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.

[whatevery]

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.

Look ElbowRoom, I really respect you and your input on this forum that most of the time I find it invaluable.

You believe or not believe what you wish however. All I know is that Boston Scientific claims that LGX is capable of up to 25% length expansion and my very careful scrupulous meticulous research into LGX exclusively confirms that.
Is LGXDownunder right when he says that LGX's length expansion is just a recuperation of what one already lost to atrophy? Probably. I know one FT member that claims that he actually measured himself once during his pre-ED times in college and that he already exceeded that with his LGX. Is he also embellishing? Possibly. To say that men more often than not embellish their dick size and the number of women they fucked or currently fucking is the same as to say that the sky is blue. No shit Dick Tracy!

I don't know much about Titan or CX because early on in my research I decided that Titan is one implant that I would not be getting, and I just circled back to CX not to long ago when I began considering it but only in conjunction with TEP. Only two implanters in the country perform that procedure as far as I know. One of them is your implanter.

As for 55% growth and 1.9" gain from LGX. To tell you the truth I too have my doubts with such assertions. Do I think it's possible, especially since 2021? Sure I do. You know I already learned on FT that with enough work and right anatomy this skinny little implant is capable of really crazy things that other implants are just not capable of, even AX. That's why so many high volume implanters shy away from LGX. It's unpredictable.

Is rigidity a concern? Yes, at certain pre-op sizes it may become a concern. I don't think I fall in that category though. I suspect my proximal would provide significant support for my distal for LGX rigidity not to turn into problem in my case. Although my girth does worry me a bit, particularly with the same LGX.

I just got my Medicare. I will discuss all of this with 3 more doctors that I would be interviewing. Then I'd make my decision. I have one more small medical procedure to go through prior to implanting though. Clavell recommended that I do it before implantation if possible, and I think he is right. By mid fall, God willing, I will be entering the brotherhood.

[LetoMan]

Leto, I think you actually mean pre ED/atrophy?

No, I said and meant pre-implant.

Moments before you are implanted, your doc measures your corpora. That is essentially the measurement of how big your dick could get IF it filled up with blood. He then put an implant in you that is the size of that corpora. Doesn’t matter what kind of implant you get, that’s the way it is sized.

Your corpora may not have been able to fill with blood using trimix. But it theoretically can. And unless blood is blocked from entering your corpora, you could have probably achieved that length with a VED.

I took a pill once in the months before implantation. I got a sad small erection. But when I used a VED I got a much longer erection, because it sucked blood into my corpora.

My post implant dick is not as “big” as my VED induced erection because it is very difficult for anyone, ED or not, to reproduce the engorgement of a VED. But my pre-implant corpora is as long as my implant. That’s why they measure it on the operating table.

And that’s the point: the size of your dick is limited to the size of the implant that is put in you. And the size of the implant that is put in you is the size of your corpora. Doesn’t matter if you get a CX or an LGX: the instructions are exactly the same. There is no allowance for the potential “growth” of the LGX.

If you look at the AMS marketing of this, you’ll see that they don’t claim it makes your dick bigger. Instead, the say it “provided an
overall penile length very close to the one obtained with a “natural” erection.” A natural erection is one that could be obtained IF your corpora filled with blood.

https://www.bostonscientific.com/conten ... ochure.pdf

If you read their claims carefully, you’ll note that they are very careful about what they say. They say the LGX is “designed” to expand. But they never say it actually does expand in your dick! That’s because they have only expanded it in the lab. Inside your dick, it can’t expand because the corpora is a limit on its expansion. What they do say is that men “regain” their size in the first 12 months. But the same thing happens with CX and Titan implantees, so what is the benefit of an LGX?

I don’t have an LGX and I never really talked it through with my doc. My understanding is that an LGX may help fight against further shrinking that some guys may experience. I don’t really know.

What I do know is that even AMS doesn’t claim it makes your dick bigger than it was before. And by before I mean pre-implant.