AMS CX for a longer Phallus?

[ThatTallGuy]

I'm set up for IPP surgery in late July but when I asked my doctor which implant he was going to use, he said he will likely use the CX, not the LGX because it's too flexible to be used with a longer phallus. He never mentioned the Titan.

I am 21 cm stretched and 16.5 cm girth with no Peyronie's disease and no other issues so it should be straightforward.

My question is, since the CX doesn't expand or contract lengthwise (only girth expansion), does that mean that my penis will be nearly the erect length even when deflated, or does the CX implant shrink somewhat in length?

Has anyone used the Coloplast Titan in longer lengths with good rigidity? It looks like the LGX isn't used on anyone longer than 18 cm because it's not rigid enough.

[LetoMan]

Hey TallGuy, a few points:

There is virtually no scientific evidence that an LGX makes your dick bigger. While the implant itself can supposedly theoretically expand lengthwise, that doesn’t show up in the data in erect lengths. If your doc suggests a CX, go with that. Most docs seem to be aware that the claims around the LGX are mostly just a marketing gimmick. At your length I would definitely stay far away from an LGX.

The theoretical lengthening of an LGX has nothing to do with flaccid to erect lengthening. Your flaccid will likely be the same length regardless of CX or LGX implantation. Expect your flaccid to be significantly longer than your current flaccid, usually seems like maybe an inch or so shorter than erect. The experience of most guys is that their flaccid is significantly bigger in most regards than pre-implant.

The conventional wisdom seems to be that Titan is the best for a long penis, as it is better at girth expansion than CX. It may also be preferable from an axial rigidity standpoint, but I am less aware of conventional wisdom on that point. Talk to your doc about it. On the other hand, the conventional wisdom is that a CX has a more natural flaccid that is less hard and prone to dog ears. Which is more important to you might drive your choice.

Your doc may not install Titans; many docs seem to favor one manufacturer. So if that is important to you, consult with a doc that does both or at least does Titans.

Good luck with your process!

[KaBoom]

to answer OP question from someone who just had the Titan put in, based on my pre-op longer than average length and girth when erect:

Yes, a million times yes my flaccid is now noticeably bigger than it was before. Both in terms of girth and length.

So the CX and Titan behave similarly in that there is negligible length expansion between flaccid and erect.

Which model specifically for you and your anatomy im not qualified to say, but I would trust your doctor.

[sambalamba]

Even though the Titan is touted to have better axial rigidity partially due to larger diameter, one has to keep in mind that if the copora diameter is less than 21mm, a Titan will never expand to its full potential. For folks with larger girth chances are high they have enough corporal diameter to take advantage of the Titan. Another reason for better rigidity of the Titan is it's stiffer bioflex material as opposed to the silicon/Dacron material of the CX/LGX.

[1sfman]

I was scheduled for the AGX, but my doctor opted for the CX in the OR. There was a couple of reasons for the change that made sense. Even in the OR, plans can change. I was disappointed, but I understood his reasoning.

Four months out, I'm essentially the same length as pre-op when inflated. The biggest difference for me is the flaccid length. I am definitely a shower now. (Even my wife remarked the other night when I stepped out of the shower, "You are definitely a shower now".) My pre-op flaccid length is but a memory. The CX does shrink in length a bit flaccid, but for me probably an inch at most. After reading a lot of different accounts, I think for the most part, or probably for most, the length expansion of the LGX is very minimal. I'm sure there are those who have experienced better length, but I suspect that the numbers are small.

[whatevery]

I am 21 cm stretched and 16.5 cm girth with no Peyronie's disease and no other issues so it should be straightforward.

Talked to countless LGX recipients and saw 3. All but 1 expanded lengthwise over their pre-op lengths, some say significantly so. All who had LGX for over 5 years reported over an inch expansion with no exceptions. That being said I know that's LGX is commonly not recommended for men of your size due it's lighter axial weight. With 21cm you may experience problems with rigidity.

Go with CX imo. It won't help you with length but if you cycle regularly especially in the beginning it shouldn't hurt you either. Also it's a great looking implant imho (had 2 Show and Tells with CX recipients. The 2nd one confirmed first impression) and it should be very rigid at your length. If you want highest possible rigidity and girth expansion then Titan is it.

[LetoMan]

Talked to countless LGX recipients and saw 3. All but 1 expanded lengthwise over their pre-op lengths, some say significantly so. All who had LGX for over 5 years reported over an inch expansion with no exceptions.

This site should be a reliable source of information for guys considering an implant. Unfortunately, some members, for unknown reasons, are intent on presenting completely unreliable information, for example the idea that the LGX makes guys’ erect penises longer than they were pre-op, including the ludicrous claim that they can add an inch or more. No reliable party makes any such claims, including implant doctors nor AMS.

That’s because there is zero support for this in the scientific evidence. Consider this study where LGX implantees were measured after an injection-induced erection in the week prior to their implant surgery, and then again after implantation and at 6, 12 and 24 months. As happens to almost all implantees, their erections were shorter than pre-implant immediately after surgery, and their length returned over time. After 24 months, their length was essentially identical to what it was pre-op. That is to be expected… the implant placed is measured to be exactly the size of the cavernosa, whether it’s a CX or an LGX (or a Titan for that matter). There is no evidence in this study or any other that the LGX expands penises beyond what they were capable of immediately prior to implant, or that they perform better in such measures than a CX or Titan does.

https://irp-cdn.multiscreensite.com/d88 ... action.pdf

It doesn’t make me very happy to have to constantly correct a few people who seem to really want to believe things that are patently untrue. But again, the value of this site is to give guys reliable information, and claims that certain types of implants might make their dick more than an inch longer are simply hogwash.

[whatevery]

Talked to countless LGX recipients and saw 3. All but 1 expanded lengthwise over their pre-op lengths, some say significantly so. All who had LGX for over 5 years reported over an inch expansion with no exceptions.

This site should be a reliable source of information for guys considering an implant. Unfortunately, some members, for unknown reasons, are intent on presenting completely unreliable information, for example the idea that the LGX makes guys’ erect penises longer than they were pre-op, including the ludicrous claim that they can add an inch or more. No reliable party makes any such claims, including implant doctors nor AMS.

That’s because there is zero support for this in the scientific evidence. Consider this study where LGX implantees were measured after an injection-induced erection in the week prior to their implant surgery, and then again after implantation and at 6, 12 and 24 months. As happens to almost all implantees, their erections were shorter than pre-implant immediately after surgery, and their length returned over time. After 24 months, their length was essentially identical to what it was pre-op. That is to be expected… the implant placed is measured to be exactly the size of the cavernosa, whether it’s a CX or an LGX (or a Titan for that matter). There is no evidence in this study or any other that the LGX expands penises beyond what they were capable of immediately prior to implant, or that they perform better in such measures than a CX or Titan does.

https://irp-cdn.multiscreensite.com/d88 ... action.pdf

It doesn’t make me very happy to have to constantly correct a few people who seem to really want to believe things that are patently untrue. But again, the value of this site is to give guys reliable information, and claims that certain types of implants might make their dick more than an inch longer are simply hogwash.

My information is fully reliable and based on countless articles and life experiences while yours is complete rubbish unless you're willing to brand every LGX recipient on FT a liar.
Btw, you don't have LGX yourself but the zeal with which you attack every member who is trying to discuss prospective differences between our implant options makes one wonder if there is some sort of ulterior motive in your posts. Are you sure you got the right implant?

Anyway, all one has to do is to google "what's the difference between LGX and CX" or LGX and Titan or look up Boston Scientific website to see what is true and what is not.

In fact, let me quote something even from the article that you yourself provide:

Comparing penile sizes at any time during follow-up, penile length outcomes were always statistically significantly increased

Also, here is line from nih study on LGX https://pmc.ncbi.nlm.nih.gov/articles/PMC4736338/

A significant difference in stretched flaccid penile length was also seen between 6 and 12 months

In any case, we already had our back and forth on the issue. I think FT members can conduct their own research on LGX if they so desire, and draw their own conclusions independent of either one of ours opinions to figure out what is true and what is as you say "hogwash".

[ElbowRoom]

My penis is similar size to yours. My corpora measured a total of 28cm, and a 28cm Titan was placed.

The concern Inwould have is that if you measure larger than 24cm suring surgery, you will need RTEs with a CX. One reason the Titan is used for larger members is to avoid RTEs.

My surgeon told me I was essentially limited to the Titan for that reason primarily. I have been very happy with it. But the CX is a great implant and I think if it fits you it would work well. I would not want 3-4cm of RTEs if it could be avoided though.

[LetoMan]

Again, it doesn’t give me much satisfaction to point out how wrong you are. But it has to be said.

You are selectively quoting from the studies. They both acknowledge that patients have shorter lengths post-op, that lengthen back to their pre-op length over time. That is the lengthening they are describing.

But they are both also clear that there are no gains compared to pre-op lengths:

“more importantly, no statistical difference was seen between the baseline ICI-induced penile length and measurements at the end of follow-up.” From the Antonini study I provided.

“Overall our study shows that the AMS 700 LGX provides a reliable solution to short penis syndrome post-IPP implantation, providing a penile length comparable to the natural erection.” From the study you provided.

And there are a bunch of other studies that confirm the same thing: when correctly sized and with a cycling protocol, inflatable implants of all types largely get guys back to their pre-implant size from their post-implant shrinkage.

But there is zero evidence that it makes them bigger than that.