Are RTE's Bad?

[Campfire]

I just wanted to ask whether RTEs are considered bad and if so why? I have been implanted with a 20 cm titan and 3cm RTE. Are there any negatives versus having no RTEs?

[FinallyBionic]

RTE is a necessity. The surgeon needs to connect the tubes close to penis base. If you have a deep crus, instead of putting long cylinders and connect them close to the crus, he uses the RTE to achieve that.
The other reason is, if you need 23cm, as in your case, there is no cyliner with than length. Titans lengths are multiples of 2 and AMS of 3. So, either he uses 22+1cm (Titan) or 21+2cm (AMS). In your case, your doctor had to use 20+3, which is not very common, but the reason could be what I mentioned in the first case above.
To make sure, you may ask your doctor, why he used 20+3 instead of of 22+1.
Anyway, most of us has RTEs. Some members here have longer RTEs here with no issues at all.

[SWorks17]

I just wanted to ask whether RTEs are considered bad and if so why? I have been implanted with a 20 cm titan and 3cm RTE. Are there any negatives versus having no RTEs?

Campfire, I was concerned about the RTE's too, because I had seen YouTube videos where some men's dicks were wobbly after inflation. (Very few videos)
Our anatomies are all different, so it depends on how far your penis goes deep or shallow into your body, down to the crus penis.
Some guys need them so that the tubes coming out of the implant can allow proper placement of the pump in your scrotum, at least that's what I've learned from doing some research. I'm sure there are other bionic brothers here on Frank Talk that will have more info on RTE's.
I got 3cm RTE's also, and I was concerned about wobbling at the base but I haven't experienced that problem. When I'm fully inflated to the max, it's the same stiffness as the dick in my 20's. In fact I think it is a little stiffer because when I try to enter my wife from the side by side sex position, it's a little harder to enter her vagina, so sometimes I have to adjust the inflation percentage. Now, if I don't inflate to the max, I can bend it forward and left and right more.
For me they haven't caused a problem.
I'm pretty sure that the guys that have no RTE's their internal penis doesn't go deep inside their body.

I hope I helped you a little bit to not worry about the RTE's.

[Campfire]

RTE is a necessity. The surgeon needs to connect the tubes close to penis base. If you have a deep crus, instead of putting long cylinders and connect them close to the crus, he uses the RTE to achieve that.
The other reason is, if you need 23cm, as in your case, there is no cyliner with than length. Titans lengths are multiples of 2 and AMS of 3. So, either he uses 22+1cm (Titan) or 21+2cm (AMS). In your case, your doctor had to use 20+3, which is not very common, but the reason could be what I mentioned in the first case above.
To make sure, you may ask your doctor, why he used 20+3 instead of of 22+1.
Anyway, most of us has RTEs. Some members here have longer RTEs here with no issues at all.

OK thanks for the clarification FB.

[Campfire]

I just wanted to ask whether RTEs are considered bad and if so why? I have been implanted with a 20 cm titan and 3cm RTE. Are there any negatives versus having no RTEs?

Campfire, I was concerned about the RTE's too, because I had seen YouTube videos where some men's dicks were wobbly after inflation. (Very few videos)
Our anatomies are all different, so it depends on how far your penis goes deep or shallow into your body, down to the crus penis.
Some guys need them so that the tubes coming out of the implant can allow proper placement of the pump in your scrotum, at least that's what I've learned from doing some research. I'm sure there are other bionic brothers here on Frank Talk that will have more info on RTE's.
I got 3cm RTE's also, and I was concerned about wobbling at the base but I haven't experienced that problem. When I'm fully inflated to the max, it's the same stiffness as the dick in my 20's. In fact I think it is a little stiffer because when I try to enter my wife from the side by side sex position, it's a little harder to enter her vagina, so sometimes I have to adjust the inflation percentage. Now, if I don't inflate to the max, I can bend it forward and left and right more.
For me they haven't caused a problem.
I'm pretty sure that the guys that have no RTE's their internal penis doesn't go deep inside their body.

I hope I helped you a little bit to not worry about the RTE's.

Thanks SW that is reassuring. I didn't really have an opinion on RTEs in that sense, haven't seen any videos on them etc. Just saw a post on them today and it got me wondering plus I had a call with the nurse today and she told me that I had been implanted with them, so I was just wondering.

[newbie443]

I just wanted to ask whether RTEs are considered bad and if so why? I have been implanted with a 20 cm titan and 3cm RTE. Are there any negatives versus having no RTEs?

I will expand on this a bit from my understanding of what I have read. This does depend mostly on the doctor you choose but will also depend on the man. From the AMS information for doctors doing the surgery there are 2 ways to measure. One for if the Crus can be dilated enough for the tubing to go inside the Crus alongside the cylinders. Another if the Crus cannot be dilated enough and the junction of the tubes to the cylinders to exit the incision in Tunica. The second results in additional RTE length. Some doctors just like for whatever reason to do the second. Others like the well-known NYC doctor seem to just about always avoid RTE's. That doctor and a few others will even trim the solid RTE end of the cylinders to avoid RTE's all together and work to achieve perfect alignment of the distal tips in the Glans. As stated, devices come in only a number of sizes and the main reason for the RTE's are to bridge the gaps in those sizes. The increments for the RTE's are in .5cm's. For this reason, many doctors will advise men the distal tips will be within .5cm of each other. This is as most doctors do not trim the proximal RTE end for a perfect fit. The cylinders will expand in length though. The LGX will the most but the Titan will also a bit so this may or may not be a problem. The RTE's are solid like the proximal and distal tips of the cylinders. As they do not inflate, they are narrower than the inflated cylinders. The reason then for little or no RTE's is to have as much of the inflatable device in the Crus as possible. This has been published as improving erection angle and stability. And seems to be more of a concern with larger sizes. As doctors differ a lot not only in the way they do this operation but also in skill level that may also influence this. This would be why a more skilled and experienced doctor would be able to eliminate or reduce RTE's. One other thing I have always thought about was availability of devices. What happens if in your case they were out of 22cm cylinders. Say they had them to begin with but the men being implanted before you all had 22cm devices and there were none left. Or if the supply chain failed and there were none or only one. Then there is also the case of a device being damaged or unable to be used for some reason or another.

My answer to your question is that RTE's are not bad. They are considered by some very good doctors to be avoided for a better outcome. Now this is the way my brain works and how I understand this. My first doctor did think that using the least amount of RTE's made for a better outcome. And that did have a bit to do with my selection process.

[freshkid1234]

RTE `s are bad.... why?

1/4 of an penile implant is not able to infalte, for example you got a 20cm cylinder there is only 15cm inflateable part and 5cm not inflateable. when you google an implant you will see the hard end of the implant which is just plastic.

I will explain it more in detail.

The corpus cavernosum (where the cylinder gets inserted) has a part inside the body (proximal) and a part outside of the body (distal) - this outside part is what you see from the penis. [b]If for example your proximal length was 10cm and the distal lenght was 13cm you needed 23cm of inserting in your corpus cavernosa. I dont know your exactly measurements but I take this for example.

13cm DISTAL - PENIS OUTSID
10cm Proximal - Penis INSIDE

20cm +3cm RTE means.... 15cm inflateable / 5cm not inflateable from the implant + 3cm not inflateable from RTE
--->>>> so you now have from your 23cm corpus cavernosum only 15cm inflateable part and 8cm just hard plastic inside.

All of the distal part (13cm) is inflateable
Only 2cm of your corpus cavernosum inside have an inflateable part. And 8cm inside are just hard plastic. Your erection will not be so strong and your erection angle will not be high. It will more be around 3oclock or lower - this also depends on how deep your crus is.

Why is this so? Cause the corpus cavernosa dont go exactly straight into your body. The proximal part is going more from your penis from outside deep into your body in direction to your anus region --- downwoard.

You will end up with a much better erection angel with an 24cm Implant and 1cm cut off the rear part.
Then you had a 18cm inflateable part and only 5cm not inflateable part.

20+3RTE = 15cm inflateable and 8cm not inflateable
24-1cm = 18cm inflateable and 5cm not inflateable

this erection will be stronger from your inner body (not wobbling) and more likely to point upward!

A natural erection has 100% "inflateable" part---- so 23cm corpus cavernose = 23cm blooded filled penis = strong erection depending on your anatomy but most likely pointing upward at 1 o clock strong and hard from the proximal region no wobbling at all - if your healthy.

It s like a fundament of a building. Also a house is much stronger with a good fundament compared to a house without it.

Hope everything is clear now.

Why penile implants dont have 100 or 90% inflateable cylinders? really dont know that. All the implanted guys would have an upward pointing erection compared to the straight forward sticking penis. I think that would look much better and more like a natural erection.

Why your doctor choosed a 20+3 rather than a 22+1 or 24-1... really dont know. Maybe he dont have all the sizes available. Maybe they look at your penis and then think oh he will end up with this size and open the implant box before they measure you in the OR . Maybe they prepared the implant before they measured your corp cav. in the OR, because the preparing of the implant requires also much time and they want to be as fast as possible in the OR to avoid the infection risk.

who knows, maybe you can ask your doctor but anyway now its to late. in my case this part was also very important for me and I told my doctor that he should cut 1cm off and insert a 24cm implant but he also gave me 22+1RTE. I am not happy with that cause I am sure my penis will now just point forward. The reason of that is most likely that the coloplast implants to 22cm are already pre connected and with the 24cm XL cylinder all the components must be connected from the surgeon.

[Txagq8]

My experience is that RTEs are not bad. I’ve only had one surgery, so I cannot say if I would have had a better outcome with less RTE. maybe we will see when I wear out this LGX.

I am configured with the AMS LGX in a 18+5 setup. Why? I don’t know. I asked the PA and he just said “that’s the way the Doc wanted to do you.” The AMS Rep was in the OR. They had 18 & 21 cm LGX and 18 & 21 cm CX available based on what the surgeon thought best to install once they had me open.

I had mentioned that I have had several hernia surgeries which could complicate reservoir placement. The doc said he didn’t see it as a big issue.

I got my length all back. It’s stable and hard as nails. Penetrating is the least of my worries. The angle is like I’m 18 yrs old and it looks good to me in the mirror. Pic is in Members only DOTD p 99.

The only problem is there is no problem, to use an old cliche. I don’t know that it could be much better.

I won’t try to explain why. The surgeon did it, hopefully he had his reasons. The outcome was great.

[SWorks17]

My experience is that RTEs are not bad. I’ve only had one surgery, so I cannot say if I would have had a better outcome with less RTE. maybe we will see when I wear out this LGX.

I am configured with the AMS LGX in a 18+5 setup. Why? I don’t know. I asked the PA and he just said “that’s the way the Doc wanted to do you.” The AMS Rep was in the OR. They had 18 & 21 cm LGX and 18 & 21 cm CX available based on what the surgeon thought best to install once they had me open.

I had mentioned that I have had several hernia surgeries which could complicate reservoir placement. The doc said he didn’t see it as a big issue.

I got my length all back. It’s stable and hard as nails. Penetrating is the least of my worries. The angle is like I’m 18 yrs old and it looks good to me in the mirror. Pic is in Members only DOTD p 99.

The only problem is there is no problem, to use an old cliche. I don’t know that it could be much better.

I won’t try to explain why. The surgeon did it, hopefully he had his reasons. The outcome was great.

Txagq8, I agree with you, I haven't had any problems with RTE's, I have 3cm's. My doc was going to use the CX model but during the surgery they changed to the LGX model, I'm not sure why because the doc said his go to implant was the CX, but I haven't had any problems with the LGX.
Hey, Txag, we're pretty close in age and married the same amount of years and looks like we are both in Texas.
My birth date is 02/17/58, married 06/25/88, moved to Texas in 1995 from Germany.
I saw your pic on DOTD, looked like a 20 year old to me! I road bike cycle a lot, but you are pretty darn fit. I don't get in the gym much anymore, but I need to, what's your fitness routine?

S-Works

[Txagq8]

Howdy Sworks:

I’m 2 yrs older and 2 days younger than you.
My anniversary was July 1st.
I’m guessing you played Army for a living? 2 yrs enlisted + 21 yrs commissioned here.
I’m roughly 2 hrs away if you’re headed north.
My fitness routine: before all hell broke loose and I bought and restored two 100-130 yr old houses I was hitting gym for a moderate strength workout.
I do dumbbells. Low weight. Lots of reps.
I’ve got good genes and eat healthy. My own beef. My own eggs. Lots of veggies from garden. My tomatoes aren’t doing shit but I’m covered in squash, zucchini, okra, cantaloupe, and cucumbers. Corn is a work in progress. This is my first year ever to try growing tobacco.
I need to get back to running. I raced into my early 50s. The 5k was my best event.
I’m 6’1” and weigh 185 in a 32” waist wrangler Jean. We live in a real small town and the coach at the high school used to joke about me being his ideal quarterback if I hadn’t used up all my eligibility in 1974. Then again he never saw my trademark wounded duck/dying goose passing technique.

I gave up drinking at 29, it wasn’t causing problems but I got sick and tired of waking up sick and tired. If I could point at a single reason I’ve maintained a tight, fit physique I’d say minimize beer. (I say I quit, but I drink about a 6 pack of beer annually)

Feel free to pm me. If you want my cell I have no issue. I think we’re both doing so well that we don’t need a support group. Perhaps we can see who wears theirs out first.

Sounds like you had yours done at Brooke. I used Tricare and had it done by Austin’s high volume guy. I like him but his PA was the absolute best in service after the sale and teaching me to be comfortable with it.

Thanks for the photo comment. At my age it’s not necessary to feel like a porn star but we are all guys and yeah, having one that looks and works good is a blessing.