Article

The final frontier. Deciding when, if and how.
merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Article

Postby merrix » Mon Jan 30, 2017 5:56 pm

It's a few years old, but gives a very thorough overview.

http://www.garber-online.com/pdf/Garber ... w_2008.pdf
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Article

Postby alibaba » Mon Jan 30, 2017 8:01 pm

Page 5 graphic on the right shows pump volume on an AMS momentary squeeze pump to be 26.5 ml. My understanding of metrics is 1 ml is equal to 1 cc. The reservoir large size holds 100 cc. Given those numbers a person should be able to pump full hard with slightly less than 4 pumps. 100 divided by 26.5. Displacement is shown similar on other pumps. Who can empty the large size reservoir in less than 4 pumps? Who is harder than a fence post in less than 4 pumps? Corrections? Having used syringes for almost 50 years, I believe the correct volume to be 2.65 ml. Given the size of a 3cc syringe and converting that shape in my mind to a bulb, 2.65ml seems appropriate. 40 pumps to hard and reservoir empty seems more accurate too assuming full wall to wall pumps which one seldom succeeds beyond 20 pumps.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

JerGeezer
Posts: 102
Joined: Sun Sep 15, 2013 9:24 pm

Re: Article

Postby JerGeezer » Mon Jan 30, 2017 9:06 pm

40 pumps to hard and reservoir empty seems more accurate too assuming full wall to wall pumps which one seldom succeeds beyond 20 pumps.


This is the way it is for me.
I'm 75 and got an AMS Ultrex in 1995. Had it replaced in 1999. Got a new AMS 700 LGX in 2013.

PFracture

Re: Article

Postby PFracture » Mon Jan 30, 2017 10:23 pm

Wow!! Just wow! Thank you for sharing this. Gave it a quick look and was amazed at the technical content. I will definitely give it another look, but this time thoroughly.

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Article

Postby alibaba » Mon Jan 30, 2017 10:26 pm

There is a lot of interesting information.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Article

Postby Lost Sheep » Mon Jan 30, 2017 10:32 pm

alibaba wrote:Page 5 graphic on the right shows pump volume on an AMS momentary squeeze pump to be 26.5 ml. My understanding of metrics is 1 ml is equal to 1 cc. The reservoir large size holds 100 cc. Given those numbers a person should be able to pump full hard with slightly less than 4 pumps. 100 divided by 26.5. Displacement is shown similar on other pumps. Who can empty the large size reservoir in less than 4 pumps? Who is harder than a fence post in less than 4 pumps? Corrections? Having used syringes for almost 50 years, I believe the correct volume to be 2.65 ml. Given the size of a 3cc syringe and converting that shape in my mind to a bulb, 2.65ml seems appropriate. 40 pumps to hard and reservoir empty seems more accurate too assuming full wall to wall pumps which one seldom succeeds beyond 20 pumps.

I did the math. The "pump displacement" figures for all three pumps are the rectangular volume of the box in which the entire pump and valve would fit. Most definitely NOT the amount of fluid the bulb could hold. I multiplied the height times width times depth. Simple.

If half the height of the assembly is bulb and the width and depth of the bulb match the rectangular width and depth dimensions, the volume of the bulbs would be 10.4 cc, 9.4 cc and 11.9 cc. I consider my estimate of the height guess to to be somewhat generous becaust the bulb is not a cylinder, but somewhat spherical.

I opine that even a "wall to wall" bulb compression would not deliver anywhere near the full bulb volume. I guess maybe half.

So, I will suggest a full squeeze of one of these pumps would deliver 4 to 5 cc to the implant.

Now, the implant inflatable cylinders. A cylinder 18mm x 20 cm is a volume of 51cc. 102cc for two cylinders. I will guess that a man who can deflate implant cylinders more than 95% is rare.

So fluid transfer (by my calculations) of under 100cc for a 20cm AMS CX for example seems reasonable. At (half capacity pumps) 2 to 2.5 cc per pump from completely empty to 100% full, 40 to 50 pumps seems reasonable. If we assume flaccidity of he imolant at 30% fill and full erection at 85% full, a fluid transfer of 55cc is seen. If we believe a man can get a full 4cc per pump, 10 pumps to get erect is expected.

All this is academic because I like to crunch numbers sometimes. But my estimates and calculations fo seem to match reality faily well I think.

Lost Sheep
Last edited by Lost Sheep on Tue Jan 31, 2017 1:08 am, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Article

Postby Lost Sheep » Mon Jan 30, 2017 10:39 pm

Merrix,

GREAT FIND! Even though the article is 8-9 years old it answers a LOT of questions I have had no luck answering up to now.

THANK YOU for postng the link.

Lost Sheep
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Article

Postby alibaba » Mon Jan 30, 2017 11:16 pm

Interesting find on the pump overall dimensions being called displacement. I deal with hydraulic pumps all the time and displacement is the volume per stroke not the overall dimensions of the pump. What were they thinking? Who cares how much ball sack volume is displaced by their glob of plastic? Goes back to the question I have asked here many times in the past several years. What is the actual volume of fluid pumped (displacement) per stroke of saline?
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Article

Postby Lost Sheep » Tue Jan 31, 2017 1:07 am

alibaba wrote:Interesting find on the pump overall dimensions being called displacement. I deal with hydraulic pumps all the time and displacement is the volume per stroke not the overall dimensions of the pump. What were they thinking? Who cares how much ball sack volume is displaced by their glob of plastic? Goes back to the question I have asked here many times in the past several years. What is the actual volume of fluid pumped (displacement) per stroke of saline?

By the reckoning outlined in my post, somewhere between 2 to 5 cc per squeeze.

Refinement to more cetainty would require better measurements than provided in the article.

Or, getting a pump bulb and actually measuring the flow. The empirical method.

Lost Sheep
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: Article

Postby merrix » Tue Jan 31, 2017 4:42 am

One thing nobody mentions is the fact that a 20 cm cylinder does not have 20 cm inflatable length. There are fixed parts both in the rear and in the tip. I remember Eid showing me calculations on all 3 most commonly used implants and what ratio of inflatable length they had.
Two things were clear: Titans had higher inflatable ratio than CX and LGX. Longer cylinders had higher inflatable ratio than shorter cylinders.
Hence, the implants with the highest inflatable ratio is the Titan XL line, i.e. the 24, 26 and 28 cm models.
It was a year ago now, so I don't remember the exact numbers, but the inflatable ratio was surprisingly low. Even for the top models (Titan XL) it was not higher than 75% as I remember, and for the shorter AMS models as low as 65-70%.

So using myself as an example:
Titan XL 24 cm.
Inflatable ratio 75%
Inflatable length: 0.75*24=18 cm
Cylinder diameter: 2.1 cm
Cylinder radius: 1.05 cm
Cylinder volume (two cylinders): 2*1.05*1.05*3.14*18=125 cm^3=125 ml.
Reservoir size: 125 ml

I can do about 30 full pumps and 10 gradually lesser pumps. Let's assume the last 10 pumps on average are half pumps. So I do 35 full pumps.
Fluid per pump = 125/35=3.6ml.

Another example:

AMS LGX or CX
Cylinder length: 15 cm
Diameter: 1.4 cm
Radius: 0.7 cm
Inflatable length: 70%
Volume: 2*0.7*0.7*3.14*15*0.7=32 cm^3 = 32 ml
If we assume the fluid pumped with 1 pump is same as above (3.6 ml), then it would take 32/3.6=9 pumps to full inflation.
Massive difference, but so is the difference in volume between a long thick implant and a shorter thinner one.

Still in the same ballpark as your calculations.

And as a side note, Eid was convinced that a high inflatable ratio is a key performance indicator for a good implant. And, since RTEs effectively do decrease the inflatable proportion of the total implant, they should be avoided if possible and minimised when needed.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon


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