Issues with AMS

The final frontier. Deciding when, if and how.
Meddman1
Posts: 47
Joined: Thu Mar 19, 2020 1:41 pm

Issues with AMS

Postby Meddman1 » Thu Jul 20, 2023 10:08 pm

Whenever I try to have sex. It’s difficult to enter her because the head of my pen is keep folding over making it hard to penetrate her. Anyone else babe this issue. Then when I do have sex the ridge below the glans gets all red and sore where the tips are located. Advice?
Implant March 2020. 64 years old. retired. Unable to get erect due to medication and diabetes. Received AMS 700 LGX , 5cm on right and 6cm left. 18x12 .Revision done in may 2020 because cylinder in right side fell out.

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

Re: Issues with AMS

Postby Bigdave » Fri Jul 21, 2023 1:16 am

Meddman1 wrote:Whenever I try to have sex. It’s difficult to enter her because the head of my pen is keep folding over making it hard to penetrate her. Anyone else babe this issue. Then when I do have sex the ridge below the glans gets all red and sore where the tips are located. Advice?


Hmmm, that doesn't sound right at all.

I have the LGX as well, and the tips of my cylinders are well into my glans. No floppiness at all, even without arousal and natural engorgement.

I'd recommend seeing your surgeon to verify everything is properly placed.
Good luck.
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". ;)

Jage64
Posts: 616
Joined: Sat Oct 22, 2022 9:38 pm

Re: Issues with AMS

Postby Jage64 » Fri Jul 21, 2023 1:19 am

Unfortunately, the LGX is known for it's possible lack of rigidity.

Sounds like the tips aren't very deep into your glans either, if the redness due to the tips is at the coronal ridge. Best bet is to contact your doc and pay no mind to the guy in FrankTalk that has no idea what he's talking about.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

LeRoastBeef
Posts: 681
Joined: Mon Sep 17, 2018 11:09 am

Re: Issues with AMS

Postby LeRoastBeef » Fri Jul 21, 2023 4:25 am

There's no lack of rigidity with the LGX, it's like an iron rebar.

Franktalk is a valuable source of information, the best on the net by far. It's a great compliment to your surgeon.
Ignore only the guy above.

It sounds like your implant is just too short.
Do you have glans engorgement?
Implanted with AMS 700 lgx, 2021.
30's
UK

Meddman1
Posts: 47
Joined: Thu Mar 19, 2020 1:41 pm

Re: Issues with AMS

Postby Meddman1 » Fri Jul 21, 2023 9:35 am

No rigid at on on the tip.
Implant March 2020. 64 years old. retired. Unable to get erect due to medication and diabetes. Received AMS 700 LGX , 5cm on right and 6cm left. 18x12 .Revision done in may 2020 because cylinder in right side fell out.

Rider1400
Posts: 1076
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Issues with AMS

Postby Rider1400 » Fri Jul 21, 2023 11:48 am

Have to agree with LeRoastBeef. Sounds like you’re undersized to some degree. Personally I would get an opinion from another Dr. Preferably a world class implanter. My implant goes at least 1/2 way into my glans, and even without engorgement when I just pump it up for the exercise, my glans are supported pretty well. What I would suggest is lots of lube! Just by being xtra slick it should help the glans to stay straighter.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast 20cm and 1cm RTE. Going strong and loving it!

Jage64
Posts: 616
Joined: Sat Oct 22, 2022 9:38 pm

Re: Issues with AMS

Postby Jage64 » Fri Jul 21, 2023 4:05 pm

LeRoastBeef wrote:There's no lack of rigidity with the LGX, it's like an iron rebar.

Franktalk is a valuable source of information, the best on the net by far. It's a great compliment to your surgeon.
Ignore only the guy above.


That's what I meant, ignore my opinion as just some FT poster.

Not ever having had an LGX, I can't speak for them personally, and it's good to hear yours is working very well. During my research and prior to my implant, I read a number of studies that found the LGX was not as rigid. Not as rigid as the others does not mean it doesn't work extremely well. These studies, along with the professional opinions of two doctors I consulted with, informed my opinion. I added the bold and red below:

"Outcomes
Maximum axial load; kink formation; horizontal stiffness; and resistance to 3-point flexure testing were measured.

Results
At maximum inflation, all 3 implants had similar performance. Differences appear to be most affected by fill pressures. In fact, only the AMS LGX at less than maximum inflation (LTMI) was unable to consistently withstand the roughly 0.9 kg (2 lbs) of pressure for column load testing mimicking vaginal intromission. The Coloplast Titan showed slightly better rigidity than the AMS LGX and CX devices in horizontal load testing, and, with 3-point flexure testing, the CX showed the best rigidity in the shortest phallus (A). Overall, the Titan showed slightly better rigidity in the longest phallus (C) and the phallus with mild Peyronie's disease (B).

Conclusion
The results of this study support the conclusion that all devices are capable of functionally restoring erectile capacity. However, we observed that, in general, the 2 circumferentially expanding penile prosthesis showed greater resistance in biomechanical testing when compared with longitudinal and circumferential expanding devices. LGX This should be considered as a guide during device selection for a patient undergoing penile prosthesis."

https://www.sciencedirect.com/science/a ... 9518310051
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

User avatar
SWorks17
Posts: 473
Joined: Sat Jan 15, 2022 4:33 pm
Location: Garden Ridge, Texas

Re: Issues with AMS

Postby SWorks17 » Fri Jul 21, 2023 9:33 pm

Jage64 wrote:
LeRoastBeef wrote:There's no lack of rigidity with the LGX, it's like an iron rebar.

Franktalk is a valuable source of information, the best on the net by far. It's a great compliment to your surgeon.
Ignore only the guy above.


That's what I meant, ignore my opinion as just some FT poster.

Not ever having had an LGX, I can't speak for them personally, and it's good to hear yours is working very well. During my research and prior to my implant, I read a number of studies that found the LGX was not as rigid. Not as rigid as the others does not mean it doesn't work extremely well. These studies, along with the professional opinions of two doctors I consulted with, informed my opinion. I added the bold and red below:

"Outcomes
Maximum axial load; kink formation; horizontal stiffness; and resistance to 3-point flexure testing were measured.

Results
At maximum inflation, all 3 implants had similar performance. Differences appear to be most affected by fill pressures. In fact, only the AMS LGX at less than maximum inflation (LTMI) was unable to consistently withstand the roughly 0.9 kg (2 lbs) of pressure for column load testing mimicking vaginal intromission. The Coloplast Titan showed slightly better rigidity than the AMS LGX and CX devices in horizontal load testing, and, with 3-point flexure testing, the CX showed the best rigidity in the shortest phallus (A). Overall, the Titan showed slightly better rigidity in the longest phallus (C) and the phallus with mild Peyronie's disease (B).

Conclusion
The results of this study support the conclusion that all devices are capable of functionally restoring erectile capacity. However, we observed that, in general, the 2 circumferentially expanding penile prosthesis showed greater resistance in biomechanical testing when compared with longitudinal and circumferential expanding devices. LGX This should be considered as a guide during device selection for a patient undergoing penile prosthesis."

https://www.sciencedirect.com/science/a ... 9518310051


Jage64, I haven't done a lot of research but I agree with you, I have a AMS LGX 18cm with 3cm rear extenders, I have to be at least 90 to 100% inflated to have ease of PIV penetration. The only time I go below that is just for foreplay and hopefully have my glans get engorged before pumping up all the way for sex. Here is another thought, my wife had a C-section delivery for our only child, so I believe her vagina is pretty tight. I'm not for sure about this because I've never had sex with any other woman, so I can't compare, but just my thought.
I was supposed to get the CX implant but for some reason the Boston Scientific representative and my surgeon made a game time decision to switch to the LGX.

S-Works
Age 66, Garden Ridge Texas, Progressive ED after Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18 w 3cm rear tips installed 5 Nov 2021 by Dr Shane Barney, Brooke Army Medical Center, San Antonio, Texas, Married 36 years

Witheringhog
Posts: 565
Joined: Fri Mar 24, 2023 3:43 pm

Re: Issues with AMS

Postby Witheringhog » Fri Jul 21, 2023 9:40 pm

Rider1400 wrote:Have to agree with LeRoastBeef. Sounds like you’re undersized to some degree. Personally I would get an opinion from another Dr. Preferably a world class implanter. My implant goes at least 1/2 way into my glans, and even without engorgement when I just pump it up for the exercise, my glans are supported pretty well. What I would suggest is lots of lube! Just by being xtra slick it should help the glans to stay straighter.


I agree with this one. Can you feel the tips of the implant when hard, it should feel like 3/4 in the glands if you have good blood flow. If the glands are not swelled it should almost feel like its right there.

If it feels sized right then there is a lack of pressure for some reason.
49 - Coloplast Titan 22 implanted 5-2 Dr. Clavell in Houston

Discovernew
Posts: 372
Joined: Sat Jul 08, 2023 5:14 pm

Re: Issues with AMS

Postby Discovernew » Tue Jul 25, 2023 9:28 pm

Witheringhog wrote:
Rider1400 wrote:Have to agree with LeRoastBeef. Sounds like you’re undersized to some degree. Personally I would get an opinion from another Dr. Preferably a world class implanter. My implant goes at least 1/2 way into my glans, and even without engorgement when I just pump it up for the exercise, my glans are supported pretty well. What I would suggest is lots of lube! Just by being xtra slick it should help the glans to stay straighter.


I agree with this one. Can you feel the tips of the implant when hard, it should feel like 3/4 in the glands if you have good blood flow. If the glands are not swelled it should almost feel like its right there.

If it feels sized right then there is a lack of pressure for some reason.


I don't have an implant but i am considering one. Does this mean that a casual partner who would give you oral sex would realize you have an implant?
Implanted October 11, 2024, Dr Karaman. Infla10 AX 20cm +1cm RTE.
My Implant Journal - Click Here

ED about 14 years. Pills worked for 12 years, later worked 50%. Tried almost everything, nothing worked: Shockwave-Testosterone-PRP-Stem Cells-Botox, Etc


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