To answer questions:

[alibaba]

Yes sir, i know the one you speak of. With a reasonable mind thinking about it given those parameters, Eid could work on your dick all day till it was right, Perito has to get it done fast, right or wrong so he can beat the bacteria buggers to your laid open schlong. As I stated before, the advantage to infrapubic is it is faster. Perito brags he can do an implant in 17 minutes. With the ideal dick or a senile old coot that won't know where to find his dick later that might be fine but what if your dick has issues that are not ideal? Does 17 minutes give time for a proper fitting? One size fits all slam bam next? If he had returned my calls I would not go to see him knowing what I know now. Have any young guys ever had an implant with Perito?

[jonbaldbg]

I had not heard that infra-pubic was an inferior technique, but my surgeon definitely uses scrotal and he's somewhat of an implant legend. I thought I had read where one of the other "legends" uses infra-pubic, but I'm not sure.

When In inflate (I'm new at that) the tubing and deflate valve pull up against the base of the penis and I'm wondering if that is going to affect sex. I guess If I don't hurt and bang too hard, it won't. I don't see how it would be possible to not have the tubing snug up next to the base of the penis where it connects to the cylinders. I guess we'll see how it goes. I wish you well with your problem.

My understanding is that:

The slightly higher pump is an issue with AMS since the tubing is simply shorter from pump to cylinders, or rather they are attached at a different position on the cylinder, compared to Titan, which makes the effective length shorter.
The fix is to use RTEs, which pushes implant further out and fixes the tubing attachment point where the tubing's length can be maximally made use of, and allow a better (lower) pump placement.
Of course, the downsides of RTEs are less axial rigidity and over time the 'wobbling' effect, a.k.a. the hinge effect.

But - the advantage of an AMS is a softer flaccid, and in the the case of the LGX, not only a softer flaccid, but also a shorter flaccid which just like a natural dick is substantially shorter when flaccid than erect.

And I can tell you that it is possible to have the pump and the tubing completely out of way, not being in play at all. My pump, is as shown on several pictures here on FT, completely hidden behind my balls. Cannot be seen even when I lift my dick up. Has never been felt by neither myself nor my wife during sex (well, not during intercourse that is. She will feel it during a good blowjob including massaging or sucking my balls of course).
Same thing with tubing. Never visible, never felt during sex. I can feel them if I want to since I know where they are, but they are not in play when having sex.

On the other hand, I do occasionally have issues with my flaccid size. It is 15 cm (5.9"), which is larger than the average size of a natural dick's erection. It is not a big issue, but occasionally I find myself thinking it'd be better to have a more normal sized flaccid.

Pros and cons, trade-offs...

Your understanding of the slightly higher pump with AMS agrees with Dr. Kramer. When he did mine he chose longer cylinders for a stronger column and more axial rigidity. He has told me that, with a simple 5-minute procedure, could splice more tubing in there to lower the pump if it becomes a problem for me. Personally, I don't think it would make a lot of difference because my scrotum is small and there isn't a whole lot or room to move downward. So, I'm going to stay with this unless it's just a read problem which I doubt it will be.

I have the LGX and had wondered why my flaccid was so short. It don't consider it soft, though. If you touch it is considerable harder than pre-surgery. That is not a problem however.

Thanks for such good, detailed info. I love Dr. Kramer to death, but I always question everything and it helps when someone confirms his comments to me. I truly think he is one of the greats.

[jonbaldbg]

You guys will love this, Kramer just did a video of a guy who was botched with an infrapubic and he fixed scrotally- he explains his thoughts pretty well as usual and it's all there in video. So see what you think-

https://www.youtube.com/watch?v=ZByw620doRo

I saw that this morning. The guy knows what he's doing.

[alibaba]

Closed captioning is crap but this looks SOOOO familiar. If I wear briefs or do not keep a little fluid in my cylinders my dick is bent like his. Now you guys can see what I have been bitching about. Beware. Use your head and weigh the issues before you get an implant. I went with the first affordable guy recommended on this site that would do it. BIG mistake!

[Cnidium]

Alibaba,

Are you saying you are regretting getting an implant at all?

or

Do you think things would have turned out better if you went with Eid or Kramer?

This thread is confirming my suspicion of infrapubic implants.

[jonbaldbg]

Alibaba,

Are you saying you are regretting getting an implant at all?

or

Do you think things would have turned out better if you went with Eid or Kramer?

This thread is confirming my suspicion of infrapubic implants.

I'm not Alibaba, but I would like to comment. There is a very high rate of satisfaction with penile implants. That is verified by the many, many guys on this site that say "I would do it all over again." Some of these guys even say that though they had a less than optimal experience.

The choice of doctor is a huge decision. I read and read on this site and decided to NOT go to my local urologist (who I really like) partly because he stated I'd lose an inch of length. He said that as a routine matter of fact. That was not the experience of guys on this board. But it did seem obvious that certain doctors stood out as the leaders in the field so I was fortunate that one of those was "in network" for me with my insurance company.

Some of the best advice I've seen is to go to a "high volume" surgeon and that makes a lot of sense. Obviously, a surgeon like that has earned their reputation and has had a chance to get really good at what they do.

I think Vanderbilt is a tremendous facility and have gone there for another surgery I had in the past, but I went there because that department was the leader in its field. I do not have first-hand experience with Dr. Milam but I have definitely heard negatives about him from more than one source including this board.

I would conclude by saying that if you want an implant, do it! Just make sure you get the right surgeon.

[Donnie1954]

Guys,
My urologist from the team at Florida Urology Associates, Dr. Edward Kata and the AMS Rep. did my implant surgery. My incision was infrapubic and because RTEs were used my pump is at the bottom of an already large sack. I hope I don't develope a 'hinge' due to the RTEs. Does anyone post implant have this
'hinge' ? I love that my pump is accessible and hanging between and below my balls. I'll soon be 63 and I hope this implant will be my last. How my implant would be installed was never discussed nor use of RTEs but I wouldn't change a thing. I have been blessed that there have been no complications. I am happily 'bionic' and sex is AWESOME!
Donnie