Anyone here unlucky enough to try different implant brands/types?

[PeaceofPain07]

I had an appointment last week with fortunately one of the top (and unfortunately expensive) implant doctors in New York. He recommended the Colonplast. I'll take the doctors recommendation into consideration, but judging by looks, the AMS looks more comfortable to me. Is there anyone here who was unlucky enough to try different implant brands/types? If so, which did you prefer and why? Trying to get an idea of which has higher patient satisfaction, but my initial research shows it may be equal.

Also, if there are any tips on how I can prepare pre-surgery, I'd appreciate it. The doctor said there is nothing to prepare, so maybe there is nothing to do but I did read about people suggesting pumping pre-surgery. I just don't know in what way and if it's helpful.

Do I need to give up high intensity sports/workouts? I can live with that, as I don't mind low-moderate intensity.

After years of trying to solve ED naturally on my own, and conservatively with doctors, I'm 75% sure I'll be getting an implant in the coming weeks/months, as initial results of the current treatment I'm on doesn't look promising. I'm almost ready to go for an implant, but I want to dig deep on educating myself first on implants pre-op and post-op. I'll work on that soon.

[MK1965]

I had my implant 23 months ago. It was Coloplast Titan 18+1 RTE.
Never liked how it looks and feel flaccid. Titan cylinders are very hard and it takes for ever for them to soften if at all. I hated semi erect penis al the time24/7. Flaccid angle never went lower then 45 degrees ant it was really hard to hide it when wearing scrubs at the hospital.
And on top of that, my first implant was not installed properly ( posted MRI images), so, i am scheduled for revision on 8.19.
Looking forward to get rid off my Titan. Will be implanted with AMS LGX which is my preference but told my surgeon that if he encounters something which is not expected, choice is his with what is best for me.
MK

[young_and_impotent]

Do I need to give up high-intensity sports/workouts? I can live with that, as I don't mind low-moderate intensity.

I don't think so at least with my experience with AMS. I think it's the same with Coloplast, this doesn't affect your daily life.

If you have a lot of girth Coloplast will be better suited because it has a higher diameter 21mm vs LGX 18mm.
Of course, if you care more about the natural state (which makes sense) then AMS will be a better option.

[ImplantMan]

I had an AMS first and loved it, it failed (my fault not the implant) and was replaced by coloplast, have never liked it, hard to deflate, always refills a little and I look like I’m partially hard, not natural looking, doesn’t get as full looking as the AMS, it does the job but I’m not impressed with it.

[LMCatman]

I had one peri-scrotal and two infra-pubics...all Titans....

[newbie443]

Pena/scrotal incision the doctor makes a hole (hernia) to insert the reservoir up beside your bladder. So you need to wait till that is fully healed before heavy lifting. Talk to your doctor about this. I do not know about how this compares to the hole made in the muscle above the penis during infra/pubic incision. A well known NY doc has been said to only use AMS for men with below average length. Can't remember for sure but something like a 15cm cylinder length. I am a big believer in letting the doctor choose the implant. If I trust him/her to do this surgery I should trust him/her to know what is best for me. I will hopefully have a revision in about 2 years. When I get closer I will again do a search for a surgeon. If I use the well known NY doctor he will most likely use a Titan due to my slightly above average size. So it varies from doctor to doctor. Some are Coloplast or AMS only. Others can lean to one or the other. And others let the patient choose. So you can choose the brand by your doctor choice for many of us.

[indusvalley]

Pena/scrotal incision the doctor makes a hole (hernia) to insert the reservoir up beside your bladder. So you need to wait till that is fully healed before heavy lifting. Talk to your doctor about this. I do not know about how this compares to the hole made in the muscle above the penis during infra/pubic incision. A well known NY doc has been said to only use AMS for men with below average length. Can't remember for sure but something like a 15cm cylinder length. I am a big believer in letting the doctor choose the implant. If I trust him/her to do this surgery I should trust him/her to know what is best for me. I will hopefully have a revision in about 2 years. When I get closer I will again do a search for a surgeon. If I use the well known NY doctor he will most likely use a Titan due to my slightly above average size. So it varies from doctor to doctor. Some are Coloplast or AMS only. Others can lean to one or the other. And others let the patient choose. So you can choose the brand by your doctor choice for many of us.

I am in the same boat as OP, I talked to a Doc in Atlanta and he recommends Coloplast Titan for me even though I want AMS LGX. What size does 15cm cylinder fit in? Mine penis length is 5.5" and girth is 4.5". Is that below average? What length of the cylinder is required for 5.5" long penis?

[Minnesota]

To add my experience, there's A LOT that can go into which product might work best for you. In my situation, I've trusted the Dr. to tell me which product and why would work best for me. He also provided performance data to fill in what I didn't already know, especially with my 2nd implant.

Here's what comes to mind when I think about the "decision" between products. **These are opinions of my own**

- Current Dr. or Clinic/Hospital Contracts. Don't be fooled, these Docs are under contract for the other various types of medical products that Boston or Coloplast provide. This could limit your options.
- Failure rate of product / Failure rate of product per Dr. experience. If a Doc has a higher failure rate with one over the other (based on mechanical failure, no fault of recipient or the doc) they will lean towards what helps them and the patient avoid any product malfunction. They simply can't risk the exposure to a "failed case" as it really hurts their brand in the public and in their own office.
- The recent AMS product recall may change how Docs are evaluating their options.
- Consider the difference in product tubing and quality of reservoir, not just penis size & shape. Coloplast and Boston have different material, which should absolutely be taken into consideration. I'm looking for a reliable device from all aspects.
- The size of your pelvis and the "Seating" of the implant.
- Stretch test on extension of length (obvious one)
- Likelihood of needing a revision
- Do you require a "One Touch" pump release? If you don't, your doc may suggest that a Titan OTR like release is a better option
- Personally, I'm not sure how one could make a decision based on marketing material. Each penis is different, so the way that yours looks with an implant (both flaccid and erect) could be different than what's described or shown. This isn't for the worse, just different.
- Does the device brand match the surgical methods of the Doc? Is there anything different about the way the device is put into the body and a Doc favors one tactic or method over the other? Not sure here, just a thought.

[indusvalley]

To add my experience, there's A LOT that can go into which product might work best for you. In my situation, I've trusted the Dr. to tell me which product and why would work best for me. He also provided performance data to fill in what I didn't already know, especially with my 2nd implant.

Here's what comes to mind when I think about the "decision" between products. **These are opinions of my own**

- Current Dr. or Clinic/Hospital Contracts. Don't be fooled, these Docs are under contract for the other various types of medical products that Boston or Coloplast provide. This could limit your options.
- Failure rate of product / Failure rate of product per Dr. experience. If a Doc has a higher failure rate with one over the other (based on mechanical failure, no fault of recipient or the doc) they will lean towards what helps them and the patient avoid anything failures out of their control.
- The size of your pelvis and the "Seating" of the implant.
- Stretch test on extension of length (obvious one)
- Likelihood of needing a revision
- Do you require a "One Touch" pump release? If you don't, your doc may suggest that a Titan OTR like release is a better option
- Personally, I'm not sure how one could make a decision based on marketing material. Each penis is different, so the way that yours looks with an implant (both flaccid and erect) could be different than what's described or shown. This isn't for the worse, just different.
- Does the device brand match the surgical methods of the Doc? Is there anything different about the way the device is put into the body and a Doc favors one tactic or method over the other? Not sure here, just a thought.

You've made some very good points. I've sent you a PM, please check.

[newbie443]

I am in the same boat as OP, I talked to a Doc in Atlanta and he recommends Coloplast Titan for me even though I want AMS LGX. What size does 15cm cylinder fit in? Mine penis length is 5.5" and girth is 4.5". Is that below average? What length of the cylinder is required for 5.5" long penis?

I also talked with a well know Atlanta doctor. I had thought he was a Coloplast only doctor like the well known one in Florida. But he did say after recomending a Titan that he would do another LGX if I wanted. So if it is the same doctor you might revisit this with him. Men are different. There is a general rule of 1/3 being inside the body but that varies a lot. Average size depends on race and country. Asian men tend to be the smallest but there are some asian countries with larger average size. In the US your size is at average for all men. You can do a web search and find this information. Your cylinder length will be determined during surgery. No way to tell exactly until that measurement is made. A shorter cylinder and Rear Tip Extender(s) (RTE) may be used by some doctors. A well known NY doctor has been posted as using a longer cylinder and shortening the solid portion of the rear end of the cylinder. So as posted above there is no way to tell until surgery what cylinder lenght will be used. It depends on your anatomy and the surgeon.