are in no way (as I see it) a weakening of my positions and beliefs or what I see as right and proper. But I am flexible enough to allow my mind to be changed when proven wrong, for a man who is unwilling to change is unwilling to grow.

p.p.s I should get off my soapbox and let FrankTalk Forum get on with its primary purpose. To my mind that is support to those who need it to deal with E.D.

[postra7777]

[/quote]
Yes you keep saying your (and all) AMS is rock hard.
However, science, doctors and empirical evidence say the Titan is harder.
[/quote]

What? I don't know how hard you need it but I could hammer nails in with my AMS fully inflated.

[DougAnd]

If someone wants a Titan because it's the hardest implant on the planet I 100% support their choice. I have no idea how hard my LG X will get and I really don't care that's probably why I have such a large variation in lengths whenever I cycle. Neither length nor hardness are important to me. But that's just me

[Lost Sheep]

Yes you keep saying your (and all) AMS is rock hard.
However, science, doctors and empirical evidence say the Titan is harder.

What? I don't know how hard you need it but I could hammer nails in with my AMS fully inflated.

Here is my opinion, informed by a lot of reading and some discussions with 5 surgeons (with varying degrees of depth of discussion).

Coloplast uses a proprietary plastic they call "Bioflex". It is moderately stiff by its nature, so when uninflated the implant is moderately stiff. When inflated, it is stiff by the hydraulic pressure of the saline solution inside the implant plus the moderate stiffness of the material.

AMS products are constructed of layers of medical grade silicone and dacron cloth. The CX and LGX have different weaves, accounting for slightly different stiffness and the lengthening capability of the LGX but otherwise are very similar. Since the silicone/cloth and the silicone material contribute little to stiffness/rigidity in either the inflated or uninflated state the uninflated AMS implant is more flexible than the Coloplast (with its permanent residual stiffness). This accounts for the superior comfort and feel of the uninflated AMS. When inflated, the AMS depends almost entirely on the hydraulic pressure of the saline solution inside the implant.

So, both implants depend greatly on the hydraulic pressure of the saline solution inside the implant. This hydraulic pressure is supplied by the human hand that does the pumping and is thus approximately equal. The boost in stiffness that Coloplast gets from the bioflex material is noticeable, but by MOST reports not a deal-breaker as far as coitus is concerned because

BOTH MAKER'S PRODUCTS ARE CAPABLE OF RIGIDITY IN EXCESS OF WHAT IS OPTIMAL FOR MOST SEXUAL ACTIVITIES.

Now, for my editorial: Having excess stiffness is great for bragging rights, self-image and ego boost. Kind of like having a car capable of 200+ miles per hour when you never go outside of a 25 mph neighborhood. If you are of the school that excess is waste, you may be on one side of the debate. If you are of the school that a generous overage is a comfort/benefit, then welcome to the opposition.

Disclaimer: The Coloplast, with its superior deflated stiffness is superior for men with certain medical conditions (Peyronie's Disease, principally) or are extra-long (longer penises benefit from the excess/extra stiffness of the material and greater girth because of an engineering factor known as "Moment of Inertia" - look it up) or whose penis is extra-girthy by nature.

Summation:

Each to their own, aside from special requirements, medical, psychological or dimensional. Is it rude to denigrate (as opposed to question) another man's choice of implant?

[ETGuy71]

Excellent post Lost.....thanks

[needhelp]

Maybe for you... not for me. I get hard as a rock and when I'm done and deflated I have a limp noodle.

Larry

Yes you keep saying your (and all) AMS is rock hard.
However, science, doctors and empirical evidence say the Titan is harder.
You also keep saying people should go to their local doc even though research has proven large difference in success between high volume doctors and low volume doctors.

Do you only read what you want? I am getting tired of you snipping at me. My AMS is plenty hard enough for sex. I could not care less which one is harder, that is NOT the issue... Both are hard enough to get the job done. As for high volume surgeons, I have spoken to the 3 top US and 1 top CDN surgeons and EVERY ONE OF THEM say that there are great surgeons all over the world and there is no need for people to fly half way around the world to get a great implant. You know that because \I have said it at least three times since speaking to the last one - Dr. Kramer. If you cannot keep a civil tongue with me, I will be forced to ask Paul to take further steps to stop it.

Larry

Larry, interesting comment about great surgeons that do implants that you do not have to fly all over to find one. I'm in that process now....looking. How do you come to a conclusion that a Dr is good? I could use some help

[Larry10625]

Yes you keep saying your (and all) AMS is rock hard.
However, science, doctors and empirical evidence say the Titan is harder.
You also keep saying people should go to their local doc even though research has proven large difference in success between high volume doctors and low volume doctors.

Do you only read what you want? I am getting tired of you snipping at me. My AMS is plenty hard enough for sex. I could not care less which one is harder, that is NOT the issue... Both are hard enough to get the job done. As for high volume surgeons, I have spoken to the 3 top US and 1 top CDN surgeons and EVERY ONE OF THEM say that there are great surgeons all over the world and there is no need for people to fly half way around the world to get a great implant. You know that because \I have said it at least three times since speaking to the last one - Dr. Kramer. If you cannot keep a civil tongue with me, I will be forced to ask Paul to take further steps to stop it.

Larry

Larry, interesting comment about great surgeons that do implants that you do not have to fly all over to find one. I'm in that process now....looking. How do you come to a conclusion that a Dr is good? I could use some help

Well... when I was looking for a good urologist to "fix" me (and understand I had never heard of implants), I just asked around and finally got a name and then used good ole Facebook and asked if anyone knew about him and what he was like... Every comment I got was awesome so then I went on Google and looked up review for Dr. Brock. Most of the comments were great... there were a few that were not but since I am in the medical field, I discounted the bad ones as ridiculous. I guess this guy thinks that he should have stayed in the exam room and answered questions for an hour while his waiting room filled up. Dr. Brock gives out his personal email address and answers email same day. If you have more questions than your appointment has time for... email him. You could also try calling the company and see if they can recommend someone or AMS has a physician finder... see who the suggest and then ask on here if anyone has comments about that doctor.

Larry

[needhelp]

Thank you Larry. That Facebook idea was a good one....tks buddy