A Unique Set of Circumstances

The final frontier. Deciding when, if and how.
OregonStrong
Posts: 422
Joined: Mon Mar 02, 2020 10:15 pm

Re: A Unique Set of Circumstances

Postby OregonStrong » Fri May 16, 2025 3:33 pm

I think if you're over 7 inches I wouldn't do the LGX go with the CX or a Titan. I think there's too much flexibility in the implant with an LGX when you get above 7" and guys aren't as happy with it.
51 yrs old. E.D. issues started around age 35, combo venous leak/testicular failure. Bilateral testicular implants for severely atrophic testes. Implanted 6/11/20 Dr. Kramer LGX 21cm + 1.

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Headair123
Posts: 59
Joined: Mon Apr 07, 2025 11:22 am

Re: A Unique Set of Circumstances

Postby Headair123 » Fri May 16, 2025 7:14 pm

Kodixx wrote:Headair123, did he have guidance on CX vs Titan to go with the filler, or take your pick ?

- Chuck
Headair123 wrote:He said that many of his patients had successful installation of the implant after they had fillers. So, I'm all set on that front.


Hey Chuck,

Even though I did mention the three types I analyzed, he did not suggest that I go with one brand vs the other.

This is really a convo for my urologist.

Incidentally, Cornell Weill here in NYC, one of the best hospitals in the country, only uses the Titan. I asked why that was, they said that they get the best bang for the buck by stocking one type of implant and that they are of the opinion that the Titan is the best. Of course, it could be that they get the best kick-back from Titan...
Last edited by Headair123 on Fri May 16, 2025 7:16 pm, edited 1 time in total.
58 year-old male. Married. on TRT since 2013.
Bionic as of October 17, 2025.
Coloplast Titan with OTR. 24 cm cylinder + 1 cm RTE
Old Length = 7.25". 8.25" in a vacuum tube. girth is 6.5". Waiting to see where I end up.

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Headair123
Posts: 59
Joined: Mon Apr 07, 2025 11:22 am

Re: A Unique Set of Circumstances

Postby Headair123 » Fri May 16, 2025 7:15 pm

OregonStrong wrote:I think if you're over 7 inches I wouldn't do the LGX go with the CX or a Titan. I think there's too much flexibility in the implant with an LGX when you get above 7" and guys aren't as happy with it.


Exactly what my deep dive into ChatGPT indicated. It seems that the Titan will be the best for me.
58 year-old male. Married. on TRT since 2013.
Bionic as of October 17, 2025.
Coloplast Titan with OTR. 24 cm cylinder + 1 cm RTE
Old Length = 7.25". 8.25" in a vacuum tube. girth is 6.5". Waiting to see where I end up.

Totitoti
Posts: 79
Joined: Mon May 15, 2023 11:32 pm

Re: A Unique Set of Circumstances

Postby Totitoti » Tue May 20, 2025 3:05 am

Hey brother , there is a saying “if you want people to make a decision give them only 2 choices”, you have too much information for something that a good surgen can decide in less then a minute, go to a hi volume doctor i recommend Perito in Miami (just for refference Perito implanted 6 other guys on the day of my surgery), but any other high volume doctor is good, they have seen everything that is out there and more, go there don’t bring up the chat GPT thing you will only look nerdy, all good doctors want to give you more length and more girth, I mean duuuuuhhhh that’s what we all want that’s why we are there besides getting an erection.

Good luck
ED Since early 40's used injections for 1 year, at 55 got implanted by Perito April 19/2023, Titan 24 + 2 rte's
Before. 6.75 lenght 6.5 girth
After 7. Length 5.25 girth

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ElbowRoom
Posts: 630
Joined: Mon Mar 17, 2025 1:58 pm

Re: A Unique Set of Circumstances

Postby ElbowRoom » Tue May 20, 2025 8:12 am

Totitoti wrote:Hey brother , there is a saying “if you want people to make a decision give them only 2 choices”, you have too much information for something that a good surgen can decide in less then a minute, go to a hi volume doctor i recommend Perito in Miami (just for refference Perito implanted 6 other guys on the day of my surgery), but any other high volume doctor is good, they have seen everything that is out there and more, go there don’t bring up the chat GPT thing you will only look nerdy, all good doctors want to give you more length and more girth, I mean duuuuuhhhh that’s what we all want that’s why we are there besides getting an erection.

Good luck


Looking at your signature...did you really lose 1.25" girth with the Titan?
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.

Totitoti
Posts: 79
Joined: Mon May 15, 2023 11:32 pm

Re: A Unique Set of Circumstances

Postby Totitoti » Wed May 21, 2025 1:27 am

ElbowRoom wrote:
Totitoti wrote:Hey brother , there is a saying “if you want people to make a decision give them only 2 choices”, you have too much information for something that a good surgen can decide in less then a minute, go to a hi volume doctor i recommend Perito in Miami (just for refference Perito implanted 6 other guys on the day of my surgery), but any other high volume doctor is good, they have seen everything that is out there and more, go there don’t bring up the chat GPT thing you will only look nerdy, all good doctors want to give you more length and more girth, I mean duuuuuhhhh that’s what we all want that’s why we are there besides getting an erection.

Good luck


Looking at your signature...did you really lose 1.25" girth with the Titan?



Yes I did check my before and after pics

viewtopic.php?t=22140


I had a beer can of a penis, I have a theory and it comes from my own experience, you see cilinders don’t expand much in girth so your girth will be your natural tissue plus the cilinders, I was a grower my penis could be just over an inch in a half long :D and grow to the sledgehammer it was, i loved it but it was not working well anymore, once I had a working penis back and the piece of mind I soon forgot the sledgehammer.

Good luck
ED Since early 40's used injections for 1 year, at 55 got implanted by Perito April 19/2023, Titan 24 + 2 rte's
Before. 6.75 lenght 6.5 girth
After 7. Length 5.25 girth

FinallyBionic
Posts: 389
Joined: Fri Jul 22, 2022 8:12 am

Re: A Unique Set of Circumstances

Postby FinallyBionic » Wed May 21, 2025 9:27 am

Hey Headair,
You might be overthinking this. Neither Chat GPT or anyone can provide you estimates about cylinder lengths, RTEs, or angle.
If you look at FT members signatures, compare lengths to cylinder lengths or RTEs, you will see a lot of variations. An in-person consultation with an experienced surgeon can give you a clear picture, though not accurate measurements.
Your preferences can still be considered. Your surgeon can put AMS instead of Titan if you are looking for a good flaccid look and comfort. If you end up needing 24cm cylinders, Titan will be the best choice.
Goodluck!
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.

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ElbowRoom
Posts: 630
Joined: Mon Mar 17, 2025 1:58 pm

Re: A Unique Set of Circumstances

Postby ElbowRoom » Wed May 21, 2025 12:42 pm

Totitoti wrote:
ElbowRoom wrote:
Totitoti wrote:Hey brother , there is a saying “if you want people to make a decision give them only 2 choices”, you have too much information for something that a good surgen can decide in less then a minute, go to a hi volume doctor i recommend Perito in Miami (just for refference Perito implanted 6 other guys on the day of my surgery), but any other high volume doctor is good, they have seen everything that is out there and more, go there don’t bring up the chat GPT thing you will only look nerdy, all good doctors want to give you more length and more girth, I mean duuuuuhhhh that’s what we all want that’s why we are there besides getting an erection.

Good luck


Looking at your signature...did you really lose 1.25" girth with the Titan?



Yes I did check my before and after pics

viewtopic.php?t=22140


I had a beer can of a penis, I have a theory and it comes from my own experience, you see cilinders don’t expand much in girth so your girth will be your natural tissue plus the cilinders, I was a grower my penis could be just over an inch in a half long :D and grow to the sledgehammer it was, i loved it but it was not working well anymore, once I had a working penis back and the piece of mind I soon forgot the sledgehammer.

Good luck


Thanks for the info...I have a 6.5" natural girth, so I guess I'll prepare for girth to lose a bit. But in your pics I'd say the change isn't very noticeable.
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.

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Headair123
Posts: 59
Joined: Mon Apr 07, 2025 11:22 am

Re: A Unique Set of Circumstances

Postby Headair123 » Tue Oct 07, 2025 9:18 pm

Hey everyone,

I did disappear after May. And, nothing happened with the intent to do the surgery.

In a nutshell, I had the mother of all bicycle accidents this summer. I was out with a cycling club in New York for a 60-mile ride. At the end of the ride, just before I was about to get home, I was in the middle of a large group of cyclists. The guy in front of me (we ride very close together to reduce air resistance) swerved suddenly and I ended up hitting a nasty pothole. I got thrown over my handle bar. I landed on my left shoulder and the guy behind me ran me over.

I ended up with a broken clavicle, a broken scapula, 5 broken ribs (3 through 7) and a punctured lung.

I have recovered enough and my cardiologist and pulmonologist just cleared for surgery next week.

So, come October 17, I will be part of the brotherhood.

My surgeon will be installing the Titan. But, he is refusing to discuss the sizing of the tube or how much RTE he will use. I insisted that if he thinks he should use a 2 cm RTE, he should just go up to the next size up as the Titans increase in increments of 2 cm.

In the meantime, I am using the my VED for about 30 minutes everyday and my penis is staying quite limber...

Pray for me.
58 year-old male. Married. on TRT since 2013.
Bionic as of October 17, 2025.
Coloplast Titan with OTR. 24 cm cylinder + 1 cm RTE
Old Length = 7.25". 8.25" in a vacuum tube. girth is 6.5". Waiting to see where I end up.

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GoodWood
Posts: 1353
Joined: Sun Jun 16, 2019 1:07 pm

Re: A Unique Set of Circumstances

Postby GoodWood » Wed Oct 08, 2025 4:21 am

Whoah! Welcome back. That is a harrowing tale. Yikes. Glad you are OK.

It doesn’t surprise me that the surgeon won’t commit (or discuss) your implanted cylinder size. Regardless of the amount of penis that is visible on the outside there is just no way to know how deep the cruz (segment of the cavernosa that is inside) goes. Only once they have made the incision and are actually measuring the proximal and distal lengths will they know.

If you trust your surgeon, put yourself in their care and just do what they recommend. If you don’t trust your surgeon, find another.

Ice ice ice ice ice ice and rest is about all you need to know for the first few days. It’s been quite a journey. I’m glad I made the leap. Hopefully you’ll have a great experience too.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]


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