Fluid Top-off?

The final frontier. Deciding when, if and how.
fucked0ne
Posts: 638
Joined: Wed Nov 22, 2023 7:47 pm

Fluid Top-off?

Postby fucked0ne » Tue Sep 30, 2025 1:54 am

Yeah, so I actually think the problem with my LGX (infirmness) is the doc didn’t give me enough fluid! Has anyone here ever gotten “topped off”?

F1
40. Implanted July 5, 2024, AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

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rdnkbiker
Posts: 363
Joined: Thu Dec 22, 2016 5:49 am

Re: Fluid Top-off?

Postby rdnkbiker » Tue Sep 30, 2025 7:29 am

Does your pump go flat ? after so many pumps or does it get hard ?
HBP since my 20s Full ED i was 55 when i received my implant January 17th 2017 sever scare tissue through corpora cavernosa clear to the glands (no blood flow) complete revision new equipment july 10th 2023 AMS CX 21cm very happy

Rider1400
Posts: 1235
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Fluid Top-off?

Postby Rider1400 » Tue Sep 30, 2025 12:16 pm

Somewhere just after my one year timeframe my pump started staying collapsed when I was maxed out. At first I was afraid I had a leak but many months and it stayed the same as in its plenty rock hard and just simply out of fluid. Now at 3-1/2 years in it still goes flat just at the point it feels rock hard. I looked back on the paperwork and the Dr applied the max amount of fluid recommended for the size implant I received. I’m totally happy as I still get that stretched out hardness just as it stays collapsed. If the Dr did his due diligence it should have the proper amount of fluid to max your implant out. If not it would be an error on the surgeon. Could be a very slow leak which would become obvious in time. If you were undersized it could be maxed out and still not be as large as it should be. Fill out your signature at the bottom so we can see who when and where you were implanted and what you have implanted. Maybe need to go back to Dr or go to a different Dr to get a second opinion
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

QuestionGuy
Posts: 150
Joined: Tue Sep 22, 2015 6:50 pm

Re: Fluid Top-off?

Postby QuestionGuy » Tue Sep 30, 2025 2:59 pm

I'm looking at a revision for a malfunctioning implant right now.....and after talking to the surgeon and Coloplast, I have been informed that the tradition is to rip & replace for any malfunctions. replace everything. I had also hoped that individual components could be replaced with some minor surgery .... but it seems like if any incision has to be made, you are looking at a whole new everything.

I have seen instances on this board of sticky pumps being manipulated by the doctor to get them unstuck....but that is with the flesh in-tact.

I would be interested in knowing if anyone has information regarding instances where a "repair" was done by a doctor, perhaps in the office? or a little surgery center?
Age 63. PostFinasterideSyndrome/Peyronies

BIMIX - TRIMIX- Coloplast Titan

Tuscan_Order
Posts: 76
Joined: Thu Nov 14, 2024 7:37 pm
Location: Iowa City

Re: Fluid Top-off?

Postby Tuscan_Order » Tue Sep 30, 2025 3:18 pm

fucked0ne wrote:Yeah, so I actually think the problem with my LGX (infirmness) is the doc didn’t give me enough fluid! Has anyone here ever gotten “topped off”?

First, "no," I have not been "topped-off," but I was told by the doctor that if there is too much fluid in the reservoir it is possible to make a small incision to access the reservoir tubing, cut the tubing, drain fluid, then splice it back together and close the incision. Seems like that would be another possible future failure point. I don't see why the same procedure couldn't be used to add more fluid.
RALP 2020. 24cm Titan/w classic pump implant by Dr. Eid April, 2025. Iowa City. Will S&T

edjohn
Posts: 59
Joined: Mon Aug 14, 2023 11:10 am

Re: Fluid Top-off?

Postby edjohn » Mon Dec 08, 2025 10:31 pm

fucked0ne wrote:Yeah, so I actually think the problem with my LGX (infirmness) is the doc didn’t give me enough fluid! Has anyone here ever gotten “topped off”?


I don't think many surgeons would want to go in just to add fluid, but it can be done. I just had post-op with Clavell and he said for the larger Titans, he fills the reservoir to 125 and adds maybe 15 or so more to the cylinders to make sure we don't run out easily. In my case, it means the penis cannot actually deflate flat like a tapeworm no matter how hard I try... but that's obviously not my goal.

He also warned me about cycling "too hard", meaning young strong guys can actually cycle so hard that eventually the implant stretches too much and they run out of fluid, resulting in a softer "max fill." IMO this supports the opinions that with extra fluid the Titan can stretch beyond 21mm. It also explains why guys say they often continue to gain length or girth between 6-12 months.

For a middle-aged guy like me, I have to admit it sounds like a challenge... knowing I have 3-4 revisions down the road anyway, why not see just how much expansion is possible? On revision, some guys can take up to an extra 2cm, which would obviously require more fluid in a case like this, but all he has to do is add 125mL + a larger bonus fill to the cylinders. The only downside is you will always have a minor chub going, but who actually minds that (once the pain of dressing subsides).
Oct 7, 2025 - Coloplast Titan XL - Touch pump - 26cm - 0.5cm RTE with Jonathan Clavell. Still sorting out TRT; plan to try a "modified natty" approach without injections.


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