Two different ways to install an AMS CX cylinder involving tubing issues

The final frontier. Deciding when, if and how.
indusvalley
Posts: 271
Joined: Thu May 02, 2019 5:27 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby indusvalley » Tue Feb 25, 2020 5:46 pm

Okay, this has me worried. Is there any other Dr Kramer patient who can feel the tubes on top as shown in illustration A? Is it bothersome and painful? Is there anyone who has tubes pointing downwards? Maybe Dr Kramer installs it either way depending on the patient?
A young guy in his early 30s from South Asia. Implanted Titan 22cm by Dr. Tariq Hakky in Atlanta (Dec 2020). Amazing doctor! No pain during recovery. My size is 5.75” x 4.6” which is better than pre-OP size of 5.6” x 4.5”. Hoping to gain more in future.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Waynetho » Tue Feb 25, 2020 7:24 pm

indusvalley wrote:Okay, this has me worried. Is there any other Dr Kramer patient who can feel the tubes on top as shown in illustration A? Is it bothersome and painful? Is there anyone who has tubes pointing downwards? Maybe Dr Kramer installs it either way depending on the patient?


In case someone had misunderstood me, please note that my doctor was not Kramer. It was Mark Allen in Plano Texas.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Tue Feb 25, 2020 9:04 pm

Apparently Thomas1 has had a different type of surgery notice that he had a horizontal scrotal cut which is different style then what I have seen and what I have had done

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Wed Feb 26, 2020 11:35 am

Trchd1 wrote:Apparently Thomas1 has had a different type of surgery notice that he had a horizontal scrotal cut which is different style then what I have seen and what I have had done

Mine was a vertical cut

indusvalley
Posts: 271
Joined: Thu May 02, 2019 5:27 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby indusvalley » Wed Feb 26, 2020 3:31 pm

I don't think the type of cuts matter. Also, I just realized this post is about AMS CX cylinder. I will be getting AMS LGX, so my question to folks in this forum is if they have AMS LGX installed using penoscrotal approach and if their tubes are going up and down, or just down? If it's the former, is it uncomfortable or painful?
A young guy in his early 30s from South Asia. Implanted Titan 22cm by Dr. Tariq Hakky in Atlanta (Dec 2020). Amazing doctor! No pain during recovery. My size is 5.75” x 4.6” which is better than pre-OP size of 5.6” x 4.5”. Hoping to gain more in future.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Waynetho » Wed Feb 26, 2020 3:37 pm

As I understand them, the cylinders for the CX and LGX are almost identical except for the way the Dacron sleeve is designed which either limits to girth only expansion or also allows length expansion. The rear tip connectors may also be different but the tubing exits the cylinders pretty much the same way, so installation would still be the same.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Wed Feb 26, 2020 7:04 pm

indusvalley wrote:I don't think the type of cuts matter. Also, I just realized this post is about AMS CX cylinder. I will be getting AMS LGX, so my question to folks in this forum is if they have AMS LGX installed using penoscrotal approach and if their tubes are going up and down, or just down? If it's the former, is it uncomfortable or painful?

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Wed Feb 26, 2020 7:12 pm

indusvalley wrote:I don't think the type of cuts matter. Also, I just realized this post is about AMS CX cylinder. I will be getting AMS LGX, so my question to folks in this forum is if they have AMS LGX installed using penoscrotal approach and if their tubes are going up and down, or just down? If it's the former, is it uncomfortable or painful?

I highly suggest that you find someone that can do the method on top or the A method unless being able to feel the tubes on the base of your penis does not bother you or your spouse or significant other

I wish I would have researched the different types of installation before I had mine done I just assumed that when the doctor was finished (especially my Dr) that the only thing you would be able to tell that you had an implant was the pump in your scrotum sack
That is NOT the case

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Waynetho » Wed Feb 26, 2020 7:29 pm

tomas1 wrote:Did you have peno-scrotal or infra-pubic installation?
If scrotal I wonder how the tubing to the pump would go up?

Something doesn't sound right and I don't think it reflects well on Dr Kramer's operation.
Either definition of operation applies.

Could they have used the longer tubing used for infra-pubic if peno-scrotal

Maybe the tubing can be pulled down eventually?

So many questions.

Tomas1, if I understand your question. My tubes don't exactly come from above my corpora but they are palpable to the sides and immediately underneath the penis nonetheless. I believe my corporotomies were made slightly toward the outside edge of my corpora rather than a true ventral position, directly downward, but I could be wrong though. I do know that I can feel the tubes and quick connects toward the outside edge of the ventral area of my penis.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby tomas1 » Wed Feb 26, 2020 7:39 pm

I agree that with a scrotal installation, the tubing should exit the cylinders ventrally.
I don't know why it wouldn't.

I also don't like doctors using connections for cylinder to pump tubing.
Sounds like 2 more chances for ultimate failures.

I hate that I don't trust doctors to do the right thing.
Please forgive me.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.


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