need help choosing an implant

[MightyDuck7X6]

[quote="EricDraven"My questions. Which implant would be the most beneficial?

I am not sure about your choices for doctors with this for you. If you are locked in for the doctor you have then it is different than if you are searching for a doctor for this. But from what I have experienced is there is a lot of difference in docotrs that do this and the way they approach this. Some are cutting edge and have a lot of interest and others have little interest other than to give you a working device. If you trust a doctor for this then I would trust the doctor to choose the device that is best for you. I would think that the doctor would in most cases do a bet better job if they are implanting what they think is best rather than using a device they think is not best for you. But again your choice. As I had size loss like you have I was leaning for the LGX to help with regaining size loss after surgery but also was considering a Titan. And I told my doctor this and left the choice to him. Here is a comparison document of the LGX and the Titan. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/ Table 1 in that document shows the expansion of the LGX in length and girth. It also shows that the Titan does expand a bit. And it shows that the 18cm Titan has the greatest girth. Where the 21cm LGX and 22cm Titan are very close. But some doctors do not like the 21cm LGX as that is the largest size for the LGX and with the softer cylinders has poor results for erection angle and maybe some other reason I do not understand. However my 21cm LGX is harder inflated than my natural erection ever was.
.

Newbie443,
Thank you for this information. These test results confirms what my doctor told me.
I was also interested in the AMS 700 LGX but have seen doctor conference video that states with the length and girth expansion that the girth expansion was dependent on your length. Because once you hit your maximum length pump. You are not able to continue pumping to expand the cylinders in girth. This is why some doctors don’t like the LGX. If you try to aggressively pump more to gain length or expand the girth you can buckle the cylinders. What I saw in a video so if that’s true or not I do not know. Newbie have you heard this or had any issues with your LGX?


EricDraven
I have 6” in girth and a little above average in length 7”, not your 8”! the urologist that I saw which does many implants a year and implants both AMS and Coloplast. After my long list of questions I had prepared to ask was answered. I ask his opinion which implant, the AMS or Titan was best for me and my size. He said because of my girth he would advise using the titan. Also on longer guys the titan holds its rigidity better. The goes a long with the test results posted. He did have me drop my pants and did a stretch test. I straight out ask him if I would remain the same size as I was with pills, injections,VED. He said yes. Also questioned his sizing methods when implanting. I’ve seen video again from doctor conferences that pretty much said the penis stretch in the doctors office is pretty much for the patient. So that they don’t have expectations of a penis that they had at 20 years old. Some men have not had a erection for years and have not seen their penis erect for a long time, and due to ED shrinkage, have in their mind that the implant will give them that erection they had at 20. That’s why it’s so important to keep having erections after the onset of ED, by pills, injections or VED to try to keep size. If you don’t have a erection for years you will lose penis size.

[Lost Sheep]

)edited down for focus)
If you try to aggressively pump more to gain length or expand the girth you can buckle the cylinders. What I saw in a video so if that’s true or not I do not know. Newbie have you heard this or had any issues with your LGX?

Buckling the cylinders (also known as"the S-curve deformity") was a problem with the LGX's predecessor, the Ultrex from AMS.

With a properly sized LGX, the problem is non-existent. Of course, if a surgeon thinks a slightly over-length LGX will allow a patient to stretch his length, that would be a very bad call. The LGX (despite popular hopes) does not expand the penis length. It expands in length from uninflated to inflated, allowing the penis to shorten (which is more convenient and comfortable for the man) when flaccid and grow to full length to full (normal) erect length when inflated. Not greater length than that same man would have had if a CX or Coloplast would make him, erect.

[Gt1956]

)edited down for focus)
If you try to aggressively pump more to gain length or expand the girth you can buckle the cylinders. What I saw in a video so if that’s true or not I do not know. Newbie have you heard this or had any issues with your LGX?

Buckling the cylinders (also known as"the S-curve deformity") was a problem with the LGX's predecessor, the Ultrex from AMS.
With a properly sized LGX, the problem is non-existent. Of course, if a surgeon thinks a slightly over-length LGX will allow a patient to stretch his length, that would be a very bad call. The LGX (despite popular hopes) does not expand the penis length. It expands in length from uninflated to inflated, allowing the penis to shorten (which is more convenient and comfortable for the man) when flaccid and grow to full length to full (normal) erect length when inflated. Not greater length than that same man would have had if a CX or Coloplast would make him, erect.

I know that I've seen the claims that basically the LGX is labeled at its erect lenth. There is a link posted about a week ago that goes to a study on implant sizes that are pressurized to 20psi. The 18cm LGX is clearly shown as 21cm long. The Titan 18cm is shown at 18.4cm. So for whatever its worth, the LGX grew by 3cm. Titan & LGX 18cm implants do not end up at the same length pumped up.
LS, as I recall it was you that determined that a man could generate 20psi with his fingers about 2 years ago.
On to oversizing. Check my recent history about a Boston Scientific YouTube video. A urologist asked about using slightly oversized (rtes included) for the chance of length growth. Two out of the three panels members seemed to agree that it was possible. I have personally had an appointment with one of the panel members. He was willing to say that with steady cycling that in one year I could expect about 2" of regained lost length over my bpl.

[newbie443]

Newbie443,
Thank you for this information. These test results confirms what my doctor told me.
I was also interested in the AMS 700 LGX but have seen doctor conference video that states with the length and girth expansion that the girth expansion was dependent on your length. Because once you hit your maximum length pump. You are not able to continue pumping to expand the cylinders in girth. This is why some doctors don’t like the LGX. If you try to aggressively pump more to gain length or expand the girth you can buckle the cylinders. What I saw in a video so if that’s true or not I do not know. Newbie have you heard this or had any issues with your LGX?

Yes on occasion I have inflated with more girth and less length. But the pumps were different. Took more pumps and the pumps did not seem to be moving the fluid as well. As far as buckling under max inflation I have not ever had this. The pump goes into by-pass mode and I again can feel the difference in pumps as the fluid is not going into the cylinders but back into the reservoir.

[newbie443]

)edited down for focus)
If you try to aggressively pump more to gain length or expand the girth you can buckle the cylinders. What I saw in a video so if that’s true or not I do not know. Newbie have you heard this or had any issues with your LGX?

Buckling the cylinders (also known as"the S-curve deformity") was a problem with the LGX's predecessor, the Ultrex from AMS.

With a properly sized LGX, the problem is non-existent. Of course, if a surgeon thinks a slightly over-length LGX will allow a patient to stretch his length, that would be a very bad call. The LGX (despite popular hopes) does not expand the penis length. It expands in length from uninflated to inflated, allowing the penis to shorten (which is more convenient and comfortable for the man) when flaccid and grow to full length to full (normal) erect length when inflated. Not greater length than that same man would have had if a CX or Coloplast would make him, erect.

You may be correct about the Ultrex with buckling and maybe some of that info is carrying over into your statement that the LGX dose not expand in length over its listed size. We have exchanged ours views before and I have posted the Document above that does show the LGX does expand in length and girth. If you have a document that shows other wise I would like to see it. So again the link for the document is: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/ Just scroll down to table 1.

Now that being said if the man does not have recoverable lost size it is my understanding that the LGX will only expand to the available room in the Tunica. But if there is recoverable lost length over time the LGX will expand in length more than than the Titan will. If there is no or little lost size then yes your statement in more correct.

[Gt1956]

Newbie443, yes that is what I've reference to recently. I don't see any other way to interpret table 1. Especially if you look at the results for 18cm implants. I really wish that a similar test was done on the girth of the implants at 20psi.

[newbie443]

Newbie443, yes that is what I've reference to recently. I don't see any other way to interpret table 1. Especially if you look at the results for 18cm implants. I really wish that a similar test was done on the girth of the implants at 20psi.

Actually table 1 does show diameter below length. And volume below that. 3 sections to the table. It shows that the 18cm Titan has the best girth expansion. 1.8cm diameter at 10psi and 2.2 at 20psi. But the diameter of the 21cm LGX is very close to that of the 22cm Titan.

Volume is higher in the Titan and that may be in part that as the AMS cylinders have 2 layers of material the wall may be thicker that the Titan cylinder walls and thus the difference in part of volume.

[Gt1956]

Newbie443, yes that is what I've reference to recently. I don't see any other way to interpret table 1. Especially if you look at the results for 18cm implants. I really wish that a similar test was done on the girth of the implants at 20psi.

Actually table 1 does show diameter below length. And volume below that. 3 sections to the table. It shows that the 18cm Titan has the best girth expansion. 1.8cm diameter at 10psi and 2.2 at 20psi. But the diameter of the 21cm LGX is very close to that of the 22cm Titan.
Volume is higher in the Titan and that may be in part that as the AMS cylinders have 2 layers of material the wall may be thicker that the Titan cylinder walls and thus the difference in part of volume.

Good info. I must of saved it as a screen shot. I only have one page. I feel like the LGX gets dismissed based upon the uninflated size. Also some vanity in proclaiming that I have a "Titan". Great name was chosen by the sales department. Anyway, my goal is to get back what I was born with. Always a grower, I'll be happy with a grower.

[MightyDuck7X6]

Buckling the cylinders (also known as"the S-curve deformity") was a problem with the LGX's predecessor, the Ultrex from AMS.

With a properly sized LGX, the problem is non-existent. Of course, if a surgeon thinks a slightly over-length LGX will allow a patient to stretch his length, that would be a very bad call. The LGX (despite popular hopes) does not expand the penis length. It expands in length from uninflated to inflated, allowing the penis to shorten (which is more convenient and comfortable for the man) when flaccid and grow to full length to full (normal) erect length when inflated. Not greater length than that same man would have had if a CX or Coloplast would make him, erect.

This I copied directly from the AMS EDcure website.

https://www.edcure.org/treatment-option ... sp10002355

or select the AMS 700 advertisement at top of page and it will take you there.

The things I’ve read/seen about buckling was on the LGX. Maybe they were talking about past cylinders and have upgraded.You guys that have the LGX have first hand experience and know more about them than us that don’t.

This is a little misleading if it does not expand in length.

AMS 700 LGX PENILE IMPLANT
Currently the ONLY penile implant on the market with cylinders designed to expand in girth and length of 10-25%46
Cylinders designed to answer the #1 concern men with ED have — loss of penile length⁸², ⁸³
Controlled expansion is designed to provide maximum rigidity and optimal length and girth expansion⁴⁶
Firm, rigid erection that can last as long as desired⁴⁶
Natural, flaccid appearance when deflated⁴⁶

AMS 700 CX PENILE IMPLANT
Controlled expansion is designed to provide maximum rigidity and optimal girth expansion⁸⁴
Firm, rigid erection that can last as long as desired⁴⁶
Natural, flaccid appearance when deflated⁴⁶

AMS 700 CXR PENILE IMPLANT
All the benefits of the AMS 700 implant series, including girth expansion for patients who may require shorter and narrower cylinders⁸⁴
Controlled expansion is designed to provide maximum rigidity and optimal girth expansion⁴⁶
Firm, rigid erection that can last as long as desired⁴⁶
Natural, flaccid appearance when deflated⁴⁶

[Lost Sheep]

)edited down for focus)
If you try to aggressively pump more to gain length or expand the girth you can buckle the cylinders. What I saw in a video so if that’s true or not I do not know. Newbie have you heard this or had any issues with your LGX?

Buckling the cylinders (also known as"the S-curve deformity") was a problem with the LGX's predecessor, the Ultrex from AMS.

With a properly sized LGX, the problem is non-existent. Of course, if a surgeon thinks a slightly over-length LGX will allow a patient to stretch his length, that would be a very bad call. The LGX (despite popular hopes) does not expand the penis length. It expands in length from uninflated to inflated, allowing the penis to shorten (which is more convenient and comfortable for the man) when flaccid and grow to full length to full (normal) erect length when inflated. Not greater length than that same man would have had if a CX or Coloplast would make him, erect.

You may be correct about the Ultrex with buckling and maybe some of that info is carrying over into your statement that the LGX dose not expand in length over its listed size. We have exchanged ours views before and I have posted the Document above that does show the LGX does expand in length and girth. If you have a document that shows other wise I would like to see it. So again the link for the document is: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/ Just scroll down to table 1.

Now that being said if the man does not have recoverable lost size it is my understanding that the LGX will only expand to the available room in the Tunica. But if there is recoverable lost length over time the LGX will expand in length more than than the Titan will. If there is no or little lost size then yes your statement in more correct.

I think we are on the same page.

Yes, newbie443, it was a surprise to me when you introduced me to that particular article wherein it does show that the LGX does lengthen longer than the labelled length. It is also revealing that the LGX's expansion (if you graph it against the pressure) seems to fall off at the upper limit (at, least, of the pressure range used in the article) as one might expect. This might lead to the conclusion that the LGX has more length available if you go past 20 PSI.

The tunica may be able expand, though. It is living tissue, after all. I expect, once the "shrinkage kinks" a man might recover of lost length, it would take months or years to get the tunica to lengthen.