AMS 700 vs Coloplast Titan

[Antonio1010]

Hello all,

Please provide your thoughts on this. Which one do you prefer between AMS 700 and Coloplast Titan? I will reach the final verdict with my doctor but in the meanwhile your feedback is greatly appreciated. I m looking for the most rigidity, immediate length, and growth. Which one will provide potential length extention over the original penile size?

Thanks

[Lost Sheep]

Hello all,

Please provide your thoughts on this. Which one do you prefer between AMS 700 and Coloplast Titan? I will reach the final verdict with my doctor but in the meanwhile your feedback is greatly appreciated. I m looking for the most rigidity, immediate length, and growth. Which one will provide potential length extention over the original penile size?

Thanks

With respect, I will suggest that you are focusing on the wrong criteria for your choice of implant model.

Also, respectfully, I suggest you take a weekend or two to review the past few years of posts because the relative merits of the different implants has been discussed here extensively. You will get a bolus of information MUCH quicker than if you wait for responses to your post. In addition, information posted from members who are no longer active is still available in those past posts - and may not be offered by current members.

I did that and no not regret one minute of the time spent. It enabled me to 1) impress my primary care physician with my knowledge enough that getting authorization for an implant was easy and 2) cause my surgeon to proclaim that I was the besst-informed patient he had ever had. It also made my expectations realistic and my communications with my surgeon more peer-to-peer than Doctor-Patient.

While it is clear that Coloplast Titan is made of stiffer material than the AMS devices, all produce rigidity beyond what is necessary (or even comfortable) for having sex. The AMS CX is said to be stiffer than the AMS LGX, but the LGX does offer lengthening which the CS or Titan do not. Having said that, no implant promises to lengthen your penis beyond what your natural erection already has. The LGX's advantage is that the flaccid state is shorter than the inflated/erect state. This makes the LGX more comfortable the 95% of your life you are not engaging in sex.

It is FAR better that you find the implant the best fits YOUR penis rather than the one that gets the most positive feedback to your questions. If you are just searching for the right questions to ask your surgeon, I may have overstepped myself, so please forgive me.

There are a LOT of details about Tunica-dependent and Tunica-independent design, implant diameter and how that affects rigidity and how it affects girth and the relative merits of the models for men with complicatinng factors like Peyronie's Disease, scar tissue or penile injuries, etc. Those past posts contain a wealth of information.

Good luck in your search.

[1day2Bbionic]

Most comprehensive that I have seen on here....scroll down until you see merrix posts, he gets all the credit for this.....viewtopic.php?f=6&t=18516&p=169259#p169259

[Gt1956]

There isn't a perfect or best implant. All of them will give you a penis that is very suitable for sex.
Each model has its good & bad points. A better criteria is do you have peronies? If you do, how bad is it. Peyronies pretty much means that you'll get either a Titan or a CX. Your doctor will choose your implant model, not you.
Titan & CX both can have dog ears. Generally accepted as a painful condition. Persistent dog ears can lead to early cylinder failures. CX has fewer cases of dog ears than Titan but Titan seems to work best on the more severe cases of peyronies.
LGX offers limited girth & length growth. But are poor on fibrosis or peyronies. Its generally accepted as the more comfortable for when you are not erect. CX offers the chance of some girth growth.
I think you're judging by bad traits. If you're treating multiple conditions then your surgeon should use the implant that treats you penile conditions the best. Not what you think might give you the biggest/hardest erections.

[2435tjklAS]

Most comprehensive that I have seen on here....scroll down until you see merrix posts, he gets all the credit for this.....viewtopic.php?f=6&t=18516&p=169259#p169259

I don't agree with his paragraph on length. He mentioned two different studies (here's their full-text if you want to check https://sci-hub.se/10.1080/21681805.2017.1339292 and https://sci-hub.se/10.1016/j.juro.2018.01.011) and neither of them even do what he says, which is they "tones down the magical length-increasing features of the LGX." They're also 5 years old and 6 years old, and yes, implants causing size loss used to be the #1 patient complaint. But turns out the patients who complained back then were a bunch of pussies who didn't exercise it (note: your doctor telling you to cycle 15 minutes a day is not a sufficient amount of exercise, and I believe, like what happens in tons of health care departments, is you got incredibly conservative and safe directions with the goal of minizine any illusionary patient fears of injuries and minimizing malpractice claims, and obviously not with the goal of making your dick longer).

Here's the first source he linked directly explaining why it actually works?

The AMS 700 LGX cylinder is an IPP with the unique ability to increase owing to its middle layer of Dacron/Lycra bidirectional weave that allowed for expansion in both girth and length. The ability to expand in both directions could be responsible for its performance in the compression test. The pressure increase caused by fluid mobilized with the compression can dissipate in more than one dimension, making it the softest of the existing IPPs

And the second source is only three paragraphs long and it also explains how length gain is possible/likely?

A total of 2,749 patients (1,532 with 700
LGX, 717 with 700 CX and 500 with Titan IPP) met inclusion criteria. Patients who underwent device replacement before 2 years did not experience an increase in mean cylinder length. By comparison, patients who underwent device replacement after 2 years experienced significant increases in mean cylinder length (1.2 cm with LGX, 1.1 cm with CX and 0.9 cm with Titan, p <0.001). Mean increases in length at 2 years or after were similar among the 3 devices (p ¼ 0.20). Of the patients 60% demonstrated increases greater than 0.5 cm, and 40% displayed increases 1 cm or greater. These are important data to consider when selecting a prosthesis to implant. Inflatable penile prosthesis as tissue expander: what is the evidence? responsible for its performance in the compression test. The pressure increase caused by fluid mobilized with the compression can dissipate in more than one dimension, making it the softest of the existing IPPs.

Not only do the 2 studies he mention support the argument that this device can increase your length, but I can link a whole lot more that also claim increases of 1cm, 2cm, or 3cm is to be expected. Here's some: viewtopic.php?f=6&t=20121

Also if you'd like to understand the science behind why VEDs are effective at fixing your dick's scared down tissue, here's how they work and why they're safe: viewtopic.php?f=6&t=18561&p=169469#p169469

If you use your VED before you get an implant, that will work to fix any size losses you have experienced due to ED, which happens to literally every man. The goal is to make your dick get back to how it was when you were a horny 20 year old. VED helps that, then the surgeon will measure you when you're asleep and size you with an implant that best meets your real, original dick. After that, stick an implant in - that's not going anywhere. Also use a VED and do other exercises after, and boom, solve your ED and get a bigger dick! Because literally, you can.

Every single bit of current medical research supports these points. Anecdotal personal experiences like my own increase in length also supports them.

Lastly I'm sharing this chat cause I think it's funny.

[Antonio1010]

Thanks. I hear that the AMS 700 has more complications rate vs Titan. The pump seems more problematic too.

[Lost Sheep]

Thanks. I hear that the AMS 700 has more complications rate vs Titan. The pump seems more problematic too.

Anecdotal evidence (things one hears), while true, are not statistically persuasive. That is, the sample size of what one hears is too small to be a good basis for decision-making.

What sort(s) of complications have you heard?

It is undeniable that the AMS pump is larger than the Coloplast pump. But I observe that Coloplast has had redesigns of its pump due to backflow (autoinflation) problems and the deflation routinne is more complex (especially in their older designs) than their newer (One-touch) design.

Having said that, I will also observe that the failure rates of both manufacturers' devices are not that far from each other. Failure modes are, but not overall rates.

The differences between the two manufacturers devices were not enough for me to choose one over the other based on complexity, complications or failure rates. The deciding factors were how well the device custon-fit to MY PENIS.

Of course, availability through my health care provider was also a major determinant. But the choice based on discussion with my surgeon happened to concur with the availability through my provider, so I got the one I got.

[Buzzer]

I chose the AMS 700 CX implat, it turned out to be a 21 cn unit with no RTE's.

I am only 7 days post op. I have a long journey ahead of me.

I was given the choice by the surgeon to do either the AMS or Coloplast unit. There are a lot of minor differences between models. I chose the AMS CX unit because I am a lot older than many here on FT and I was concerned about my ability to manipulate the pump both up and down. I also wanted a more natural flacid state, but with a firm erection suitable for penetration. The Coloplast does have a very firm erection but in a flacid state it is more noticable than the AMS.

The AMS has the antibiotic coating, since I am type 2 diabetic I am more susiptible to infection than others.

For me getting an infection would be a disaster and life threatening.

So I based my decision, first on health risk, second on manageability to operate and third on erection stffness

I have no idea how this will work out.

I will tell you that you should focus on your health priorities not device capabilities.

If you decide to proceed, carefully review how you will recover from this surgery based on your current health.

My first 7 days have been really rough, I am experiencing a lot of pain and discomfort. I have been a 10 on the pain scale since the surgery. Today after intervention I am 5. This all was due to inadequate pain management by the medical system and drug administration which I have just resolved in the last 24 hours. dealing with the severe inflammation will be your biggest challenge. Do not think Tylenol will be all you need. The most effective treatment for inflammation is Motrin, I cannot take Motrin due to my medical limitations.

I would not want anyone to go thru what I have over the last 7 days

Today I am taking one 5 mg tablet of oxycodone every 4 hours and
two 325 mg tablets of regular Tylenol every 5-6 hours I feel a lot less pain right now. You have to be careful with Tylenol because too much can give you liver problems.

I was taking one 5 mg tablet of Oxycodone every 12 hours and one extra strength Tylenol evey 8 hours. This was simply not working at all. I wound up in the emergency room last night for about 14 hours suffering from all this. Thankfully there were no issues with the implant, surgery or infection. I checked in at about 4 PM Monday and got released at 5 AM Tuesday.

I had very skilled nurse who knew a lot about pain management that stepped in to get this all sorted out and I had an excellent treatment team at Michigan Medicine (U of M). My urologist, Dr. Yooni Blair got directly involved and guided all the steps involved. I felt very supported my my medical team.

But what was going on in the background was federal rules regarding opiod administration and the limits they imposed. Even if my doctor would write a script for the proper amount of Oxycodone, the pharmacy would not issue that amount.

I suggest anyone getting this procedure carefully review your pain management plan with your doctor.

Bill

[Bigdave]

Buzzer,

Good luck with your recovery.
There are reasons for the limits on opioids. Those drugs are very addictive, and withdrawal from them can be tough.
Please do be careful not to overdo it.

Again, good luck friend.

[ejacobs49@icloud.com]

Hello all,

Please provide your thoughts on this. Which one do you prefer between AMS 700 and Coloplast Titan? I will reach the final verdict with my doctor but in the meanwhile your feedback is greatly appreciated. I m looking for the most rigidity, immediate length, and growth. Which one will provide potential length extention over the original penile size?

Thanks

With respect, I will suggest that you are focusing on the wrong criteria for your choice of implant model.

Also, respectfully, I suggest you take a weekend or two to review the past few years of posts because the relative merits of the different implants has been discussed here extensively. You will get a bolus of information MUCH quicker than if you wait for responses to your post. In addition, information posted from members who are no longer active is still available in those past posts - and may not be offered by current members.

I did that and no not regret one minute of the time spent. It enabled me to 1) impress my primary care physician with my knowledge enough that getting authorization for an implant was easy and 2) cause my surgeon to proclaim that I was the besst-informed patient he had ever had. It also made my expectations realistic and my communications with my surgeon more peer-to-peer than Doctor-Patient.

While it is clear that Coloplast Titan is made of stiffer material than the AMS devices, all produce rigidity beyond what is necessary (or even comfortable) for having sex. The AMS CX is said to be stiffer than the AMS LGX, but the LGX does offer lengthening which the CS or Titan do not. Having said that, no implant promises to lengthen your penis beyond what your natural erection already has. The LGX's advantage is that the flaccid state is shorter than the inflated/erect state. This makes the LGX more comfortable the 95% of your life you are not engaging in sex.

It is FAR better that you find the implant the best fits YOUR penis rather than the one that gets the most positive feedback to your questions. If you are just searching for the right questions to ask your surgeon, I may have overstepped myself, so please forgive me.

There are a LOT of details about Tunica-dependent and Tunica-independent design, implant diameter and how that affects rigidity and how it affects girth and the relative merits of the models for men with complicatinng factors like Peyronie's Disease, scar tissue or penile injuries, etc. Those past posts contain a wealth of information.

Good luck in your search.