Anatomical Factors That Contribute to Dog Ears with the Titan Implant

The final frontier. Deciding when, if and how.
sambalamba
Posts: 69
Joined: Tue Jul 02, 2024 9:31 am

Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby sambalamba » Tue Oct 08, 2024 9:49 am

I don't know if this topic has been covered in before.

I’m trying to understand what type of penile anatomy is more prone to experiencing dog ears with the Titan implant. From what I’ve gathered, it seems like factors such as flaccid girth, length, and the amount of tissue in the flaccid state might play a role, but I’m unsure of how these factors specifically contribute. Is it possible that having more tissue when flaccid helps prevent dog ears by offering better coverage around the implant cylinders? Or could it be that individuals with less girth or shorter length when flaccid are more susceptible due to less tissue available to cover the cylinders properly?

I’m currently leaning toward choosing the Titan implant because of its rigidity and durability, but worried about issues like dog ears, which I’ve heard can affect both the aesthetic and comfort. My flaccid measurements are 4" in girth and 4" in length, so I’m particularly interested in hearing from others with similar dimensions or those who can shed light on how different anatomies may influence the likelihood of experiencing dog ears. Any insights or experiences you can share would be greatly appreciated, as I’m trying to make the most informed decision possible.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant.

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby Gt1956 » Tue Oct 08, 2024 11:19 am

Sorry, I wish that I had an answer for you. I have plenty of girth but I do have one dog ear. I have an at least average length implant. CX 21cm & its all implant....no RTE's. I have don't have a long flacid, I suspect mainly because I have a deep cruz.

All I can tell you is that the very first time I felt it. I kind of rubbed it to see what it was. It hurt, a burning kind of pain. Bad enough that I didn't investigate any further. A note to self moment "don't do that again dummy". My next nurses appointment I told her that I thought that I had a dog ear. She said most likely I did indeed find one. She didn't look at it either. If you've ever kinked a hose to stop the water flow. You know exactly what it looks like. And yes, at least in my case that first painfull expierence was not a fun one.

Now for the good part. After that first time. Everytime I've happened to feel it. It has hurt less & less. To the point that I can rub it now & feel no pain. I suspect that if I was to get aggressive, I could feel pain. I didn't make any notes about it but I think from pain to no pain only took a month or two. Perhaps only two weeks were true pain. After that it was just a discomfort. When I deflate, I do not squeeze any saline out. I let the IPP deflate to where it wants to be. No pumps are required to make the dog ear comfortable. Also, I only had one dog ear. I always hung to the left & my DE is on the right. I don't understand why on the right. Intuition makes me think the left would point out more. I'm glad that I only had one DE. I think some Titan owners have implied that they have two DE's. Also, I think that some Titan owners have implied that their DE's were painful for longer than mine was.

Overall, at least for me. My CX DE was not a very big problem. I can feel it when flacid, if I straighten out, it goes away. No discomfort at all. Seventeen months post surgery now.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Craigohbig
Posts: 290
Joined: Sun Aug 22, 2021 7:03 am

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby Craigohbig » Tue Oct 08, 2024 11:25 am

sambalamba wrote:I don't know if this topic has been covered in before.

I’m trying to understand what type of penile anatomy is more prone to experiencing dog ears with the Titan implant. From what I’ve gathered, it seems like factors such as flaccid girth, length, and the amount of tissue in the flaccid state might play a role, but I’m unsure of how these factors specifically contribute. Is it possible that having more tissue when flaccid helps prevent dog ears by offering better coverage around the implant cylinders? Or could it be that individuals with less girth or shorter length when flaccid are more susceptible due to less tissue available to cover the cylinders properly?

I’m currently leaning toward choosing the Titan implant because of its rigidity and durability, but worried about issues like dog ears, which I’ve heard can affect both the aesthetic and comfort. My flaccid measurements are 4" in girth and 4" in length, so I’m particularly interested in hearing from others with similar dimensions or those who can shed light on how different anatomies may influence the likelihood of experiencing dog ears. Any insights or experiences you can share would be greatly appreciated, as I’m trying to make the most informed decision possible.


Please don’t choose titan for durability…the only reason to get the titan is the girth enhancement
42 ED for 9 years vl after a fall. Pre implant 8 1/4 bp x 6 1/8 ish
Clavell titan 26+1 rte…post op very excited: 8 5/8” x 6 1/4” (7” base)
Starting to lose some length

nuance
Posts: 303
Joined: Wed Feb 24, 2021 8:14 pm

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby nuance » Tue Oct 08, 2024 6:41 pm

Gt1956 wrote:Sorry, I wish that I had an answer for you. I have plenty of girth but I do have one dog ear. I have an at least average length implant. CX 21cm & its all implant....no RTE's. I have don't have a long flacid, I suspect mainly because I have a deep cruz.

All I can tell you is that the very first time I felt it. I kind of rubbed it to see what it was. It hurt, a burning kind of pain. Bad enough that I didn't investigate any further. A note to self moment "don't do that again dummy". My next nurses appointment I told her that I thought that I had a dog ear. She said most likely I did indeed find one. She didn't look at it either. If you've ever kinked a hose to stop the water flow. You know exactly what it looks like. And yes, at least in my case that first painfull expierence was not a fun one.

Now for the good part. After that first time. Everytime I've happened to feel it. It has hurt less & less. To the point that I can rub it now & feel no pain. I suspect that if I was to get aggressive, I could feel pain. I didn't make any notes about it but I think from pain to no pain only took a month or two. Perhaps only two weeks were true pain. After that it was just a discomfort. When I deflate, I do not squeeze any saline out. I let the IPP deflate to where it wants to be. No pumps are required to make the dog ear comfortable. Also, I only had one dog ear. I always hung to the left & my DE is on the right. I don't understand why on the right. Intuition makes me think the left would point out more. I'm glad that I only had one DE. I think some Titan owners have implied that they have two DE's. Also, I think that some Titan owners have implied that their DE's were painful for longer than mine was.

Overall, at least for me. My CX DE was not a very big problem. I can feel it when flacid, if I straighten out, it goes away. No discomfort at all. Seventeen months post surgery now.


I didn’t realize, you could have DE with the CX.

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby Gt1956 » Tue Oct 08, 2024 7:11 pm

nuance wrote:
Gt1956 wrote:Sorry, I wish that I had an answer for you. I have plenty of girth but I do have one dog ear. I have an at least average length implant. CX 21cm & its all implant....no RTE's. I have don't have a long flacid, I suspect mainly because I have a deep cruz.

All I can tell you is that the very first time I felt it. I kind of rubbed it to see what it was. It hurt, a burning kind of pain. Bad enough that I didn't investigate any further. A note to self moment "don't do that again dummy". My next nurses appointment I told her that I thought that I had a dog ear. She said most likely I did indeed find one. She didn't look at it either. If you've ever kinked a hose to stop the water flow. You know exactly what it looks like. And yes, at least in my case that first painfull expierence was not a fun one.

Now for the good part. After that first time. Everytime I've happened to feel it. It has hurt less & less. To the point that I can rub it now & feel no pain. I suspect that if I was to get aggressive, I could feel pain. I didn't make any notes about it but I think from pain to no pain only took a month or two. Perhaps only two weeks were true pain. After that it was just a discomfort. When I deflate, I do not squeeze any saline out. I let the IPP deflate to where it wants to be. No pumps are required to make the dog ear comfortable. Also, I only had one dog ear. I always hung to the left & my DE is on the right. I don't understand why on the right. Intuition makes me think the left would point out more. I'm glad that I only had one DE. I think some Titan owners have implied that they have two DE's. Also, I think that some Titan owners have implied that their DE's were painful for longer than mine was.

Overall, at least for me. My CX DE was not a very big problem. I can feel it when flacid, if I straighten out, it goes away. No discomfort at all. Seventeen months post surgery now.


I didn’t realize, you could have DE with the CX.

I'm here to say yes. But on the other hand I do think they aren't very common & go away kind of quickly.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

sambalamba
Posts: 69
Joined: Tue Jul 02, 2024 9:31 am

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby sambalamba » Tue Oct 08, 2024 9:49 pm

Gt1956 wrote:Sorry, I wish that I had an answer for you. I have plenty of girth but I do have one dog ear. I have an at least average length implant. CX 21cm & its all implant....no RTE's. I have don't have a long flacid, I suspect mainly because I have a deep cruz.


Hmm Interesting. With your girth I would have expected no dog ears and here you have one even with the AMS CX. Hoping some other people can chime in. Dr. Eid & Hakky have told be that my implant size would be somewhere between 22cm to 24 cm (15.875 cm outside and about 7 to 9 cm inside). Hence their recommendation has been a definite Titan. But I'm very worried about painful DEs. The docs have said that even if that happens it should go away over time. But multiple folks on this board have stated persistent painful DEs with a Titan and have done revisions to switch to AMS.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant.

sambalamba
Posts: 69
Joined: Tue Jul 02, 2024 9:31 am

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby sambalamba » Tue Oct 08, 2024 9:59 pm

Craigohbig wrote:
Please don’t choose titan for durability…the only reason to get the titan is the girth enhancement


I presume you don't have any DEs. Also with your well endowed length, your only choice was the Titan anyways. You probably don't have a deep crus since your exterior length is almost 22 cm. You got plenty of real estate. A small loss of length would be of no big concern I suppose.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant.

dentestes
Posts: 36
Joined: Thu Oct 26, 2023 9:05 am

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby dentestes » Tue Oct 08, 2024 10:06 pm

I would not worry about dog ears. Give it 6-8 months of consistent cycling and it becomes a non issue. My resting flacid is now close to 6 o'clock. That's not to say it won't be uncomfortable initially but it'll soften up overtime.

sambalamba
Posts: 69
Joined: Tue Jul 02, 2024 9:31 am

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby sambalamba » Wed Oct 09, 2024 5:40 pm

dentestes wrote:I would not worry about dog ears. Give it 6-8 months of consistent cycling and it becomes a non issue. My resting flacid is now close to 6 o'clock. That's not to say it won't be uncomfortable initially but it'll soften up overtime.


Thanks for sharing. Would be great if you could also share your flaccid length and size.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant.

dentestes
Posts: 36
Joined: Thu Oct 26, 2023 9:05 am

Re: Anatomical Factors That Contribute to Dog Ears with the Titan Implant

Postby dentestes » Wed Oct 09, 2024 6:59 pm

I have a 24CM titan installed so length is about 6 maybe and not sure of girth but i think am on the girthier side. Never been interested in length or girth like a lot of people are obsessed with. Only interested in a hard penis.


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