moving from titan to ams cx

[Jage64]

Well stated LastHope.

[sambalamba]

Dr. Clavell is known for personally responding to text messages for post-op questions.

Dr. Hakky said he'll share his cell phone number.

[sambalamba]

Sounds like you're doing it exactly right Sambalamba, you've got to be our own advocate and educate yourself, you're on the right track.

Hey Jage64/Lasthope,

Need another advice from you guys. Please look at the picture below. I'm trying to assess if the tips of the cylinders on the Titan will be too much to the side edge of my glans when the cylinders get fully inflated. My glans are about 1 inch from one side edge to another. With the Titan 23 mm diameter when both cylinders get fully inflated I think the tips would be about 2.3 cm or 0.9 inches from each other which might push it too much to the edge. For an AMS the tips would be about 0.7 inches from each other. So more towards the center of the glans. What do you guys think based on where your tips sit inside the glans.

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[sambalamba]

I just got back, I did 1200 km in less than 30 hours

Oh man. Hang in there. Hope you get your vitals within the range soon.

[Jage64]

Sambalamba- I can't speak for LastHope, maybe he has definite opinions regarding your question, but neither of us can give you useful information here. This is 100% a question for the surgeons you interview. It's a good question to bring up, and shows you're thinking about everything. I have read of partners that don't appreciate feeling the hard tips during intercourse. My wife prefers my implant at 80% inflation, and although she's never said anything specifically about the tips, that may be what she doesn't like about 100% inflation, I have no idea (I try not to quiz her on what she doesn't like about intercourse, it may be the rigidity and not the tips) Personally, I like about 80% better too. My glans, when engorged, is wider than yours.

Remember, the surgeons have heard it all, and over and over and over. They may dismiss your concern quickly, knowing that either implant won't be an issue, or they may tell you one is better than the other knowing you're obviously concerned about it.

This is exactly why I encourage men to see docs that will install both Coloplast and AMS, there are stark differences between the devices and every penis has it's own considerations.

[LastHope]

I agree with Jage64. His explanations (as always) are very nuanced and offer a great approach to this! I'm also impressed by the amount of detailed thinking Sambalamba is putting into this topic before surgery.

I would just like to add some funding stats that seem to indicate their investment in one brand versus the other for research, education, and consulting. Additionally, I would also look at COE certifications awarded by each device manufacturer, which is a great resource to check before meeting the surgeons to get an idea of their specialty with device brands.

Payments made to Dr. Clavell 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 266
Total: $161, 261.12
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 285
Total: $134,446.40
AMS Center or Excellence certification: Yes

Payments made to Dr. Hakky 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 420
Total Non Research: $240,268.63
Research:
Number of research payments: 10
Total Research: $137,082.96
Grand Total: $377,351.59
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 39
Total: $1,114.66
AMS Center or Excellence certification: No

*Source of funding information- CMS database

[Thisworld]

I agree with Jage64. His explanations (as always) are very nuanced and offer a great approach to this! I'm also impressed by the amount of detailed thinking Sambalamba is putting into this topic before surgery.

I would just like to add some funding stats that seem to indicate their investment in one brand versus the other for research, education, and consulting. Additionally, I would also look at COE certifications awarded by each device manufacturer, which is a great resource to check before meeting the surgeons to get an idea of their specialty with device brands.

Payments made to Dr. Clavell 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 266
Total: $161, 261.12
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 285
Total: $134,446.40
AMS Center or Excellence certification: Yes

Payments made to Dr. Hakky 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 420
Total Non Research: $240,268.63
Research:
Number of payments: 10
Total Research: $137,082.96
Grand Total: $377,351.59
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 39
Total: $1,114.66
AMS Center or Excellence certification: No

*Source of funding information- CMS database

Can you explain what these statistics means exaclty? Just that hakky use way less ams for whatever reason? What about the research payments?

[LastHope]

I agree with Jage64. His explanations (as always) are very nuanced and offer a great approach to this! I'm also impressed by the amount of detailed thinking Sambalamba is putting into this topic before surgery.

I would just like to add some funding stats that seem to indicate their investment in one brand versus the other for research, education, and consulting. Additionally, I would also look at COE certifications awarded by each device manufacturer, which is a great resource to check before meeting the surgeons to get an idea of their specialty with device brands.

Payments made to Dr. Clavell 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 266
Total: $161, 261.12
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 285
Total: $134,446.40
AMS Center or Excellence certification: Yes

Payments made to Dr. Hakky 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 420
Total Non Research: $240,268.63
Research:
Number of payments: 10
Total Research: $137,082.96
Grand Total: $377,351.59
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 39
Total: $1,114.66
AMS Center or Excellence certification: No

*Source of funding information- CMS database

Can you explain what these statistics means exaclty? Just that hakky use way less ams for whatever reason? What about the research payments?

It's a transparent financial relationship openly disclosed to the US government. It can be between medical device/pharmaceutical companies and physicians. For patients undergoing surgeries, it gives them an overview of surgeon's relationships with device manufacturers and their involvement in device research, consulting and education to patients.

I'll quote the CMS Open Payments organization:

"These relationships may involve payments to providers for things including but not limited to research, meals, travel, gifts or speaking fees. All information available on the Open Payments database is open to personal interpretation and if there are questions about the data, patients and their advocates should speak directly to the health care provider for a better understanding."

[pjt1958]

I agree with Jage64. His explanations (as always) are very nuanced and offer a great approach to this! I'm also impressed by the amount of detailed thinking Sambalamba is putting into this topic before surgery.

I would just like to add some funding stats that seem to indicate their investment in one brand versus the other for research, education, and consulting. Additionally, I would also look at COE certifications awarded by each device manufacturer, which is a great resource to check before meeting the surgeons to get an idea of their specialty with device brands.

Payments made to Dr. Clavell 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 266
Total: $161, 261.12
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 285
Total: $134,446.40
AMS Center or Excellence certification: Yes

Payments made to Dr. Hakky 2017-2023
Coloplast:
Education/Royalty/Consulting/Travel:
Number of payments: 420
Total Non Research: $240,268.63
Research:
Number of payments: 10
Total Research: $137,082.96
Grand Total: $377,351.59
Coloplast Center or Excellence certification: Yes

AMS:
Education/Royalty/Consulting/Travel:
Number of payments: 39
Total: $1,114.66
AMS Center or Excellence certification: No

*Source of funding information- CMS database

Can you explain what these statistics means exaclty? Just that hakky use way less ams for whatever reason? What about the research payments?

It's a transparent financial relationship openly disclosed to the US government. It can be between medical device/pharmaceutical companies and physicians. For patients undergoing surgeries, it gives them an overview of surgeon's relationships with device manufacturers and their involvement in device research, consulting and education to patients.

I'll quote the CMS Open Payments organization:

"These relationships may involve payments to providers for things including but not limited to research, meals, travel, gifts or speaking fees. All information available on the Open Payments database is open to personal interpretation and if there are questions about the data, patients and their advocates should speak directly to the health care provider for a better understanding."

That is great information! Do doctors pay for the Center of Excellence from Coloplast or AMS??

I liked that my surgeon is center for both coloplast and AMS and let me chose, I agree with above posters that it does make a difference because then the surgeon can recommend the implant that is going to work better for you as the patient.

[LastHope]

Hi pjt1958,

Do doctors pay for the Center of Excellence from Coloplast or AMS??

I don't think so. I think COE designation has some paperwork involved and surgeons have to submit them to the device manufacturers. Here are some high level details for anyone interested.

AMS:
Physicians may be designated as an AMS 700 Center of Excellence if they meet the following criteria:

Clinical requirements:
The physician must complete a minimum of 25 AMS 700 Inflatable Penile Prosthesis implants in one year. Proof of case volume will be submitted by the physician to Boston Scientific via a signed verification and completed tracking worksheet. Boston Scientific will keep this data on file.

Commitment to patient education*:

The physician’s primary practice must maintain their website with current and accurate educational information on erectile dysfunction disease state and treatments, such as the AMS 700 Inflatable Penile Prosthesis.

The physician agrees to utilize “HARD: The fight to solve ED,” a patient education and therapy awareness docuseries, through QR tear pads, posters, and/or other office collateral at all their clinic locations
The physician must also deliver educational programs on erectile dysfunction and treatment options three times a year**
* At physician’s expense.
** Educational program requirements begin in the second year (one year after receiving the initial COE designation) and can be conducted within the individual practice, the community, or with third-party patient advocacy groups (Prostate Cancer Survivorship groups, etc.). Events can be live or virtual but must be new, unique events (not replayed or rebroadcast events). If the physician records VIDSCRIP messaging and offers it to ED patients in their practice, it will count as one of the three patient education events annually.

Coloplast:
If a listing is marked as a Center of Excellence, the designation indicates that the facility is considered to be a leader in the field of men’s sexual health. To receive this honor, the facility must be staffed with the top urology physicians in the country based on criteria such as the number of procedures performed, contributions to research in the field of erectile dysfunction, and leadership in professional associations for urologic physicians.

I liked that my surgeon is center for both coloplast and AMS and let me chose..

Awesome, I think this is great, as their approach towards both brands may be on a level playing field, providing you with a balanced perspective!