CX Vs LGX AMS Viewpoint

[DougAnd]

Today had my appt with Boston Scientific tech Nelson. Gave me 15 1/2 pumps no problem my tips hurt for the first time in months. Great! I had the angle wrong, kinked the hoses. And my death grip on them also kinked them. Now all is well.
I asked him straight up why Doc would choose the CX over the LGX? He said "Scarring". I asked the same question from different angles twice more. Scarring. Now I don't ever call BS right? (You don't know me very well) So I said explain to me exactly how the CX is better for scarring since they (LGX and CX) are exactly the same girth 12mm and the same hardness? He got that look, blushed and said. Well there is no difference really it's just that Doctors don't trust the LGX because it expands. I said That's exactly why you need it for scarring because guys like me who scar have also shrunk. Yeah but they were trained that over sizing causes distal erosion. (Here we go, practicing 30 year old medicine for products that no longer exist) We both know that's impossible it takes many years for the LGX to expand at all so unless you have uneven tip pressure that's not a problem. The CX would do just as much damage. I know, he said, despite the many studies these guys just won't change. I said, I had excessive scarring. He asked, What did Saracino say? He sent the AMS RN to beg me to use the CX just before I went under. Hell no, LGX or no surgery!" Nelson has had to beg surgeons to use the LGX on severely scarred patients who have lost length. Oh well.
So here is the ONLY difference between LGX and CX. In a year when you have finally stretched back out to your pre flaccid stretch length the LGX tips will keep applying pressure and the CX will not. But both are just a hard when fully inflated. Nelson confirmed that most patients never had sex fully inflated so never get the growth benefits of LGX anyway. He suggested that I not fully inflate either until my cystoscope did not need to for sex. I told him I already figured that out and had no need to do so.
Very informative discussion. It is the CXR that comes in 9.5 mm girth and is very hard for penetrating and opening scar tissue.

[wallyworld]

Per Jamie the LGX is made of softer, more flexible material to allow it two way expansion. Wonder what the real story is? That was from a pre surgery discussion when I was trying to decide

[ED2013]

Per Jamie the LGX is made of softer, more flexible material to allow it two way expansion. Wonder what the real story is. That was from a pre surgery discussion when i was trying to decide

The difference between the lgx and the cx is the fabric layer of the cylinders. The fabric allows the lgx to expand in both length and girth. The fabric in the cx only allows expansion in girth. The cx does get more rigid than the lgx.

[DougAnd]

You guys are talking apples to oranges. During implanting there is no difference between the firmness of the LGX and the CX. When fully deflated the CX may be firmer than the LGX. But when fully inflated there is no difference. Both get just as hard as you can pump. They are both made with the same fibers just woven differently.
Bottom line there is no advantage DURING SURGERY for using one over the other. Scarring has nothing to do with it. The CXR is the only one that helps with scarring. So if your surgeon tells you the CX is better for scarring you should reply BS that has been more than proven to be a bald faced lie.

[wallyworld]

I'll defer to AMS's expertise via Jamie that there is a physical difference in construction, that the CX is more rigid than the LGX when inflated and that if you have severe scarring which I was at great risk of having with 30 years of injections, that the CX would produce a better result than the LGX. I interpret the phrase "better result" to mean a "better erection" which is what our mutual overall goals would appear to be.

My Doc did have a CX on hand but fortunately I had zero or almost zero scarring. Finally, my body does something right!

Mark

[DougAnd]

Mark, Jamie does trump Nelson. She is an RN and he's a tech. Of course a tech usually knows more from a rubber to the road view point but Jamie has as much or more traction. So you win the point in my opinion.
I still don't think we are talking about the same scarring situation. If your penis is scarred crooked then the stiffer CX would seem better just like a Titan would be even better than the CX. But if you are scarred and perfectly straight then the CX and the LGX are equal. The stiffness has no advantage . That is what Nelson was saying. But uros make no distinction my Doc made no distinction saw I was perfectly straight. His concern was that the LGX would not fit. Well neither would the CX. Both are exactly the same size. And they use a tool to put the cylinders in, actually tools. The CX might stretch out faster than the LGX. Maybe that's the issue? But a Titan will stretch you out faster and better than either one. And if you inflate 50% for healing that is not an issue anymore.
There is no logic behind any doctor or Jamie choosing a CX over an LGX if the patient does not have peyronies curving. Not that I can see. No study backs up that claim that I have ever seen. Have you?

[DougAnd]

I really do not want to dissuade anyone considering an implant from making that miracle choice. Just do it wisely. Twice before my implant I told Jamie that there were surgeons out there who did not follow AMS recommendations. No reply. In tears I asked for help finding a good Doc and told her of my latest experience with Dr Sarat. I told him about an Italian length preserving study done on a Doctor and he replied Well I'm not Italian then proceeds to tell me that he doesn't care what my length is now that if he decides I'll be 4 1/2" that's what I'll be. Then he brags about having just shortened a guy by 2". And he said the guy was upset as if that were bizarre. Jamie said he's just tempering your expectations. But had the guy cut me down to 4 1/2" she would have supported his decision even though the guy I went with only took half an inch actual and one inch potential. Twice the AMS rep dissuaded me from going to Kramer in favor of the guy who butchered me.
Larry sorry this is so long I know you get tired of reading me over and over. Some time ago I gave really stupid advice to contact your prosthesis rep and have them help you choose the best surgeon. FT is forever has an excellent find function. I don't want that worst ever advice on there. Could you please find that thread and delete it? Thank you.
It has been my experience that the AMS RNs are most interested in keeping patients happy with what they ended up with and not in giving them the best Doctor for the job. Had a patient complained to Jamie that he had his heart set on the CX and woke up with an LGX she would have supported the uro and found an advantage that fit the guys choice.
This tech on the other hand was a straight shooter. He was strictly AMS science and not the smoke and mirrors that surgeons hide behind. He told me that the 3 top surgeons in Florida and the only ones qualified to do my graphs were Perido, Carrion and Brady. But that Brady only used Titans so no help there. I almost went to see him it was a toss up between Sarat or Brady. He also told me that Kata was exclusively infra-pubic and that the only reason he went scrotal on me was because it was only to move my pump. So had I agreed to let him replace it all and would have if I could had lost more days from work then SURPRISE!!! I would have awaken with yet another scar on my abdomen and a much more difficult healing.
You guys who are looking for the right implant doc do your due diligence first. You will never regret it. And pay no attention to the OZ RN rep behind the curtain.

[wallyworld]

So you win the point in my opinion.

Doug, not about winning for me. I figure everybody on FrankTalk wins when we provide and receive data from which we can draw our own conclusions and opinions. I was just providing information I had relative to your subject line: CX Vs LGX AMS Viewpoint. Information that was provided to me by Jamie of AMS during my own data dive into this subject.

Interesting article you posted on how long it would take to benefit from the full 25% expansion possibility from the LGX. Well outside my personal time horizon so I'll stick with my cycling routine of 3 times daily for an hour at a time. Cycle to point of discomfort but not quite painful. I'm tracking my progress so It will be interesting to see what happens in 12-18 months.

Mark

[Larry10625]

Per Jamie the LGX is made of softer, more flexible material to allow it two way expansion. Wonder what the real story is? That was from a pre surgery discussion when I was trying to decide

That's what Jamie (and Rich before her) told me too.

Larry

[Dave52]

I really do not want to dissuade anyone considering an implant from making that miracle choice. Just do it wisely. Twice before my implant I told Jamie that there were surgeons out there who did not follow AMS recommendations. No reply. In tears I asked for help finding a good Doc and told her of my latest experience with Dr Sarat. I told him about an Italian length preserving study done on a Doctor and he replied Well I'm not Italian then proceeds to tell me that he doesn't care what my length is now that if he decides I'll be 4 1/2" that's what I'll be. Then he brags about having just shortened a guy by 2". And he said the guy was upset as if that were bizarre. Jamie said he's just tempering your expectations. But had the guy cut me down to 4 1/2" she would have supported his decision even though the guy I went with only took half an inch actual and one inch potential. Twice the AMS rep dissuaded me from going to Kramer in favor of the guy who butchered me.
Larry sorry this is so long I know you get tired of reading me over and over. Some time ago I gave really stupid advice to contact your prosthesis rep and have them help you choose the best surgeon. FT is forever has an excellent find function. I don't want that worst ever advice on there. Could you please find that thread and delete it? Thank you.
It has been my experience that the AMS RNs are most interested in keeping patients happy with what they ended up with and not in giving them the best Doctor for the job. Had a patient complained to Jamie that he had his heart set on the CX and woke up with an LGX she would have supported the uro and found an advantage that fit the guys choice.
This tech on the other hand was a straight shooter. He was strictly AMS science and not the smoke and mirrors that surgeons hide behind. He told me that the 3 top surgeons in Florida and the only ones qualified to do my graphs were Perido, Carrion and Brady. But that Brady only used Titans so no help there. I almost went to see him it was a toss up between Sarat or Brady. He also told me that Kata was exclusively infra-pubic and that the only reason he went scrotal on me was because it was only to move my pump. So had I agreed to let him replace it all and would have if I could had lost more days from work then SURPRISE!!! I would have awaken with yet another scar on my abdomen and a much more difficult healing.
You guys who are looking for the right implant doc do your due diligence first. You will never regret it. And pay no attention to the OZ RN rep behind the curtain.

For the record on company reps.When I was first considering an implant I contacted the ED cure and Coloplast web sights. When I spoke to the AMS rep she wanted to come to meet me and tell me all the wonderful things about her product. I told her I was contacting Coloplast also her response was we are the best. When I asked questions to the Coloplast rep he told me that there were several doctors in my area and a center for excellence Dr. in Boston I asked him about Dr. Eid in NY city his response was he has a very good reputation but he's not in my area but if that is who you chose you will be happy you did.I also talked to the AMS rep her story was there are doctors right next door to you I asked about her recommendations she told me of several unknown local guys and one female doctor I asked her about Dr. Eid she acted as though she had never heard of him. A few weeks later she called me back and offered to get together and tell me about the AMS products I told her I had made my choice of Doctors and I would let him choose the product she asked me who? I told her Dr. Eid and then she said well I wish you luck. I never heard from her again.
I'm extremely happy with my choice Dr. Eid met all of my expectations and delivered everything he said he would I was cycling in three days and using it in three weeks. When I read about guys here that are up to six weeks before they start to cycle I wonder what is such a big deal or are these surgeons so uninformed or are they just not interested in the patients. Why can one doctor have you activated and cycling in three days and others can't were is the magic?
Dave