Rear Tip Extenders

[Boulder]

I am not a URO but since the penis has about one third of the shaft behind the scrotum. It would seem if you did not have RTEs to balance the other two thirds you would get a hinge where the cylinders are attached to the tubes.

BTW on Dr. Eid's conversation concerning the use of RTEs:
1. He seems to be pushing the Titan,
2. Was quick to criticize another URO without seeing the patient,
3. I should be lucky that mine works at all. No hinge here!

However my URO
- studied at the Scott Urology school where the IPP was developed by Dr. Scott in the Houston's Texas Medical Center. The patent is now held by AMS.
- studied surgery at the DeBakey School, home of the famous heart surgeon.
- has repaired Dr. Eid's botched IPP OP. Do a search on FT, you will find at least one case of a botched IPP where he fixed Eid's mistakes.

Couldn't find it Roninhouston, how about a little help?

[merrix]

I am not a URO but since the penis has about one third of the shaft behind the scrotum. It would seem if you did not have RTEs to balance the other two thirds you would get a hinge where the cylinders are attached to the tubes.

Yes, and that is a good thing. With too long RTEs the point of hinge is moved further out, at the base of the penis. And that will create an (for most) undesired hinge effect.

3. I should be lucky that mine works at all. No hinge here!

Well, you have your own definition of a hinge. As you described it in another post:
"When inflated I am at about 3:30, the last time I paid attention to it in the mirror. But have the range of motion, without a partner, where I can touch my belly straight up or about 5:30 pushing it down. "

This is the definition of a hinge. A hard shaft which is sort of 'unattached' to the body, making it possible to wobble up, down, left, right.
But since you're happy anyway, this is no problem to you.
However, I think for potential Bionic guys reading this, who might not want a hinged implant, it might be worth reflecting over the fact that you have a hinge effect and you have 5 cm RTE.

[Broken]

There are 2 methods of sizing for AMS.

Method A buries the implant in the proximal end and with that the fill tube lays against the expandable section
until it exits the corporotomy. Here you choose the longest implant with minimal makeup with RTE.

Method B shifts the implant forward with a 2 cm fudge factor that's substracted from the overall length with the idea to position the fill tube so it exits the corporatomy directly. This ends up with more makeup with RTE.

Method A runs some risk of kinking, so B plays it safer although one would like more expandable material length than less if you have an LGX.

Say the material expands 20% and you're working with 20 cm total length. If half the length is solid and half expandable it would be 10 + 10 * 1.2 = 22 cm. If all 20 cm is expandable it would be 1.2 * 20 = 24 cm.

There are AMS implants ending with 'R' that are already about 1.5 cm longer in the proximal end.
For these AMS suggests Method A.
For other Implants not ending with 'R', such as LGX (which I chose) you can choose Method A or B.

I suggested doing without RTEs which irritated the surgeon on the 1st implant. I ended up with 4 cm RTE. (15+4)

On the second implant, I suggested no RTE to the AMS guy and he says they like to use RTE to help pump
placement which I didn't understand until he said they like to use preconnected (with only reservoir connect to do).
I said why not do the 2 pump connections so you have freedom to leave RTE out. He said pre-connected are
used a lot now... less connections, less to go wrong. Still I would like no RTE.

I stretched out a bit for the 2nd implant so I ended up with 2 cm more with 18+3.
But it got infected and I have a salvage malleable on one side.