Bone Pressed Length (BPL)

[edjohn]

I'm quite girthy as is so I'm pretty dubious on purely girth expanding implants that would limit my ability to get oral sex even more than it already is, hence Titan is definitely out of the question. CX or malleable (but with TEP only) maybe. I'm still waiting on more feedback on AX and X.

No implant is a “girth expander” any more than the next. They inflate until your dick stops them from continuing. The only decision point is that you definitely don’t want a skinny implant in a girthy penis or you risk stiffness issues.

[whatevery]

I haven’t seen anything to indicate it gives better results in retaining length.

Not sure what you're trying to say. I spoke to over 10 LGX recipients in the course of the last 6 months, 3 were gracious enough to provide me with virtual S&T. All but 1 grew in length. One who was implanted by Hakky in 2021 with pre-op length 4.5" is now approaching 7". Another member implanted with LGX in 2021 expanded in length 1.9" since, and just recently revised to Titan, also by Hakky.

Those that were implanted at the later dates expanded in length anywhere from 3cm to about an inch depending of when they were implanted. One that didn't expand beyond his pre-op length admittedly didn't cycle much, and didn't do Perito and VED. What else do I need to know?

[ElbowRoom]

I haven’t seen anything to indicate it gives better results in retaining length.

Not sure what you're trying to say. I spoke to over 10 LGX recipients in the course of the last 6 months, 3 were gracious enough to provide me with virtual S&T. All but 1 grew in length. One who was implanted by Hakky in 2021 with pre-op length 4.5" is now approaching 7". Another member implanted with LGX in 2021 expanded in length 1.9" since, and just recently revised to Titan, also by Hakky.

Those that were implanted at the later dates expanded in length anywhere from 3cm to about an inch depending of when they were implanted. One that didn't expand beyond his pre-op length admittedly didn't cycle much, and didn't do Perito and VED. What else do I need to know?

Sorry, I simply don’t believe a true 1.9” length gain from an LGX. The pre-op measurement was wrong, inadequate VED use before surgery, there was a placebo effect, etc. you can’t make your corpora that much longer than they were before without serious erosion risk. 4.5” to 7” is a 55% increase. There is simply no way you are getting that much “new” length. That length was already there. It is well established that when placing an LGX the implant has to be sized to take into account the “take up” of the length expansion, you can’t just place it full length and then let it expand, or you’ll get erosion.

I had my surgery with Hakky last October, and he told me he’d never recommend an LGX except for a small penis, because of the poor axial rigidity compared to a CX or Titan.

I’m not trying to piss in your cornflakes, I just want patients to have realistic expectations. With any implant, having the same length as pre-op is a reasonable expectation. A 2” gain is not. If it were every man with a below average penis would be paying for an implant out of his own pocket.

[LetoMan]

Elbow is correct. There isn’t a way to determine why all that you are reporting is wrong, Whatevery, but it’s wrong.

The instructions for installing an LGX are exactly the same as those for installing a CX. You measure the corporal space, and install an implant of equal size. The corpora is a limit on expansion. Doctors have found that the corpora can stretch a bit with regular usage over years, such that they can accommodate a larger implant years later, but even then you are talking about 1 or maybe 2 cm, and some of that expansion goes inward and isn’t showing up as a longer dick.

The marketing claim AMS makes is that the LGX expands in length in laboratory conditions, I.e., it’s theoretically possible for it to expand in length. I gather that is a benefit for guys that have certain conditions that might lead to even more shrinking of the corpora, and an LGX can be helpful in those scenarios to maintain length and ovoid further shrinkage. But there is no published scientific evidence that it is making guys dicks bigger than they were prior to implantation. If there were AMS would make sure we knew about it.

[LGXDownunder]

But there is no published scientific evidence that it is making guys dicks bigger than they were prior to implantation.

Leto, I think you actually mean pre ED/atrophy? There seems to be a lot of confusion on this site around definitions and we are not always speaking the same language. In my opinion I don't think anyone is claiming to have achieved a bigger dick with an implant than what they had naturally at age 20 (for example).

From personal experience anyone with the worst level of ED will eventually suffer length and girth loss due to atrophy unless they do something about it. I mean 100% limp dick 24/7 with zero natural engorgement, or any level of nocturnal or involuntary erectile function whatsoever.

You can try and claw back as much of those losses as possible through disciplined VED use and other techniques, but it's unlikely to permanently restore previous size. And the longer things go on without any form of penile rehab the more difficult to get it back.

I definitely lost significant size to ED soon after prostatectomy. After a couple of months once I realised what was happening I was able to restore much of it through aggressive VED use. But very difficult to assess because after everything else failed ultimately I had no way to get an erection other than by using the VED itself. That is an artificial and very inflated method, which told me I suddenly had a nearly 7.5 inch dick with massive girth almost filling the tube. Compare that to my best recollected 6.5 X 4.75 inches BP erect pre ED.

Fast forward to implant surgery and immediately post op my surgeon induced 30 to 40% erect length was only around 4.75 inches. That scenario does not seem uncommon from what other guys have reported on here. In my case that's how things had to stay for the first six weeks. Again a common surgical protocol. Then I was finally able to start cycling. I saw some gains within a couple of weeks. And being very clear here I'm referring to restoration of previous size, not gaining "extra". It took many more months but by 9 months post op I was measuring just over 6.5 inches BPEL. Back to pre ED size, nothing more.

So I do believe "gains" are possible within that context, but I definitely agree that you cannot expect to get a penis enlargement from an implant. IMHO it's all in the definitions used.