Length Outcome Theory

The final frontier. Deciding when, if and how.
LetoMan
Posts: 358
Joined: Tue Apr 09, 2024 1:25 pm

Re: Length Outcome Theory

Postby LetoMan » Sun Dec 28, 2025 4:37 am

edjohn wrote:I am sorry but your assumptions are just factually incorrect. The vast majority of anecdotes may support this, but physically, every implant out their expands in all directions.


I think I am still waiting on you to cite a doctor, manufacturer or scientific study that makes this claim from the prior time you said this. It doesn’t surprise me that you haven’t yet, because none do. Stating false information confidently doesn’t mean anything, because you can’t back it up.
50. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

edjohn
Posts: 106
Joined: Mon Aug 14, 2023 11:10 am

Re: Length Outcome Theory

Postby edjohn » Sun Dec 28, 2025 5:40 am

LetoMan wrote:I think I am still waiting on you to cite a doctor, manufacturer or scientific study that makes this claim from the prior time you said this. It doesn’t surprise me that you haven’t yet, because none do. Stating false information confidently doesn’t mean anything, because you can’t back it up.


I am not your google. The studies are discussed here already at length, and Clavell said the same explicitly. Call him if want.
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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Kodixx
Posts: 815
Joined: Wed Jan 08, 2025 5:32 pm

Re: Length Outcome Theory

Postby Kodixx » Sun Dec 28, 2025 5:04 pm

Waiting789, there was a recent thread, below, that talks about the potential for loss of firmness related to expansion. Thought you might find it interesting.

Titan vs. AMS CX: Tunica Dependence vs. Tunica Independence & Natural Erections
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26075#p247876

- Chuck
Waiting789 wrote:So,according to that theory of Dr Clavell and if I have understood correctly, if you cycle too much it can produce lost of firmness of the pump as consequence? Am I right?
Feb 2025 58yo, 38 w/ greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling/sex @ 7wks, minor pain until 10wks, felt like 'new normal' sex @ 16wks

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Kodixx
Posts: 815
Joined: Wed Jan 08, 2025 5:32 pm

Re: Length Outcome Theory

Postby Kodixx » Sun Dec 28, 2025 5:15 pm

Leto, good info and appreciate the post. I'm no expert on the topic, and am still trying to understand the causes behind different length outcomes. Over 10+ months post-op, my length grew from 6.5" to 7". During that entire time the tips of the cylinders were seated tightly in the glans. If it's true that the change in length was the unfolding of the cylinders, wouldn't the position of the tips in the glans have changed as the cylinders unfolded 1/2 inch ? Said another way, since the positioning of the tips in the glans didn't change, it seems like the tissue expanded with the cylinders as length expanded 1/2". I'm not saying that's what happened -- just trying to understand.

- Chuck
LetoMan wrote:The difference in what we see in length outcomes is from the difference in the sizes of the implants that are put in us.
Other than the claim that length-expanding implants like the LGX may be able to expand a bit, cycling isn’t “causing” gains. Gains are coming because the implant is unfolding itself. Cycling may accelerate that process, or even allow it to happen, but it is not causing the gains.
Feb 2025 58yo, 38 w/ greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling/sex @ 7wks, minor pain until 10wks, felt like 'new normal' sex @ 16wks

Waiting789
Posts: 10
Joined: Thu May 22, 2025 8:06 pm

Re: Length Outcome Theory

Postby Waiting789 » Sun Dec 28, 2025 5:31 pm

Kodixx wrote:Waiting789, there was a recent thread, below, that talks about the potential for loss of firmness related to expansion. Thought you might find it interesting.

Titan vs. AMS CX: Tunica Dependence vs. Tunica Independence & Natural Erections
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26075#p247876

- Chuck
Waiting789 wrote:So,according to that theory of Dr Clavell and if I have understood correctly, if you cycle too much it can produce lost of firmness of the pump as consequence? Am I right?

Thank you very interesting

LetoMan
Posts: 358
Joined: Tue Apr 09, 2024 1:25 pm

Re: Length Outcome Theory

Postby LetoMan » Sun Dec 28, 2025 6:26 pm

Kodixx wrote:Leto, good info and appreciate the post. I'm no expert on the topic, and am still trying to understand the causes behind different length outcomes. Over 10+ months post-op, my length grew from 6.5" to 7". During that entire time the tips of the cylinders were seated tightly in the glans. If it's true that the change in length was the unfolding of the cylinders, wouldn't the position of the tips in the glans have changed as the cylinders unfolded 1/2 inch ? Said another way, since the positioning of the tips in the glans didn't change, it seems like the tissue expanded with the cylinders as length expanded 1/2". I'm not saying that's what happened -- just trying to understand.


Chuck, I’m not an expert either. But there’s a few things we know are true:

1) The tunica is flexible, it expands (to a limit) and contracts based on whether the corpora is filled or not (by blood or an implant).

2) The implant “cylinders” have rigid tips, but are made of a flexible and foldable material other than the tips, almost like a synthetic canvas.

3) The cylinders of Titans and CXs don’t expand in length.

Given that, why do the cylinders shrink inside the corpus, but the tips remain mid glans? Per the implantation instructions, there isn’t anything affixing the tips to the end of the corpus in the glans. But nonetheless the tips seem to remain firmly in place there despite inflating and deflating. I can’t explain why, but a guess might be simply that the hard tip is embedded in there, and as the body recuperates after surgery it somehow affixes or otherwise gets stuck in there. That might explain the instructions and surgeon practice of leaving the implant partially inflated after insertion, to keep the tip firmly mid glans as the body forms a surgical capsule.

Also at play is that the tunica exerting inward pressure on the implant is what makes it shrink when it is not inflated…there is some relatively imperceptible pressure between the uninflated cylinders wanting to be fully un-scrunched (if you look at an implant, its natural state is to be fully extended… you need to exert pressure on it to get it to “shrink” by scrunching or folding). As a result, the implant doesn’t “scrunch” itself beyond the pressure the tunica is exerting on it, which keeps the tips where they are supposed to be mid glans.

Regardless of why it happens, it happens… the hard tips remain mid glans whether inflated or deflated, and regardless of where you are on your post
-implant growth. My understanding based on conversation with my doc is that what is causing the implant to “shrink” or “grow” is scrunching up of that canvas-like portion of the cylinder. Think of a theoretical condom with rigid tip and rigid base. You can make the condom fit into a smaller space by bunching up the condom material in between those rigid ends.

A combination of two things seems to be what is limiting guys ability to get their implant to full size following implantation. One is the flexibility of the tunica. While theoretically your corpora is capable of handling the full length of your implant, the doc may be able to exert more pressure on stretching your tunica than your implant can through inflation, and over time cycling can loosen up the tunica to allow it to more easily accommodate the implant. The other issue is that scrunching. It’s scrunched because you’ve been given enough implant to fill out your stretched corpora, but your corpora is not fully stretched all the time… the implant needs to fit into a smaller space as a result. Some combination of the newness of your implant, your body recovering from surgery and your tunica being less flexible, it simply takes some time until your body and implant work out those kinks, and that’s the process of growing into your implant over time aided by cycling.
50. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.


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