moving from titan to ams cx

[Discovernew]

You ste jumping to conclusions. I was implanted by Dr. Clavell in January with aN AMS-LGX. I just can't imagine how anything could be much harder. It is like a steel rod when pumped to the max. I didn't lose any length or girth maybe even gained a bit. It is not perfectly round, however not far from it. I am very happy with the outcome. Think positive. The key to a great outcome is the surgeon. Just go with the best high volume surgeon you can find.
Alan

@alans4570 which size of AMS LGX + rte did you get?

[Txagq8]

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.

Yea, I remember the Ford Pinto. Something like a 2.5 mph rear end collision would result in a catastrophic fuel tank explosion. That engendered a lawsuit between Ford and the producers of the movie “Chariots of Fire.”

Don’t forget the Chevy Nova. It did particularly badly in Spanish speaking countries because no va, in Spanish, literally means “it doesn’t go.”

If Rigicon or Mattel or any manufacturer wants a big chunk of implant market share there are a couple of things they could do, none of which are simple.

1. Defeat erosion and build an implant that grows. The ANS LGX is the right idea, but it doesn’t grow past original size. Someone needs to build one that will actually enlarge you, albeit so slowly and gradually that you don’t erode the distal or proximal end and you end up with tissue stretch but no damage.

2. Create an implant with an anatomically correct cylinder that runs along urethral vein on penis underside that inflates without compressing vein/urethral tube. Give guys a round instead of oval dick.

3. I’m not sure if the material used could be like a semi permeable membrane but would it not be convenient to pump antibiotics into implant and have them migrate to exterior to wipe out infection & bacterial colonies which set up on its exterior long before one has to be removed and a revision done?

[LastHope]

Rigicon's lifetime warranty is a key selling point in Asia and the Middle East. The main advantage is that the warranty also covers revisions due to infections. For whatever that's worth, for individuals in the USA without strong insurance coverage or those not on Medicare/VA, this could be valuable.

Aetna and Cigna are well-known for frequently denying claims for this procedure.

For cash pay, here's the quote I received from a renowned surgeon:

$6,500 for surgery (same for IPP/MPP)
$700 for anesthesia, antibiotics, and antifungals
$8,800 for the Coloplast MPP device
$14,800 for the Coloplast IPP device

Total: $16,000 for MPP and $22,000 for IPP.

If Rigicon Infla10 offers a lifetime warranty in the USA, it could potentially save $14,800 on each revision surgery for the cash pay option.

The Infla10 is no longer new, having been released outside the USA in 2019, though it is still awaiting FDA approval.

[Gt1956]

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.

Yea, I remember the Ford Pinto. Something like a 2.5 mph rear end collision would result in a catastrophic fuel tank explosion. That engendered a lawsuit between Ford and the producers of the movie “Chariots of Fire.”

Don’t forget the Chevy Nova. It did particularly badly in Spanish speaking countries because no va, in Spanish, literally means “it doesn’t go.”

If Rigicon or Mattel or any manufacturer wants a big chunk of implant market share there are a couple of things they could do, none of which are simple.

1. Defeat erosion and build an implant that grows. The ANS LGX is the right idea, but it doesn’t grow past original size. Someone needs to build one that will actually enlarge you, albeit so slowly and gradually that you don’t erode the distal or proximal end and you end up with tissue stretch but no damage.

2. Create an implant with an anatomically correct cylinder that runs along urethral vein on penis underside that inflates without compressing vein/urethral tube. Give guys a round instead of oval dick.

3. I’m not sure if the material used could be like a semi permeable membrane but would it not be convenient to pump antibiotics into implant and have them migrate to exterior to wipe out infection & bacterial colonies which set up on its exterior long before one has to be removed and a revision done?

Several decent points. My dr claimed a banana shaped implant could be made by making the cylinder material slightly thicker on the dorsal side. Upon inflation, the dorsal side wouldn't stretch as much. Thus curve up slightly. Personally I'd really consider paying a modest upcharge for that optional feature.

Lasthope, my anesthesia charge was almost double what you quoted.

So now comes the time for me to veer off track. I can appreciate some members championing a third implant brand. Hey, I'm a capitalist. Competition in a market helps improve it. Maybe those members feel proud because the new implants have roots in their country or region. I get that. But it doesn't matter who does the championing or how loud they are. The facts are almost indisputable. Isuzu, Saab, Hummer, Saturn, Yugo. The list is almost endless of major companies that for one reason or another have failed in the USA market place. Plenty of money & demand here. Why is it hard to break into our market? Not my place to speculate why.

I've said it before but differently. If you're waiting for a perfect implant. You'll never get an implant. For those that point at a good warranty as a big selling point. Most companies have flexible ethics. Once the costs of a warranty gets too high or they no longer feel like they need it for their sales. It will be discotinued.

[LastHope]

All great points, GT1956.

Only time will tell whether it will turn out to be another Isuzu, a reliable (rice burner lol) Toyota, or a 100,000-mile warranty with the questionable reliability of a Hyundai.

[LastHope]

I imagine that financial contributions could influence a doctor’s recommendation of one implant over the other.

Well stated. On the flip side, if a doctor has financial ties to one but not the other, they may be more open in pointing out the flaws of the one they aren't affiliated with, whereas a doctor tied to both may only emphasize the positive aspects of each. As a consumer, I want to know the negative aspects really well. This thought (however silly) crossed my mind, so I wanted to share it!

[newhope]

on Tuesday I will do my revision from titan to ams cx, according to your experience, even those who directly put a cx, without any revision, in your opinion, I should expect a loss of girth/length, I should expect a much lower stiffness, an angle better/worse, I should expect more ovality or more flattening than the titan, my titan was already very oval and flat what do you think based on your experience

frank any update?

[frank66665]

on Tuesday I will do my revision from titan to ams cx, according to your experience, even those who directly put a cx, without any revision, in your opinion, I should expect a loss of girth/length, I should expect a much lower stiffness, an angle better/worse, I should expect more ovality or more flattening than the titan, my titan was already very oval and flat what do you think based on your experience

frank any update?

yes newhope, the news is that: after 3 years and 8 months I stopped injecting testosterone forever, even with very small doses it made me raise my hematocrit/red blood cells/hemoglobin, I'm taking B group vitamins and folates to lower homocysteine ​​too it is high, but not due to testosterone, I must say that physically I am not feeling tired or anything else, these vitamins are certainly helping me, I have done an exercise test, ultrasound heart doppler, and on Monday 7th I will have a new cardiological visit with my real cardiologist , I have already contacted Antonini, he will let me know as soon as he knows the next date for the review, it should be by the end of the month, in the meantime I have done the tests again and the hematocrit/hemoglobin and red blood cells have returned to normal, at the moment I am eligible for the operation, I will never do testosterone again, that's for sure now

[sambalamba]

Rigicon's lifetime warranty is a key selling point in Asia and the Middle East. The main advantage is that the warranty also covers revisions due to infections. For whatever that's worth, for individuals in the USA without strong insurance coverage or those not on Medicare/VA, this could be valuable.

The Infla10 is no longer new, having been released outside the USA in 2019, though it is still awaiting FDA approval.

I agree that Rigicon’s lifetime warranty is likely their strongest selling point as they attempt to capture market share from AMS and Coloplast. However, from a technical standpoint, I don’t see any revolutionary advancements—just incremental improvements. Based on what I’ve gathered from their website, the key technical highlights seem to be:

1) The use of a proprietary fourth layer, which is claimed to enhance cylinder surface integrity. This appears to be an attempt to differentiate themselves from AMS, which uses three layers and would be generally considered softer than Coloplast.

2) Pump technology designed to offer ease of both inflation and deflation, seemingly trying to strike a balance between AMS and Coloplast pump designs.

It’s hard to say how accurate these claims are, but if these minor tweaks prove effective, they could provide Rigicon with a slight technical advantage over AMS and Coloplast.

[Jucaro]

on Tuesday I will do my revision from titan to ams cx, according to your experience, even those who directly put a cx, without any revision, in your opinion, I should expect a loss of girth/length, I should expect a much lower stiffness, an angle better/worse, I should expect more ovality or more flattening than the titan, my titan was already very oval and flat what do you think based on your experience

frank any update?

yes newhope, the news is that: after 3 years and 8 months I stopped injecting testosterone forever, even with very small doses it made me raise my hematocrit/red blood cells/hemoglobin, I'm taking B group vitamins and folates to lower homocysteine ​​too it is high, but not due to testosterone, I must say that physically I am not feeling tired or anything else, these vitamins are certainly helping me, I have done an exercise test, ultrasound heart doppler, and on Monday 7th I will have a new cardiological visit with my real cardiologist , I have already contacted Antonini, he will let me know as soon as he knows the next date for the review, it should be by the end of the month, in the meantime I have done the tests again and the hematocrit/hemoglobin and red blood cells have returned to normal, at the moment I am eligible for the operation, I will never do testosterone again, that's for sure now

It's not that easy, Frank. You need to make sure that your testosterone stays in range, say, above 400 ng/dl. Otherwise, your body will suffer, you'll have a higher chance of worsening diabetes, heart disease, metabolic syndrome, aging faster... etc.
Keep your hormones in balance. Make sure that your testosterone doesn't go low, but after almost 4 years of replacement, it almost certainly will, because that was probably the reason you got the testosterone replacement in the first place, so now expect your own basal level to be even lower.