moving from titan to ams cx

[sambalamba]

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.

Jage64,
Thank you for your insights. You're absolutely right—while both implants serve the same general purpose, after looking into them, I can clearly see both obvious and subtle differences. In my view, neither implant is universally the right fit for all men, and the choice isn't as simple as saying the Titan is better for larger anatomies. While that may hold true in some cases, there are numerous other nuances that make one option more suitable than the other.

Dr. Clavell uses a helpful analogy, comparing the two to a Mercedes and a BMW. Just as with cars, where both might be excellent but people have strong preferences for one over the other, the same applies here. The key difference, though, is that with a car, you can take it for a test drive. Unfortunately, there's no "test drive" for implants—once you choose, switching to another option is far more complex and carries significant barriers

I'll discuss with my physicians one more time about my questions

[sambalamba]

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.

Thanks, LastHope. I’m just trying to be as thorough as possible. After all, buyer’s remorse when it comes to a bionic implant is definitely a lot more serious! (Haha)

The information you provided is really helpful. It’s clear that one doctor seems to take a more balanced approach, working with both companies, while the other leans in one direction. I imagine that financial contributions could influence a doctor’s recommendation of one implant over the other. However, I do wonder why more doctors wouldn’t be open to offering both options. It seems that doing so would allow them to make more personalized recommendations based on a patient’s specific anatomy, which could ultimately expand their client base.

[LastHope]

You're welcome, Sambalamba. I completely agree about the buyer’s remorse when it comes to bionic implants.

The Rigicon Infla10 is just around the corner, and once it receives FDA approval, it will become the 3rd option on the US market! As Dr. Perito says, we will be moving from a duopoly to a triopoly of implant brands.

[Gt1956]

Rigicon is going to struggle in the USA market. They are late to a game that is pretty well established here. What can they compete on? Price? Cost of the implant itself is a small amount of the total bill. More sizes? That doesn't seem to be a problem in the USA market. Look at how many car brands have entered the USA market & are now gone. Its hard to break into a mature market.

So maybe a very good warranty would help. But again the cost of the implant is negligible in the big picture. Making an implant that DOESN'T fail would be a good selling point. But even at Ridgicons smaller user base I've seen Rigicon failures mentioned on FT. So what options does that leave them to become a player in the USA? Maybe providing bonuses to drs to install them & spread good news?? I personally believe that Dr Kramers YouTube videos sold a lot of Titan implants. I'm not saying Titans or Kramer are bad. But if his endorsements thru YouTube were not self serving in some form. Why are the videos now gone? Why isn't he making more videos?

[Mark1974]

I personally believe that Dr Kramers YouTube videos sold a lot of Titan implants. I'm not saying Titans or Kramer are bad. But if his endorsements thru YouTube were not self serving in some form. Why are the videos now gone? Why isn't he making more videos?

He does still make videos, but I only see him using AMS now

[LastHope]

Rigicon has Turkish roots and has published an early study on their Infla10. The early results (2 years) on durability/revision rates were equivalent to existing brands and didn’t prove to be superior, which was surprising given the number of pump issues I've heard about. This sounds like the 'non-inferior' clinical trials of 'me too' pharmaceutical drugs. Dr. Carrion and Dr. Perito were involved in that study, and I’ve heard them speak recently on Rigicon podcasts as well.

Dr. Kramer is now using the Rigi10 malleable in nearly all of his recent Mulcahy salvage procedures.

It looks like they are working on capturing the influencers. They have their headquarters in New York, so they are serious about capturing the U.S. market share.

Yes, it's hard to break into the tried-and-true devices, but they are making waves. And as GT1956 suspected, they offer lifetime warranties! We know this will turn into a 10-year warranty in the future.

[Gt1956]

I personally believe that Dr Kramers YouTube videos sold a lot of Titan implants. I'm not saying Titans or Kramer are bad. But if his endorsements thru YouTube were not self serving in some form. Why are the videos now gone? Why isn't he making more videos?

He does still make videos, but I only see him using AMS now

Ok, and what does that tell you about his enthusiasm for Titans. Not saying Titans are a bad implant. Just that I feel some people get compensated for their positive views. Its not illegal to advertise. I just feel that an advertisement should be disclosed.

Back in Kramer's days. It was said that he had a fake account on FT. I have no idea but it could of been possible. Some cheerleaders for a specific brand raise my eyebrow.

Looking at implant brands from a different viewpoint. I totally understand why Eid is such a big fan of Titans. They come in 2cm increments plus he can trim the cylinders rear tip to shorten them a little. That makes it so he can really reduce his use of RTE's. Again I am not saying RTE's are always bad or even generally bad if used correctly. Just Eid's feelings are to fine tune his implant lengths as close to the length needed as possible. The implant industry will miss him when he's gone.

I should point out that I do not have RTE's because my CX length is the same as my measurements.

[Gt1956]

Rigicon has Turkish roots and has published an early study on their Infla10. The early results (2 years) on durability/revision rates were equivalent to existing brands and didn’t prove to be superior, which was surprising given the number of pump issues I've heard about. This sounds like the 'non-inferior' clinical trials of 'me too' pharmaceutical drugs. Dr. Carrion and Dr. Perito were involved in that study, and I’ve heard them speak recently on Rigicon podcasts as well.

Dr. Kramer is now using the Rigi10 malleable in nearly all of his recent Mulcahy salvage procedures.

It looks like they are working on capturing the influencers. They have their headquarters in New York, so they are serious about capturing the U.S. market share.

Yes, it's hard to break into the tried-and-true devices, but they are making waves. And as GT1956 suspected, they offer lifetime warranties! We know this will turn into a 10-year warranty in the future.

The new guy in town nearly always follows the same script. But, if there is no statistical advantage to Ridgicon IPP's as you allude to. Why would anyone hold out for one.

One of the common warnings was to never buy the first year of a car model. Those of us that are older remember the Chevrolet Vega. Btw, the first years of Ford Pintos while better weren't all that great either.

Get a proven IPP now. If it fails in the future? Make a decision then. The priority is to get a working dick asap. None of us own a time machine. We aren't getting any younger.

[LastHope]

never buy the first year of a car model

Nicely put, GT1956! Cars sure do teach us plenty about life’s philosophies..

[newhope]

I just got back, I did 1200 km in less than 30 hours, I lost 5 days of paid hotel accommodation, fortunately he refunded me the 4 nights I had booked later, FAILED REVIEW CAUSES: damn testosterone, I have been on testosterone therapy since January 2020 for ED, it made the pills work a little better, until I had more benefits, I continued to inject testosterone because I didn't feel like leaving it, it made me raise red blood cells/hematocrit/hemoglobin, and I had high homocysteine, range up at 10 and I had it at 15, I visited the new cardiologist in my country and seeing the tests with those high values ​​he wrote that I should urgently do the exercise test, being a heart patient, an echocardiogram, and repetition of the tests, when I went with that file to the hospital where I had to do the review, they made me meet the anesthetist, when he read the cardiologist's file he exclaimed, I can't put you to sleep with what the cardiologist wrote, if you don't wake up we'll go everyone in jail, he said, you have to do these things as soon as possible and then we can do the surgery, if I can do them within a month, I'll do the surgery in 1 month, now I stopped taking testosterone from September 2nd, let's hope values ​​are within the limits, I had only managed to take 55 mg of enanthate per week and I was almost at the maximum of the range, evidently I assimilated too much, now I have decided to stop forever, also because this thing has already happened to me 4/5 times that I have they raise the values

frank how did it go the revision? Who was your doctor?