Which implant to choose? AMS or Coloplast

[Mark1974]

The size obsession is crazy

[misterecz]

Bad habit. I didn't read the study that newbie443 has graciously posted for us. So I just read the first few paragraphs. I'm surprised that no one has picked this out. Considering how much infrapubic ipp surgery is being talked so highly. This might change a few members opinions.

"Results from a prospective study indicate that surgeons placing IPPs via a transcrotal approach resulted in an approximately 1–2 cm increased length of prosthesis inserted compared to IPP placement with infrapubic approach."

I find this highly interesting. Go infrapubic, go short.

GT,

Yeah, agreed scrotal approach is the optimal approach for maximal length according to studies.
Here's another study dedicated to this: https://pubmed.ncbi.nlm.nih.gov/25339138/

"Compared with infrapubic, transcrotal placement resulted in a longer total prosthesis (22.3 cm vs 20.6 cm, P < 0.0001)..."

That's a different of ~2.5cm, so almost an inch.

[Jage64]

One reason Perito likes the infrapubic because it's so fast. This to me says it's not necessarily the best option for the patient, but it's more efficient for the doctor and surgical staff.

In one of his MTP videos he clearly states he likes it because it's something like a 15 minute surgery.

[sswinsfba]

I thought that this was about "Which implant to choose -- AMS or Coloplast?"

How did it become a trash talking session about how pensoscrotal implants are "better" than Infrapublic?

Just sounds like a lot of self-reinforcing and self-serving BS to me.

[misterecz]

We are simply discussing scientific studies to achieve optimal results.

[Bigdave]

Good points Newbie.

All the problems I have had I can find no fault of my cylinder length. I did have a low erection angle at 4-430 before my proximal perforation repair. After the repair it is now at 3:00. Others on this site also have the 21 cm LGX and I cannot remember reading any problems with the cylinders.

Newbie,

Can you tell me about this proximal perforation?
Where exactly is the perforation, and what symptoms prompted you or your doctor to suspect the problem.

My erection is also at a fairly low angle, around 4 or 5 o-clock. I don't have any significant pain in the proximal area, and everything seems to work fine, but I'd prefer the appearance of a nice straight out erection if possible.

[indeed]

Hi Dave

If the angle bothers you a lot, there is always the option of getting a suspensory ligament tightening (stitches above your penis). It will give you the angle you wish. I just had this done.
If your angle doesn't give you any problem, i wouldn't risk it though.

Cheers

Good points Newbie.

All the problems I have had I can find no fault of my cylinder length. I did have a low erection angle at 4-430 before my proximal perforation repair. After the repair it is now at 3:00. Others on this site also have the 21 cm LGX and I cannot remember reading any problems with the cylinders.

Newbie,

Can you tell me about this proximal perforation?
Where exactly is the perforation, and what symptoms prompted you or your doctor to suspect the problem.

My erection is also at a fairly low angle, around 4 or 5 o-clock. I don't have any significant pain in the proximal area, and everything seems to work fine, but I'd prefer the appearance of a nice straight out erection if possible.

[newbie443]

Newbie,

Can you tell me about this proximal perforation?
Where exactly is the perforation, and what symptoms prompted you or your doctor to suspect the problem.

My erection is also at a fairly low angle, around 4 or 5 o-clock. I don't have any significant pain in the proximal area, and everything seems to work fine, but I'd prefer the appearance of a nice straight out erection if possible.

Early on in penile implant surgery men were dilated with different instruments. And perforation of the Tunica was more of a problem than it is now. Weather it be a crossover or proximal or something else. Thing have improved and new instruments have been made. Rounded smooth dilators have been designed and are now in use to prevent this. Really good doctors had a feel for this and the reason they had less reoperations was partly due to this. Used to be a perforation was a game over occurrence but now there are sling an sail repairs and other ways of resolving a perforation.

When I had my cath removed the morning after surgery my penis flopped to the left flat against my body. I spent the night and the Resident had this very disturbed look on her face and she looked to the doorway and my doctor was there and had this strange look also. I had always pointed straight forward. No curvatures or angle to the left or right. After surgery I was almost 45 degrees leaning to the left at max inflation. I could also follow my cylinders down inside my body and the left cylinder was closer to the surface starting under my scrotum and back toward my rectum where I would have pain after sex. The proximal (RTE end) of the cylinder was not inside the Tunica and was not supported. There was a perforation of the Tunica that the RTE went through. A sling repair was done. A better name would be stirrup as suture material was used to make a stirrup to support the proximal end of my left cylinder. My angle is a lot better. Well over 50% improvement but still not perfectly straight. A bit a left angle from the base. And the pain is over 50% better also. Again not 100% and I still need a bit of caution or I will have pain after sex. I can now follow both cylinders back through my scrotum and they are both the same in depth under my skin. This was side to side angle and I had about a 4 o'clock slightly down angle. That was not a big deal for me. My discharge instructions said I did not need to tape my penis to my stomach pointing at my belly button. I could not have done that for my plane ride home any way. That would have only been possible for the time I was flat on my back.

[Brent1]

Go for AMS. Problem with Titan it's hard to hide and looks like a semi. Could give for example problems when you are around your grandkids.

[peterM]

I am scheduled to get an AMS 700 on April 6, 2023. Dr. Blick in Phoenix seems to be in bed with Boston Scientific and never mentioned any other brand. Sorry I did not find this website sooner. Anyone have any experience with him? He did examine the size and shape of my penis. I am 81 and 3 yrs post radiation and androgen denial.