Implant failure

[RigiconDownUnder]

Oregon,

I had my first implant (an AMS CX) in 2015 when I was married to a woman. Dr. Cornell implanted the CX. My then wife was not interested in sex so I never used it with a woman. In 2021 we separated and I came out. I met my current partner in 2022 and we made a lot of use of the CX but it never fully expanded to accommodate my dick's girth and it buckled during anal. I mentioned this Dr. Clavell and he encouraged me to have a revision to a Titan in 2025. When he opened up my corpora caverosa, he discovered that the right cylinder had ruptured and he had to scrape its remnants off the walls. I have used my Titan for anal since December, 2025 and the difference is astounding. It is so hard that it can serve as a substitute towel bar. My partner and I cannot say enough good things about it. Hope this helps you.

Texas Otter

Texas Otter, thanks for sharing this. Anal intercourse is extremely important to me. I'm seriously considering a Titan for this very reason. Does insurance cover device upgrades due to functional dissatisfaction (such as buckling or poor rigidity?), or is this kind of revision cash-pay only? My insurance typically covers revisions only if they’re medically necessary, such as for infections or mechanical breakdown.

[Texas Otter]

Rigicon Downunder

My insurance did not pay for original CX implant. However, Dr Clavell coded my revision as an implant device failure without knowing about the ruptured cylinder. I'm now on original medicare and have the AARP supplement plan. They covered total cost except for co-pay for drugs Dr. Clavell prescribed.

Texas Otter

[ElbowRoom]

The classic pump has fewer tubes going to it because the mechanism is dead simple. Coloplast One-Touch pump has an additional tube going to it because the valve mechanism that makes it a one-touch deflation.

Sorry but this is total horseshit. I don't know who told you that but there is no way to have fewer than 3 tubes... all 3 piece implants work in generally the same way.

My bad. You are correct. Same number of tubes. But Dr Eid says prefers the older generation of pump (The Coloplast Classic) because he found it is less prone to failure than the Coloplast One-Touch.

Hakky feels the same. The classic pump has tubes coming in as a row, the OTR pump has them in a triangle. The triangle config leads to the tubes rubbing against each other more.

[Wooody]

Sorry about the possible failure. My Dr, Dr Karpman, also strongly recommends the Classic pump for the Titan and I don't think he'll even put in a One Touch... for the same reasons as Dr Eid and Hakky. Good luck to you with a potential revision!

[OregonStrong]

Trying to get an appt with Hakky, weirdly their office doesn't answer phones after 2 pm every day? Seems odd to me but I'll try early mornings. I just happen when doing some research on the Rigicon Infla 10 X that Dr. Perito has just started clinical trials with this device in the states. I was hoping my LGX would have held out until this device was available here in the U.S. because from what I read it's superior to the Titan with fewer complications/failures. Has anyone heard about this trial with Perito? I just sent him a message to inquire. I fear I would have to be local to Miami to come in for follow up examinations to be eligible for the study. I've had some filler placed which I would fear also would make me ineligible for a study, but I don't know the criteria yet. I've even toyed with the idea of flying to Australia to get this done to get one of these or Europe.

[lasthope2.0]

Hey OregonStrong,
The US Rigicon Infla10 trial (UNITED Study) excludes revisions:
Exclusion Criteria #3
-Previous penile prosthesis or prior enlargement surgeries.

They seem to be actively recruiting in FL, GA and NY according to clinicaltrials.gov

https://clinicaltrials.gov/study/NCT07273773

[OregonStrong]

Hey OregonStrong,
The US Rigicon Infla10 trial (UNITED Study) excludes revisions:
Exclusion Criteria #3
-Previous penile prosthesis or prior enlargement surgeries.

They seem to be actively recruiting in FL, GA and NY according to clinicaltrials.gov

https://clinicaltrials.gov/study/NCT07273773

Thanks for the info. I figured I wouldn't be a candidate. Looks like I may have to look to Australia or Europe if I wanted that, or just go with the Titan option.