The difficult choice of implant before surgery. CX or Titan

The final frontier. Deciding when, if and how.
Thisworld
Posts: 159
Joined: Sun Sep 06, 2020 3:01 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby Thisworld » Wed Oct 30, 2024 10:09 am

Something i wuold take in consideration is that a lot of titan user complain about the pump making noise (even the OTR) while the CX seems not?
Also have you considered in the case you chose the CX if going with ms pump or tenacio pump?
Hard flaccid syndrome since 2019. Trying to get better with conservative treatments but an implant is on my radar

AntonS
Posts: 46
Joined: Wed Mar 15, 2023 3:47 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby AntonS » Wed Oct 30, 2024 2:28 pm

Thisworld wrote:Something i wuold take in consideration is that a lot of titan user complain about the pump making noise (even the OTR) while the CX seems not?
Also have you considered in the case you chose the CX if going with ms pump or tenacio pump?

I know that the classic pump squeaks, but I rarely heard that the OTR pump also scritches. I thought that patients were mistaken when they said that their OTR pump made a sound, I don’t even know that they have a classic pump. Where did you get the information that some OTR pumps also squeak? The Tenacio pump is not yet available in our country, only the ms. CX will be without inhibison, but my surgeon says that this is not a problem, that it is scary for patients with diabetes.

Thisworld
Posts: 159
Joined: Sun Sep 06, 2020 3:01 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby Thisworld » Wed Oct 30, 2024 9:42 pm

AntonS wrote:
Thisworld wrote:Something i wuold take in consideration is that a lot of titan user complain about the pump making noise (even the OTR) while the CX seems not?
Also have you considered in the case you chose the CX if going with ms pump or tenacio pump?

I know that the classic pump squeaks, but I rarely heard that the OTR pump also scritches. I thought that patients were mistaken when they said that their OTR pump made a sound, I don’t even know that they have a classic pump. Where did you get the information that some OTR pumps also squeak? The Tenacio pump is not yet available in our country, only the ms. CX will be without inhibison, but my surgeon says that this is not a problem, that it is scary for patients with diabetes.

viewtopic.php?f=6&t=25368
Hard flaccid syndrome since 2019. Trying to get better with conservative treatments but an implant is on my radar

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: The difficult choice of implant before surgery. CX or Titan

Postby FinallyBionic » Thu Nov 14, 2024 10:41 am

Choosing between Titan and CX is always hard, especially if your doctor says that both will work with you, and it is your preference.
My surgeon said that both Titan and CX would fit me and recommended Titan, but I informed him that I prefer to have a CX for its flaccid state.
I believe you are in a similar situation. Both are good choices, and better not to think about losing girth if you select CX or get tubing failure if you go for Titan. If the surgery is performed properly and you took good care of it, nothing is supposed to cause it to fail. These issues are unpredictable, could occur anytime during the implant lifetime and no one can expect which part of the implant can fail.
I am happy with the outcome of my CX implant, but if I got Titan, I might be happy with it as well. Just go with what you are comfortable with.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

Totitoti
Posts: 63
Joined: Mon May 15, 2023 11:32 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby Totitoti » Thu Nov 14, 2024 12:20 pm

Hi There hope this helps

I have a Titan, I have dog ears two of them one halfway up on the right side, one on my left side at the base, do they bother me not at all, do they interfere with sex not at all, you can pump it i little to smooth them out but i don’t do it I just don’t care :lol:

Girth
As soon as my doctor saw my penis he said Titan and 26 Titan :lol: , I ended with a 24 plus 2 rte’s, he said my best option to retain most of my girth was the Titan, but he was clear that I may loose some since implants are just not wide enough, I was 6.5 and I ended up with 5.25, I missed the the old unreliable fat penis for about 2 months, not anymore.

Lenght
I gained I now am 7 inches, I was about 6.5 I had a fat banana shaped penis and pointing down, now it points straight to 3 oclock.

Sports
No issues, you can do anything.

Sex/Personal/Social
Best decision of my life, no fears,, able to engage women with confidence and not holding back on any opportunities, just imagine yourself during sex being able to stop go get some wine because you are both thirsty, turn the AC on/off, answer the phone, or handle a moody women that needs to be shown whos the man and all she needed was you inside her :lol: :lol: nothing can stop you.

My Before and after pics
viewtopic.php?t=22140

Good luck
ED Since early 40's used injections for 1 year, at 55 got implanted by Perito April 19/2023, Titan 24 + 2 rte's
Before. 6.75 lenght 6.5 girth
After 7. Length 5.25 girth

AntonS
Posts: 46
Joined: Wed Mar 15, 2023 3:47 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby AntonS » Fri Nov 15, 2024 10:14 am

Totitoti wrote:Hi There hope this helps

I have a Titan, I have dog ears two of them one halfway up on the right side, one on my left side at the base, do they bother me not at all, do they interfere with sex not at all, you can pump it i little to smooth them out but i don’t do it I just don’t care :lol:

Girth
As soon as my doctor saw my penis he said Titan and 26 Titan :lol: , I ended with a 24 plus 2 rte’s, he said my best option to retain most of my girth was the Titan, but he was clear that I may loose some since implants are just not wide enough, I was 6.5 and I ended up with 5.25, I missed the the old unreliable fat penis for about 2 months, not anymore.

Lenght
I gained I now am 7 inches, I was about 6.5 I had a fat banana shaped penis and pointing down, now it points straight to 3 oclock.

Sports
No issues, you can do anything.

Sex/Personal/Social
Best decision of my life, no fears,, able to engage women with confidence and not holding back on any opportunities, just imagine yourself during sex being able to stop go get some wine because you are both thirsty, turn the AC on/off, answer the phone, or handle a moody women that needs to be shown whos the man and all she needed was you inside her :lol: :lol: nothing can stop you.

My Before and after pics
viewtopic.php?t=22140

Good luck

Thanks for the answer!
especially for the last paragraph) it is very inspiring! I looked at your photos. it is really a sledgehammer! And even with the loss of 1 inch of girth it looks powerful! I think everyone would be interested if you showed a photo in a deactivated state with dog ears. I wrote you a private message.

Cnidium
Posts: 462
Joined: Mon Oct 03, 2016 7:10 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby Cnidium » Fri Nov 15, 2024 9:38 pm

AntonS wrote:
Cnidium wrote:Speaking for myself and a lot of younger guys. The titan doesnt sit in the flaccid state very naturally for many of us. This can be problematic when trying to conceal it in certain clothing.

After the fun of having sex again came and went after getting my Titan, I often think about how much easier some parts of life would be if I had the flaccidity of the AMS.

The issues with titan flaccid doesnt happen with every guy, and a lot of it has to do with personal anatomy. I think if you are extremely lean it will increase the changes of it showing more in loose clothing. Another big part of the equation is how deep your crus is (the part of your penis inside your body). I suspect the short your crus is relative to the size of your implant, the more likely you will have annoying flaccid issues with the Titan because the last number of centimeters of the implant are not inflatable/deflatable. Its hard to explain, and the AMS also has the uninflatable section of its back end, but it lays down very naturally compared to the titan so its less problematic.

I dont know much about the Rigicon, but I would be curious to see how nice its flaccid state is compared to the Titan and AMS.

Yesterday I talked to my surgeon.

I asked him to send me photos of his work with CX. I've seen a lot of photos with Titan. He said that it's almost impossible to tell whether it's Titan or CX. He said that my worries about the girth with CX are in vain. He said that the remaining part of the cavernous bodies and the possibility of stretching the protein shell determine the girth with any of the implant models. In his opinion, in most cases, the cylinders are not even fully inflated inside the cavernous bodies. He also said that with my girth, I won't have dog ears with titanium. Even if they do, one or two pumps will straighten them out. But I understand that if you add a couple more pumps in a flaccid state, the penis will stick out a little forward. Perhaps I'm wrong. The doctor also mentioned that he was less concerned about the possible, but unlikely, loss of girth of half a centimeter with CX (let me remind you, my girth is 16 cm) than possible problems with Titan tubes, which would lead to the need for revision with associated risks. He believes that after cutting the scars and straightening the curvature, I can have any implant installed - titan, lgx, cx, but I do not agree with this. In the end, he left the choice up to me.
Now I have racked my brains even more. Indeed, a difficult choice. The choice is not a new bike or a car, but a dick that will be with you all the time until a possible revision.
Now for me, the advantages of CX are:
1. a better flaccid appearance, which is important for a young man;
2. possibly more reliable.
Disadvantages of CX:
1. possible loss of girth;
2. the pump is larger than that of Titan.
Advantages of Titan:
1. the ability to maintain girth;
2. the cylinders are stronger;
3. smaller pump than CX.
Titan cons:
1. worse sluggish look;
2. possible problems with tubes.

What do you think about this?


My apologies for responding late, I dont come here as much I use to.

I think considering flaccid appearance is not so important. I never cared what my flaccid looked like after implant in front of women. I still think the possible better concealability of the CX is its best benefit. If I were to wear a suit with form-fitting pants then my titan would be extremely noticeable.

My guess is that the failure rate of a Titan and an AMS are roughly the same, or at least I've never been able to see enough evidence one way or the other.

Can you clarify what you mean by the Titan's "cylinders are stronger"? Do you mean that they are more rigid and therefore harder when erect, or do you mean that they are less prone to breaking compared to the AMS? If you are referring to rigidity, then I wouldnt consider this a pro/con. To my understanding, no one will ever notice the rigidity difference between a Titan or a CX, as they both get extremely rigid. It would be like comparing the difference between a diamond and rock.

I'm 100% certain if there is any real girth difference between a Titan and CX of the same implant size. I know its difficult to understand this as a guy, but in my opinion size is much less important than ease-of-life with an implant.

While I only have experience with the Titan, I think I'd prefer the better concealability of the CX so I can enjoy being in public with a wider range of clothing more.
Titan OTR. Dr. Hakky - successful surgery and very happy with outcome.
My advice: choose a world-class surgeon and make yourself the healthiest you can.

AntonS
Posts: 46
Joined: Wed Mar 15, 2023 3:47 pm

Re: The difficult choice of implant before surgery. CX or Titan

Postby AntonS » Sat Nov 16, 2024 3:09 am

Cnidium wrote:
AntonS wrote:
Cnidium wrote:Speaking for myself and a lot of younger guys. The titan doesnt sit in the flaccid state very naturally for many of us. This can be problematic when trying to conceal it in certain clothing.

After the fun of having sex again came and went after getting my Titan, I often think about how much easier some parts of life would be if I had the flaccidity of the AMS.

The issues with titan flaccid doesnt happen with every guy, and a lot of it has to do with personal anatomy. I think if you are extremely lean it will increase the changes of it showing more in loose clothing. Another big part of the equation is how deep your crus is (the part of your penis inside your body). I suspect the short your crus is relative to the size of your implant, the more likely you will have annoying flaccid issues with the Titan because the last number of centimeters of the implant are not inflatable/deflatable. Its hard to explain, and the AMS also has the uninflatable section of its back end, but it lays down very naturally compared to the titan so its less problematic.

I dont know much about the Rigicon, but I would be curious to see how nice its flaccid state is compared to the Titan and AMS.

Yesterday I talked to my surgeon.

I asked him to send me photos of his work with CX. I've seen a lot of photos with Titan. He said that it's almost impossible to tell whether it's Titan or CX. He said that my worries about the girth with CX are in vain. He said that the remaining part of the cavernous bodies and the possibility of stretching the protein shell determine the girth with any of the implant models. In his opinion, in most cases, the cylinders are not even fully inflated inside the cavernous bodies. He also said that with my girth, I won't have dog ears with titanium. Even if they do, one or two pumps will straighten them out. But I understand that if you add a couple more pumps in a flaccid state, the penis will stick out a little forward. Perhaps I'm wrong. The doctor also mentioned that he was less concerned about the possible, but unlikely, loss of girth of half a centimeter with CX (let me remind you, my girth is 16 cm) than possible problems with Titan tubes, which would lead to the need for revision with associated risks. He believes that after cutting the scars and straightening the curvature, I can have any implant installed - titan, lgx, cx, but I do not agree with this. In the end, he left the choice up to me.
Now I have racked my brains even more. Indeed, a difficult choice. The choice is not a new bike or a car, but a dick that will be with you all the time until a possible revision.
Now for me, the advantages of CX are:
1. a better flaccid appearance, which is important for a young man;
2. possibly more reliable.
Disadvantages of CX:
1. possible loss of girth;
2. the pump is larger than that of Titan.
Advantages of Titan:
1. the ability to maintain girth;
2. the cylinders are stronger;
3. smaller pump than CX.
Titan cons:
1. worse sluggish look;
2. possible problems with tubes.

What do you think about this?


My apologies for responding late, I dont come here as much I use to.

I think considering flaccid appearance is not so important. I never cared what my flaccid looked like after implant in front of women. I still think the possible better concealability of the CX is its best benefit. If I were to wear a suit with form-fitting pants then my titan would be extremely noticeable.

My guess is that the failure rate of a Titan and an AMS are roughly the same, or at least I've never been able to see enough evidence one way or the other.

Can you clarify what you mean by the Titan's "cylinders are stronger"? Do you mean that they are more rigid and therefore harder when erect, or do you mean that they are less prone to breaking compared to the AMS? If you are referring to rigidity, then I wouldnt consider this a pro/con. To my understanding, no one will ever notice the rigidity difference between a Titan or a CX, as they both get extremely rigid. It would be like comparing the difference between a diamond and rock.

I'm 100% certain if there is any real girth difference between a Titan and CX of the same implant size. I know its difficult to understand this as a guy, but in my opinion size is much less important than ease-of-life with an implant.

While I only have experience with the Titan, I think I'd prefer the better concealability of the CX so I can enjoy being in public with a wider range of clothing more.

Very good and comprehensive answer. Thank you! Looks like a bigger advantage of CX. Yes, I also think that the difference in girth between CX and Titan is small, there is 100%. But I have seen about 150 photos of implanted members with CX and Titan and in some cases, the Titan girth is not very large, and CX has a decent girth, more than some Titan, but in general, of course, Titan wins. After analyzing, I realized that the final appearance, including girth, depends on the individual anatomy of the penis. My surgeon says that girth is determined not only by the implant, but also to a greater extent by the extensibility of the protein shell and the tissues surrounding the implant, residual erection. When I talk about the strength of Titan cylinders, I mean their resistance to breakage. I agree with you that the cruelty of inflated Titan and CX is about the same and sufficient. I understand everything, but I still can't decide, Titan or CX. Difficult choice. Please tell me, do you have dog ears with Titan? How uncomfortable are they? What is your girth with Titan? What size implant is installed?

Rider1400
Posts: 1079
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: The difficult choice of implant before surgery. CX or Titan

Postby Rider1400 » Sat Nov 16, 2024 12:17 pm

Dog ears are very uncomfortable for the first month or two. After this they start getting less noticeable and then around 4-5 months you just forget they exist. By the one year mark you’ll not think or be concerned with dog ears. I’ve had mine for 2-1/2 years and it has just become totally normal to the point you don’t think about showing or dog ears or anything else! It’s just a 5-1/2” flaccid dick! For any guy who was a shower before it would be totally normal. So many times issues we discuss on Ft will resolve with time as far as what underwear, bulges,dog ears, or just worry of showing. It mostly we who get used to it more than anything changing. I was 100% conscious of my bulge for the first several months and me and my wife worried about it a lot. By the one year mark she nor I ever even notice much less comment about it…. Don’t even consider it!! It’s still there just like it was at 4,5 and 6 months after the surgery.. I’ve just gotten so used to it that it’s a normal part of my body. Besides not many or anybody else will even notice. If they do than it’s on them for looking!! When was the last time you looked at someone else’s dick. Really!!! I never look or notice anybody else’s bulge…. Sure they are there, I’m just not looking. As far as women noticing…….. now if you want to talk BREASTS!!! Yes I notice. And I notice when all of a sudden a particular woman will all of a sudden have much bigger ones!!!! Why is this NOT an issue and it would be for a guy?? Just saying.. Food for thought.
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!

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Rodsmen
Posts: 174
Joined: Mon Jun 19, 2023 4:23 am
Location: Los Angeles, CA

Re: The difficult choice of implant before surgery. CX or Titan

Postby Rodsmen » Sat Nov 16, 2024 1:50 pm

AntonS wrote:Hello to all the participants of this forum! I am very grateful to you for the invaluable information I have received from here.

Despite the fact that this question has been raised here many times, I still do not have a clear answer for myself when choosing an implant.

I have chosen a surgeon who can fix my situation, but I can not decide on the model of the implant that is right for me.

I am choosing between CX and Titan.

Previously, I had an operation to ligate the veins of the penis, which ended badly. Due to the formation of a hematoma, a combat operation was required, which led to the formation of scar tissue on the tunica albuginea and adhesions between the pubic bone and the penis in the area of ​​​​the supporting ligament.
More than two years have passed since these operations. Now I have an upward curvature of the penis, taking the measure of the length due to adhesions in the adjacent ligament and a slight narrowing of the penis at its base. After these open venous interventions, I performed radiointerventional embolization of the pelvic veins, which had virtually no effect.

The implantation operation will be performed as follows: the surgeon will invert the penis through the penoscrotal approach, dissect the adhesions in the area of ​​the supporting connection, mobilize the neurovascular bundle on one side and make incisions on the scar, which is located on the protein coat. After that, he installed the implant.

He has already named the operation for me, but I have some suggestions for choosing an implant.

I have learned dozens of tons of information on the Internet and talked to many surgeons from all over the world on this forum. But I still have open questions.

I have a fairly large girth of 16 centimeters - that's 6 - 6.3 inches. The length when fully inflated with a pump painfully is 17 cm, without a pump - 15-15.5 cm. Hopefully the scar dissection will help bring back some length.
I'm more inclined to the ams CX due to its more natural flaccid look, softer cylinders, and actually maybe better durability than the titan despite the titan's lifetime warranty considering the titan has issues with tube erosion.
But I'm worried that the cx will not allow me to maintain my girth, whereas with the titan I won't have to worry about maintaining my girth. The titan cylinders are 21 mm, the CX cylinders are 17-18 mm wide. But in his video Clavell shows that the inflated cylinders of the titan and cx are not very different: the inflated cylinder of the Titan is 7 cm, while the CX is 6.5 cm in circumference.
My surgeon assures me that with both models I will retain approximately the same circumference, but will lose it with the lgx, which I do not consider for myself at all. He says that the circumference is largely determined by the protein shell and the complementary erection. He has performed a large volume of both simple and very complex implantations of both the CX and Titan. But I only trust the facts. It is not entirely clear to me how the circumference can be the same with different cylinder sizes? I believe that the protein shell and the remaining erection determine the circumference to a very small extent than the cylinders themselves. I have collected over a hundred photos of penises with titan and cx implants and realized that the final appearance, including girth, largely depends on the anatomy of each penis. But in general, penises with titan implants are thicker. In terms of the rigidity of the cylinders, I think the cx will be quite enough for any type of sex. Perhaps the titan cylinders are a little more rigid and durable, but this rigidity is sometimes excessive.
Clavell mentions in his video that studies on cadavers have shown that titan and CX after implantation are approximately comparable in rigidity. But still, titan cylinders are more durable in terms of long-term reliability.

In addition to the girth, it is also important to me how the penis will look in a flaccid state, which already has scars from vein surgery, which I do not recommend to anyone. If I choose Titan, I will not worry about the girth, but I will worry about possible dog ears, folds and its unnatural appearance in a flaccid state. Some surgeons tell me that I won't have dog ears because my penis is quite thick, but the end result will only be after surgery. I know that I can do a few pumps and the folds will straighten out, it's not a problem. But it seems to me that then the penis will stick out a little forward, as if I have a half-erection. It will be problematic to hide it. If I'm wrong, please correct me.
I'm 37 years old and looking forward, I understand that I will have at least one, and maybe more revisions. Therefore, Coloplast is preferable here in terms of lifetime warranty.
Another question is the following: after the implant is installed, a capsule is formed during the first months. In your opinion, is it possible that if I choose CX, during the recovery period a capsule will form under the CX cylinders and nothing more. And if in the future I need a revision and decide to install titan, will the Titan cylinders not expand to their limits due to the size of the already formed capsule from the previous CX? If I choose titan first, it is clear that its cylinders will stretch the tissues to the maximum and create a corresponding capsule.
My surgeon and many participants of this forum with whom I managed to communicate in private messages claim that cycling during the first six months / year will allow me to return to my sizes of both length and girth with CX. There are several participants here whose girth with CX is 6 inches. Rodsmen, in my opinion, was able to achieve even a little more. Someone wrote here about the size with CX 6.5 x 6.5 inches. But I am worried that this may not be the case with me.

I lead a very active lifestyle and do several sports: running, including long distances, road cycling, gym, cross-country skiing, I used to do yoga, but I stopped, which I now regret. Yoga was the best medicine I ever tried, it allowed me to cope with this damn venous leak. After the implantation, I would like to continue doing sports. How comfortable will it be with each of the implant models? These sports involve high physical activity and, mainly, tight clothing: leggings, tight cycling shorts, running shorts. Most likely, after the implantation, I will have to give up skinny jeans and skinny trousers in the office. In your opinion, will the CX have an advantage over the Titan in this regard?

At 37, I still haven't been able to get married, have a normal, permanent relationship, or start a family because of the damned erectile dysfunction. And after venous surgeries that made my situation even worse and completely ruined my life, I quit my good job and have been in a terrible depression for 2.5 years now. But I'm not going to give up.

Since I'm single, this also makes me worry about the appearance of my penis in a relaxed state and slows down my choice between Titan and CX.
I hope that implantation will be one of the steps to returning to normal life.

To sum it up, if I had a guarantee of maintaining my girth with CX, I would choose it. If not, then maybe Titan.

I would be grateful for any advice and comments.


I am sorry that I have been away from this forum for a while. I have been using my amazing new dick! Yes, I am consistently 6-1/2” girth through most of the length of my dick. I had the surgery almost a year ago, and over the last few months the girth toward the tip seems to have increased. (CX) My best advice is to be very aggressive with pump use before surgery and when your doctor will let you post-surgery, as well as very aggressive cycling. I spent 3-5 hours a day for the first 3 months either cycling, pumping, or fucking after cycyling as hard as I possibley could. To this day, I continue to stretch while fucking and need to add some pumps while fucking to stay hard. The bottoms all love the feeling as my cock gets bigger and harder while I stay fully inserted in them. I have demonstrated my dick for hundreds of men and women and have guys that I got started that are healed. Now, it’s great to be able to feel the results in my own mouth. You will be the best possible boyfriend/husband material imaginable after your surgery!
67 yrs. gay married 30 years, open relationship. Dr. Jesse Mills UCLA 11/29/23. OEM 7-1/2" x 7". @11 mos. 8” x 6.5” to 7” (midpoint vs. base). See Rodsmen's Journal or @rodsmen.bsky.social


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