LGX (an AMS variation) v Titan

[London lad]

Okay, so interested to hear people's opinion on whether I should go for LGX or Titan... Pros and cons of each?

I am having my implant done in the UK, where the NHS offer either AMS CXR or Titan Coloplast implants. I infact do not yet know if the NHS will offer the LGX - but I will be asking my surgeon this week. Right now I am more eager on the LGX, simply because I've come across a study that suggests penile-shortening is at a lesser proportion when LGX is used (http://www.ajandrology.com/article.asp? ... last=Negro)

Has anyone in the UK had NHS Penile-implant where an LGX was used, and if so would they telling me which centre in the UK they had it done at?

Mr surgeon is Mr. Ralph at UCLH.

[DougAnd]

I'm not in the UK Florida is my home but I have an LGX. I chose it because I did not trust my surgeons to size me properly. Well I have lost about 5/8" but I'm only 3 months in. I'll probably be 1/2" short by the finish. Didn't want that anyway. AMS only comes in 12 mm girth. Titan offers a larger size hence faster girth recovery. I was 6.67" that night before implant about 4 3/4" right after and now range around 5" in girth without VED. When I use VED my girth is 6" and stays that way for hours after.
The AMS pump sucks! Locks up constantly even now. The Titan pump works but when deflated tends to fill itself back up without pumping a natural erection. But if you deflate and squeeze it out then give it one small pump it does not fill. Or so I've been told. The AMS has a saline sac called conceal reservoir get that save you a lot of grief. Getting used to hard tubes inside of your penis is a major problem. For some it takes years. Titan is thicker and stays hard longer before the body softens them and they feel more natural. Titan comes in more lengths that can be an advantage but usually it's gbest to have about 2 to 4 cm rtes so not a real advantage. Neither offers a .6,.7,.8,.9 cm rtes so if you are like me and they dilate you unevenly you are just as screwed either one. AMS has a anti bac coating that resists infection and latent infections. For the rest of your life if you get any infections they can travel to your implant attach and grow. There will be very little natural resistance left in those parts of your penis after dilation.
It takes years for the LGX to lengthen. Have your doc inflate you 50% for 3 weeks post surgery and you will have a better length either way than if you use LGX and do not inflate. Tell your doc that you want to use mild vacuum pressure within a few days after surgery to relieve tip pain during healing. That will make you very happy.
Be sure to get a very tight flaccid stretch before surgery so that you can know exactly what to expect in length after. If they shrink you to a nub for six weeks without cycling it may take you years to regain that. If they inflate you even 30 percent for the first 3 weeks you will get it all back much faster. And if you use VED therapy to keep your penis healthy after surgery it will come back very quickly. Good luck! My ancestor left London and came across the pond in 1635.

[London lad]

Thanks very much for your message - it's very informative!

Some follow-up questions I have from your message:

1. Are you suggesting I buy myself a Vacuum Pump device (I do not currently have one - so could look on Amazon), to use on myself in the first 3 weeks after surgery? And if so, should these Vacuum Pumps be used whilst the penis is inflated or whilst it is deflated?

2. What exactly is dilation? And does the patient have any say in whether the surgeon does or doesn't use dilation during the surgery? (From the sounds of your message it sounds like it's not a great thing?)

3. In all, would you recommend LGX or would you in hindsight have gone for Titan (I'm guessing this was your first implant so you haven't experienced Titan before?)

Thank you.

P.S. Wow 1635!

[DougAnd]

Thanks very much for your message - it's very informative!

Some follow-up questions I have from your message:

1. Are you suggesting I buy myself a Vacuum Pump device (I do not currently have one - so could look on Amazon), to use on myself in the first 3 weeks after surgery? And if so, should these Vacuum Pumps be used whilst the penis is inflated or whilst it is deflated?

2. What exactly is dilation? And does the patient have any say in whether the surgeon does or doesn't use dilation during the surgery? (From the sounds of your message it sounds like it's not a great thing?)

3. In all, would you recommend LGX or would you in hindsight have gone for Titan (I'm guessing this was your first implant so you haven't experienced Titan before?)

Thank you.

P.S. Wow 1635!

Ken,
If you have infra-pubic forget VED. You won't be able to use it until it's too late. I have no idea if your surgeons are anus heads like most of ours who almost unanimously united against it. If you are not at least 50 percent pumped the first 3 weeks then you will fight for length for the rest of your life. The VED is a powerful tool when used properly. I use it both ways you need to use it flaccid only for the 3 weeks in my opinion I'm not a doc. I ditched mine week 2 and went on my own looking for someone to help me. Dilation allows the implant to be put in. Cannot avoid it. As to the LGX or Titan I could never stand the harder Titan cylinders still looking forward to the day when mine become softer. If you plan on using VED after you must be on your game before. No way you are going to jump in the first or second week after and survive. After the first blood curdling scream when your wife comes in expecting blood you will give up. Buy a 2" tube or your nuts will be sucked in. Pull it very tight against the bottom of your penis helps prevent that. Your scrotal scar may be in the line of fire. In short if your doc does not account for the VED you will be lucky if you can use it during healing. If not then it will speed up your stretching by a thousand times. But shrunk is shrunk and always will be. good luck

[Larry10625]

[quote="London lad"]Thanks very much for your message - it's very informative!

Some follow-up questions I have from your message:

1. Are you suggesting I buy myself a Vacuum Pump device (I do not currently have one - so could look on Amazon), to use on myself in the first 3 weeks after surgery? And if so, should these Vacuum Pumps be used whilst the penis is inflated or whilst it is deflated?
Good idea to start now. 3 to 5 times a day for 5 minutes each time. After your surgery, SOME doctors recommend that you do and OTHERS do not. Ask your doc what he says and then, it's entirely up to you to decide yes or no. If you decide, it needs to be done while you are inflated or else it not even doing what the implant would do.

2. What exactly is dilation? And does the patient have any say in whether the surgeon does or doesn't use dilation during the surgery? (From the sounds of your message it sounds like it's not a great thing?)

3. In all, would you recommend LGX or would you in hindsight have gone for Titan (I'm guessing this was your first implant so you haven't experienced Titan before?)
I love my AMS LGX but, I have not ever had the Titan so you can say that I am a little bias. There are a few members who have had both, hopefully they will weigh in.


Larry

[DougAnd]

Ken, using ved with an implant too early is dangerous. You would need expert guidance. Doubt you will find it. You might have better luck having your doc pump you up the first 3 weeks. Also you can flaccid stretch gently during healing. Not as effective but still better than nothing.

[London lad]

DougAnd, can a patient pump themselves up within the first 3 weeks - or does this first inflation specifically have to be done by the surgeon?

[MK1965]

I am implanted with Titan but not happy how it looks and feels flaccid.
It feels like water hose left at 32*F or 0*C temperature.
Hate stiffness of Titan.
If it ever fails, my next one will be AMS LGX per my request, not what surgeon feels.
MK

[Bubba1956]

I am 4 weeks post -op. I have been cycling for a week 2x per day. I really like the AMS 700 LGX. I feels very normal in flaccid state. It hangs down around 5:00 O'clock position. very natural looking and is quite comfortable. I chose a surgeon that uses AMS implant because from the research I had done the AMS with the benefits outweighed the titan.

[Larry10625]

DougAnd, can a patient pump themselves up within the first 3 weeks - or does this first inflation specifically have to be done by the surgeon?

Because I was seven hours away, I never saw the doctor after the surgery except for a video chat to discuss what's next. Unfortunately nothing..

Larry