The difficult choice of implant before surgery. CX or Titan

The final frontier. Deciding when, if and how.
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 2:44 pm

Rodsmen wrote:
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!

Rodsmen, hello!
I was waiting for your comments)
You are one of those who could get such a girth with CX. But there are a couple more people with such a girth with CX. Thanks for the comment. I really have a difficult choice. My girth is above average (16 cm), and if I lose it, I will really be upset. All these statements of doctors and some guys here that it is better to have an erect pencil than a hanging big one, they, of course, have a place to be, but I do not agree with them. The girth of my strength is more important than the length. Honestly, if I knew that I would keep the girth with CX, I would have already gone for surgery. The guys here and some doctors say that I need some kind of Titan, but I really do not like its flaccid appearance. I am a young man, an athlete, an aesthete of my body. I would not want to see a crumpled plastic bottle inside my penis. But I must say that I have seen Titan several times, which did not have dog ears at all, they look absolutely normal. After having to endure my penis after the Charlatans, I would not want to screw up with the implant. The only thing I do not understand is how to capture more with narrower CX cylinders than with a coloplast? I have been working out with a pump for almost 3 months now for 30 minutes a day until my eyes sparkle, it is very painful. Because of the scar tissue, the length does not increase, since I have adhesions between the pubis and the protein rim, but I have also noticed an increase in girth.

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

Postby Rodsmen » Sat Nov 16, 2024 3:34 pm

I certainly understand your concern. While I got all my length back (at least when I am fully pumped), I did not get quite all the girth back. Being an extremely slutty gay man, I am in a great position to compare with other men. Gay bottoms almost all say they want girth more than length, but most of the bigger (whether girthier or longer—the latter being rare) men just can’t get or stay hard. Yes, some can get plenty hard for a normal amount of time, but staying hard all the time utterly trumps that, at least for the hundreds and hundres of men I have fucked since I got the implant. When I totally defalte my CX I do feel a bit of a “dog ear” on one side. It isn’t visible, and I don’t think anyone has felt it. It takes at least two full pumps to make it hard to feel, and about five to not be able to tell at all. Walking around a gym wouldn’t be OK with that much pumped. You become such a shower when flaccid that you won’t want or need any more. To me, that is an argument for the CX. You can see my current state flaccid and erect on X @kevinroderick1 and on Bluesky @rodsmen.bsky.social. Feel free to DM questions or ask for photos at specific angles, video, etc. I understand it is a daunting decision, especially at your age. I don’t know where you live, but I recently demonstrated it for a straight man. It was pushing his straight limits, but I strongly suggested he feel the pump to have a better idea of what he was getting into. Be sure to get the new pump. I’m still waiting to upgrade. The smaller size and especially faster pumping are really important.
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

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 3:55 pm

Rodsmen wrote:I certainly understand your concern. While I got all my length back (at least when I am fully pumped), I did not get quite all the girth back. Being an extremely slutty gay man, I am in a great position to compare with other men. Gay bottoms almost all say they want girth more than length, but most of the bigger (whether girthier or longer—the latter being rare) men just can’t get or stay hard. Yes, some can get plenty hard for a normal amount of time, but staying hard all the time utterly trumps that, at least for the hundreds and hundres of men I have fucked since I got the implant. When I totally defalte my CX I do feel a bit of a “dog ear” on one side. It isn’t visible, and I don’t think anyone has felt it. It takes at least two full pumps to make it hard to feel, and about five to not be able to tell at all. Walking around a gym wouldn’t be OK with that much pumped. You become such a shower when flaccid that you won’t want or need any more. To me, that is an argument for the CX. You can see my current state flaccid and erect on X @kevinroderick1 and on Bluesky @rodsmen.bsky.social. Feel free to DM questions or ask for photos at specific angles, video, etc. I understand it is a daunting decision, especially at your age. I don’t know where you live, but I recently demonstrated it for a straight man. It was pushing his straight limits, but I strongly suggested he feel the pump to have a better idea of what he was getting into. Be sure to get the new pump. I’m still waiting to upgrade. The smaller size and especially faster pumping are really important.

Rodsmen, thank you very much! I wrote privat message to you.
I can't see the photos on Bluesky, probably because I'm not registered. Please send me a link to the first resource X. Do I understand correctly that you chose cx because of its better flaccid appearance? Weren't you afraid that you would lose the girth with CX? With Titan, in this regard, it would be calmer to go for surgery

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

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

Postby Gt1956 » Sat Nov 16, 2024 4:13 pm

AntonS, its my opinion & was my experience that the CX can deliver very good girth. The determining factor is your pre surgery girth. Lots of people point at the larger Titan cylinders as proof that Titans give better girth. Rodsman & myself prove that a 6" (15cm) girth is well within reach with a CX. The key is him & I both had a history of 6" plus girth. He was well over 15cm, I was maybe a little over 15cm.

Carefull reading of the implant companies literature will give you some clues. They say that their products are not a penis enlargement surgery. You can reverse that to imply that you'll get very close to your natural girth. I will admit that there is a very small number of men that gain some girth. But they are not common.

Length is a different issue. An inexperienced dr can use too short of cylinders. Fibrous might mean shorter cylinders are used.

With an experienced dr. You should be fine on girth.
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

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

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

Postby AntonS » Mon Nov 18, 2024 7:04 am

Gt1956 wrote:AntonS, its my opinion & was my experience that the CX can deliver very good girth. The determining factor is your pre surgery girth. Lots of people point at the larger Titan cylinders as proof that Titans give better girth. Rodsman & myself prove that a 6" (15cm) girth is well within reach with a CX. The key is him & I both had a history of 6" plus girth. He was well over 15cm, I was maybe a little over 15cm.

Carefull reading of the implant companies literature will give you some clues. They say that their products are not a penis enlargement surgery. You can reverse that to imply that you'll get very close to your natural girth. I will admit that there is a very small number of men that gain some girth. But they are not common.

Length is a different issue. An inexperienced dr can use too short of cylinders. Fibrous might mean shorter cylinders are used.

With an experienced dr. You should be fine on girth.

Gt1956,
Thanks for the comment. I already wrote that if I was sure that I would keep my girth with CX, I would have already gone for surgery. I am ready to lose up to 0.5 - 1 inch in girth, but not more. It is still unclear to me how the narrower CX cylinders than Titan allow you to keep a fairly large girth. You are one of the few here who was able to keep a girth of 6 inches or more with CX. At the same time, if I knew that I would not have dog ears with Titan, I would have chosen it and then I would be more calm about keeping my girth. Please tell me why you chose CX and not Titan? After all, your girth was also large before the surgery.

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

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

Postby Gt1956 » Mon Nov 18, 2024 4:05 pm

Despite popular opinions. I believe that your tunica determines your final girth. Not the cylinder sizes. My results supports my belief. As I've studied things. The tunica is really strong. It isn't easy to stretch it. So if by chance it shrinks? I think you'll lose girth. This is supported by I think it was Perito that said size loss starts once you quite getting nighttime erections.

Think for a minute. For as obsessed men are with girth. Why isn't an implant company offering an 7 or 8 inch girth implant. Seems simple to me. Because it won't work.

Stretching your tunica once it has shrunk is hard to do. But again, a contrarian viewpoint. I think it might be possible.
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

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

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

Postby FinallyBionic » Tue Nov 19, 2024 7:35 am

Gt1956 wrote:Despite popular opinions. I believe that your tunica determines your final girth. Not the cylinder sizes. My results supports my belief. As I've studied things. The tunica is really strong. It isn't easy to stretch it. So if by chance it shrinks? I think you'll lose girth. This is supported by I think it was Perito that said size loss starts once you quite getting nighttime erections.

Think for a minute. For as obsessed men are with girth. Why isn't an implant company offering an 7 or 8 inch girth implant. Seems simple to me. Because it won't work.

Stretching your tunica once it has shrunk is hard to do. But again, a contrarian viewpoint. I think it might be possible.

Agree 100% with you GT!
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.

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

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

Postby sambalamba » Tue Nov 19, 2024 10:58 am

Gt1956 wrote:Despite popular opinions. I believe that your tunica determines your final girth. Not the cylinder sizes. My results supports my belief. As I've studied things. The tunica is really strong. It isn't easy to stretch it. So if by chance it shrinks? I think you'll lose girth. This is supported by I think it was Perito that said size loss starts once you quite getting nighttime erections.

Think for a minute. For as obsessed men are with girth. Why isn't an implant company offering an 7 or 8 inch girth implant. Seems simple to me. Because it won't work.

Stretching your tunica once it has shrunk is hard to do. But again, a contrarian viewpoint. I think it might be possible.


The way my doc explained it to me is that leftover corporal tissue will atrophy over time (could be many many years, depends on individual anatomy) especially if there is very little blood flow. Usage of a VED is recommend for this reason even after post implant. If and when leftover corporal tissue atrophies, the girth will be determined by the cylinder diameter. If someone has smaller girth to begin with the loss would be less as compared to larger girth. Corporal tissue atrophy will happen irrespective of device type.

You have had your implant for a while and have been able to maintain your girth. Is there anything special you do to maintain your girth? Do you still get blood flow in your leftover corporal tissue. In other words some form of natural engorgement without inflation?
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant.

WilliamL
Posts: 28
Joined: Fri May 24, 2024 8:51 pm

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

Postby WilliamL » Tue Nov 19, 2024 11:48 am

I have the CX. My girth in slightly over 6 inches when pumped up. When I'm aroused it gets a little better, but I'm too busy then to measure. I've had the CX 6 months now if you have more questions, pm me.
Implanted 5/14/24 at 63. Married to the same wonderful wife for 35 years. AMS 700. 24cm with 3 cm extension on both sides. Heart disease since 50 years old.

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

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

Postby Cnidium » Tue Nov 19, 2024 7:31 pm

AntonS wrote:
Cnidium wrote:
AntonS wrote: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?


I do have dog ears but they have never bothered me.

My girth with the titan without any filler is 5.5 near the head and 6 near the base.

The implant size installed is 26cm.
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.


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