Both AMS & Coloplast come in standard size offerings but can be ordered to spec. if such order is placed. If you have 7.5" or more, Titan is usually preferred by most Docs. I'm a person with an extreme girth measurement and have always had a custom size and tubing length as well. Some people need a custom order to accommodate their particular anatomy requirements. If you happen to have very large girth and property sized implant, the AMS is very hard and tight too. It's long and skinny that aren't as ridged when comparing AMS to Coloplast. Thick makes it very hard with either brand. Proper sizing is key, and many doctors are too conservative in my personal opinion. Been there, done that... Also over aggressive sizing causes as many or more problems than undersizing. It's a delicate balance and results in MANY needed revisions.
I started off pretty well above average. I've lost a lot, but I'd say I'm about average now (just guessing, to scared to actually measure). I'm guessing I'm about 6-3/4" long these days. Girth is such that I can't circle my fingers to a closed grip around the lower 1/2-3/4's of the shaft. I can at the glans though when not fully engorged.
Smaller... Yes, sadly it is... Loose skin, no, but my doc did do some plasty work to remove it.
It's noteworthy to mention that I had no loss of size with the first 3 Titan implants, and I have recovered a lot of my lost size with the latest AMS implant. Still not the baseball bat it us d to be, but it works well, and it's still large enough that I'm not embarrassed in a locker room. It looks average to slightly above IMHO.
I'm very happy with my current situation. And this implant has indeed expanded in length & girth. I'm hoping for more (aren't we all) but not particularly concerned. I've seen so many days/months/years where it wasn't usable at all. Now Im Grateful that I have a great working penis that satisfies us all. Me, the wife, the docs. No regrets about this one.
