I haven't decided which device to get... surgery in a few days!! Help!!

The final frontier. Deciding when, if and how.
LGXDownunder
Posts: 621
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: I haven't decided which device to get... surgery in a few days!! Help!!

Postby LGXDownunder » Fri Jan 09, 2026 3:26 am

edjohn wrote:
LGXDownunder wrote:Yes, as long as the implant cylinders are regularly inflated I would be very surprised if any atrophy (i.e. size loss) could occur.
Even more so if you also have arousal engorgement during sexual activity. Thankfully I now get that again.


I should clarify, there are layers to what we mean by atrophy. ED makes everyone begin to lose size and the implant fixes that entirely, but some guys talk about their glans and the thickness of their tunica atrophying... this is something I can believe but seems like VEDs and cock rings would be able to combat.

Glans definitely, as the implant has a limited effect on that. But I'm still struggling with the idea that tunica girth could shrink when regularly stretched.
Yes anything that causes or maintains engorgement I think could potentially help. Both VED and cock rings did that for me pre implant.
71, married, Sydney Oz. PC/nerve sparing RRP Mar 22 then profound ED. Tried pills, Trimix inj, focal shockwave, VED.
Implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal. Back to 6.5" BPEL @ 9m.
Recovery great but have a bend.

edjohn
Posts: 153
Joined: Mon Aug 14, 2023 11:10 am

Re: I haven't decided which device to get... surgery in a few days!! Help!!

Postby edjohn » Fri Jan 09, 2026 7:56 am

LGXDownunder wrote:I'm still struggling with the idea that tunica girth could shrink when regularly stretched.


not in size but in thickness. like they think the tissues are "wasting away" despite the implant keeping the internal volume the same
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.

2435tjklAS
Posts: 767
Joined: Tue Nov 30, 2021 10:17 pm

Re: I haven't decided which device to get... surgery in a few days!! Help!!

Postby 2435tjklAS » Sun Jan 11, 2026 12:37 am

Gt1956 wrote:
2435tjklAS wrote:
Tokyo_123 wrote:As I understand it, the surgeon decides. If youre larger, girthier, Titan is the preference.

I want to add, if you're girthier with a regular or former size 5.5" or higher, you definitely want the Titan. My experience and that confirmed by about everyone afaik is 5.5" is the max girth AMS 700 LGX supports. The CX does support more. And the Titan does too.

Please be careful throwing the CX under the bus. Rodsman beats me by a lot & he had a CX also. I think he had a recent revision & I don't know what he has now. But he was quite happy with his CX.

I doubt the model of implant has as much influence on your final girth as many people believe. Historical flacid girth is a better indication in my opinion. The implant should be an incremental increase over your historical flacid girth. Again, my opinion but my results supports my opinion.

I took the time to mention that "The CX does support more," even though it wasn't being mentioned here, so I don't quite see that is throwing it under the bus. :)
40. AMS 700 LGX, 21+3. Nov. '21. Replaced Titan 28cm, Jan. '25

Proved implants increase dick size

Abused alcohol for brain injury, abused viagra for implant

Pre-op size: 8.75" x 5.7"

Current: 9"x6"

Goal: 10" x 6"+

Gt1956
Posts: 3266
Joined: Fri Apr 05, 2019 2:47 pm

Re: I haven't decided which device to get... surgery in a few days!! Help!!

Postby Gt1956 » Sun Jan 11, 2026 12:53 am

2435tjklAS wrote:
Gt1956 wrote:
2435tjklAS wrote:I want to add, if you're girthier with a regular or former size 5.5" or higher, you definitely want the Titan. My experience and that confirmed by about everyone afaik is 5.5" is the max girth AMS 700 LGX supports. The CX does support more. And the Titan does too.

Please be careful throwing the CX under the bus. Rodsman beats me by a lot & he had a CX also. I think he had a recent revision & I don't know what he has now. But he was quite happy with his CX.

I doubt the model of implant has as much influence on your final girth as many people believe. Historical flacid girth is a better indication in my opinion. The implant should be an incremental increase over your historical flacid girth. Again, my opinion but my results supports my opinion.

I took the time to mention that "The CX does support more," even though it wasn't being mentioned here, so I don't quite see that is throwing it under the bus. :)

Very true. But lots of members confuse the two different models. Granted my wording could be considered overly harsh.

In fairness to myself. Girth superiority of Titans is almost a holy grail here. I am probably guilty of pointing that out excessively. True, I do see members posting about their Titan girth. But I seldom see much about their historical girth.

Honestly I never measured my girth before ED showed up. I didn't have great luck with several different penis pumps prior to surgery. I induced a manual erection regularly & made mental notes of how my fingers gripped myself. My after surgery is so close to pre that I call it the same. There is a small chance that I might of lost an 1/8". But I can't prove it nor do I miss it.

No offense intended.
69yo, HBP @ 40, high triglycerides @ 45. Phimosis @ 57. Type 2 @ 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months.

Valdekio
Posts: 101
Joined: Wed Sep 10, 2025 8:47 pm

Re: I haven't decided which device to get... surgery in a few days!! Help!!

Postby Valdekio » Sun Jan 11, 2026 2:14 am

macoza wrote:My surgery is next week and I haven't decided which device to get. My doc isn't available to talk about it since he's on vacation and his only time to talk is a day before the surgery which isn't a lot of time to think about it. Even though AMS is more popular than Coloplast.

1. Can someone explain why more people aren't on Coloplast given that Coloplast has the biggest implant in terms of length and girth?

2. What can help me make a decision between AMS or Coloplast?

3. Why did you chose your device?

.
So, how did the surgery go? Which implant did you choose?
59 yr old. Implanted Sept.19, 2025
AMS 700 CX 18 cm + 1.50 extenders
Married 22 years to the love of my life.
Struggled with ED for the last 20 years.
Meds, pumps, injections quit working.

edjohn
Posts: 153
Joined: Mon Aug 14, 2023 11:10 am

Re: I haven't decided which device to get... surgery in a few days!! Help!!

Postby edjohn » Sun Jan 11, 2026 2:48 am

Valdekio wrote:
macoza wrote:My surgery is next week and I haven't decided which device to get. My doc isn't available to talk about it since he's on vacation and his only time to talk is a day before the surgery which isn't a lot of time to think about it. Even though AMS is more popular than Coloplast.

1. Can someone explain why more people aren't on Coloplast given that Coloplast has the biggest implant in terms of length and girth?

2. What can help me make a decision between AMS or Coloplast?

3. Why did you chose your device?

.
So, how did the surgery go? Which implant did you choose?


He didn’t, he slept through it!
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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