Titan members with 2cm or more RTEs

The final frontier. Deciding when, if and how.
aussiePeyronies
Posts: 681
Joined: Thu May 05, 2022 9:44 am

Titan members with 2cm or more RTEs

Postby aussiePeyronies » Sat Mar 11, 2023 9:42 am

Is there any titan members who have 2cm or more RTEs? Are you able to comment on whether you're getting a rigid erection? Do the RTEs effect your erection in any way? Are you wobbly at say 85% pumped?

I received a 22cm +2.5cm RTE, while I would have preferred to have the 24cm + 1.5cm, my surgeon did not use the 24cm as he said it would cause issues for him in pump placement.

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

Bigdave
Posts: 342
Joined: Sun Feb 26, 2023 1:23 am
Location: VA

Re: Titan members with 2cm or more RTEs

Postby Bigdave » Sat Mar 11, 2023 2:21 pm

From what I've read, the RTEs are used to get the correct fit, as well as put the tubes to the pump in the right place.
I don't think 2.5cm is excessive.
Age 59. AMS 700 LGX 21cm + 2cm RTE.
Peniscrotal, 2/23.
6.25" OEM with Cialis, about 5" post-op. (11/01: Length 6.75" and girth is up to 4.75" mid shaft.) Still growing, albeit slowly. :D
Cycling daily. Hoping to get to 7". ;)

sswinsfba
Posts: 572
Joined: Sat Jan 07, 2023 3:08 pm

Re: Titan members with 2cm or more RTEs

Postby sswinsfba » Sat Mar 11, 2023 3:16 pm

Bigdave wrote:From what I've read, the RTEs are used to get the correct fit, as well as put the tubes to the pump in the right place. I don't think 2.5cm is excessive.


I agree.

I don't think anyone w/a 2.5cm RTE has much to worry about in terms of the bending/rigidity of the implant.
Age 73. Started taking 5 mg Cialis daily in 2000. Minor ED started in 2021. Major ED problem started in 2022. Coloplast Titan (20 cm w/1cm RTE) implanted infrapublicly on 01/24/2023 by Dr. Edward Karpman (El Camino Urology Medical Group, Mt. View, CA).

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Titan members with 2cm or more RTEs

Postby FinallyBionic » Sat Mar 11, 2023 8:37 pm

Many members here have 3cm or more of RTEs and a plenty of implanted men with 1-2cm RTE. The RTE connection point is not a (Joint) or hinge. There is no way the penis can be wobbly where there is a RTE. If it is, then the cause could be something else. Do not worry about having it.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

sswinsfba
Posts: 572
Joined: Sat Jan 07, 2023 3:08 pm

Re: Titan members with 2cm or more RTEs

Postby sswinsfba » Sat Mar 11, 2023 9:55 pm

FinallyBionic wrote:There is no way the penis can be wobbly where there is a RTE.


This is incorrect.

It is clear from the medical literature that the longer the RTE, the greater the "bending deflection" and the lower the "axial rigidity" of the implant.

It's not specifically mentiond in the links below, when I asked him, my doc said that this usually does not become an issue until the RTE exceeds 2cm.

See: https://www.sciencedirect.com/science/a ... 2118301161

See also: https://pubmed.ncbi.nlm.nih.gov/30551977/
Age 73. Started taking 5 mg Cialis daily in 2000. Minor ED started in 2021. Major ED problem started in 2022. Coloplast Titan (20 cm w/1cm RTE) implanted infrapublicly on 01/24/2023 by Dr. Edward Karpman (El Camino Urology Medical Group, Mt. View, CA).

aussiePeyronies
Posts: 681
Joined: Thu May 05, 2022 9:44 am

Re: Titan members with 2cm or more RTEs

Postby aussiePeyronies » Sun Mar 12, 2023 12:18 am

sswinsfba wrote:
FinallyBionic wrote:There is no way the penis can be wobbly where there is a RTE.


This is incorrect.

It is clear from the medical literature that the longer the RTE, the greater the "bending deflection" and the lower the "axial rigidity" of the implant.

It's not specifically mentiond in the links below, when I asked him, my doc said that this usually does not become an issue until the RTE exceeds 2cm.

See: https://www.sciencedirect.com/science/a ... 2118301161

See also: https://pubmed.ncbi.nlm.nih.gov/30551977/


Thanks, this is exactly my concern. There is also the video from Dr Eid showing a revision on a 4cm RTE, the difference is substantial.

I have noticed that the wobbliness with RTEs seems to effect Titan users more than AMS.
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

Bwtbbb
Posts: 155
Joined: Sun Dec 11, 2022 9:58 am

Re: Titan members with 2cm or more RTEs

Postby Bwtbbb » Sun Mar 12, 2023 6:49 am

aussiePeyronies wrote:
sswinsfba wrote:
FinallyBionic wrote:There is no way the penis can be wobbly where there is a RTE.


This is incorrect.

It is clear from the medical literature that the longer the RTE, the greater the "bending deflection" and the lower the "axial rigidity" of the implant.

It's not specifically mentiond in the links below, when I asked him, my doc said that this usually does not become an issue until the RTE exceeds 2cm.

See: https://www.sciencedirect.com/science/a ... 2118301161

See also: https://pubmed.ncbi.nlm.nih.gov/30551977/


Thanks, this is exactly my concern. There is also the video from Dr Eid showing a revision on a 4cm RTE, the difference is substantial.

I have noticed that the wobbliness with RTEs seems to effect Titan users more than AMS.

This would be because Titans have a 5cm non-inflatable proximal tip while AMS devices only have 4.5cm, so in a way, Titans already have 0.5cm RTEs built in, in comparison to AMS devices.

In the future these proximal tips will likely be shorter to mitigate this.

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Titan members with 2cm or more RTEs

Postby FinallyBionic » Sun Mar 12, 2023 8:43 am

sswinsfba wrote:
FinallyBionic wrote:There is no way the penis can be wobbly where there is a RTE.


This is incorrect.

It is clear from the medical literature that the longer the RTE, the greater the "bending deflection" and the lower the "axial rigidity" of the implant.

It's not specifically mentiond in the links below, when I asked him, my doc said that this usually does not become an issue until the RTE exceeds 2cm.

See: https://www.sciencedirect.com/science/a ... 2118301161

See also: https://pubmed.ncbi.nlm.nih.gov/30551977/

Just take this forum as an example. From the hundreds of members here, did you see anyone complaining about less rigidity at the base, or the penis moves sideways because of the RTE? No substantial study could really prove it with statistics and numbers. The rigidity you are mentioning is way beyond the natural penis being in early 20s. You can see that studies considers LGX (too soft) compared to Titan, while in fact, no person with LGX has any issue with stiffness. Even malleable implants are stiff enough, with no issues in all positions.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

gjmjoe017
Posts: 1055
Joined: Thu Apr 13, 2017 9:32 am
Location: NW Arkansas

Re: Titan members with 2cm or more RTEs

Postby gjmjoe017 » Sun Mar 12, 2023 8:56 am

I have a Titan with two RTE’s and very stable when erect.I just don’t buy this wobbly BS.RTE’s are used to get the length to mid glans to ensure a good fit.If it made for instability do you think they would use them?Now,can they be used improperly and cause some issues?Yes they can but when used as they were designed there are no problems in fact make your implant better!
71 yrs.old married,ED for 7 yrs.Pills for 3 yrs,TriMix for 21/2 yrs.6 1/2 inches flacid,71/4 inches erect,6 inches girth.Coloplast Titan put in 11/13/20,Dr.Bozeman,Arkansas Urology,Little Rock.22cm + 2 RTE.

Bwtbbb
Posts: 155
Joined: Sun Dec 11, 2022 9:58 am

Re: Titan members with 2cm or more RTEs

Postby Bwtbbb » Sun Mar 12, 2023 9:32 am

gjmjoe017 wrote:I have a Titan with two RTE’s and very stable when erect.I just don’t buy this wobbly BS.RTE’s are used to get the length to mid glans to ensure a good fit.If it made for instability do you think they would use them?Now,can they be used improperly and cause some issues?Yes they can but when used as they were designed there are no problems in fact make your implant better!

https://www.youtube.com/watch?v=oGBMccEQERw

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559880/

gjmjoe017 wrote:If it made for instability do you think they would use them?


Most top surgeons avoid them except in some cases where they are necessary. Other surgeons don't avoid them for cost saving purposes and if they don't use the no-touch technique, it would increase infection risk.


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