Making the change from an AMS LGX700 to a Titan

[cbinspok]

Super R
I think you should try a VED before sex it nicely rounds out my dick and gives me a quarter inch in an improved glan, it would be worth a try before going under the knife again. My cock is flat with the Xl too but in truth it was kinda flat in my younger days,
Write a signature plz. Good luck

[RoboCock69]

Thanks Old guy for your response.

Could I ask you - when you say you lost length, was that because of a long period of ED or you simply went into surgery with a certain length and then come out with less? If its the latter, why is this so?

My lost length was probably due to several reasons. From 13-14 years of fighting ED, trying pills and injections which kept failing it was like going through ED again and again. Probably lost some of my 6" during that time. Going into the surgery I knew nothing about it other than it would make my dick work again. Finally I was never informed about cycling. I didn't find FT until 5 months after my implant. Started cycling then but after 2 months my gain was 1/8" so I gave up. My length is just over 5" now, but it works every time!
I really wish I knew what I know now before I took that first Viagra. Too many side effects from pills and injections.

1/8" every two months is 3/4" after a year, which would get you back around 6".

[gjmjoe017]

My Titan is oval shaped.Flat on top and bottom.Works well like this but I use a VED to engorge glans and shaft.Makes it round and full!Try it,you’ll like it!

[stmfttr]

My Titan is oval shaped.Flat on top and bottom.Works well like this but I use a VED to engorge glans and shaft.Makes it round and full!Try it,you’ll like it!

gjmjoe017,
Do you use the restriction bands?? After you use the VED?
stmfttr

[gjmjoe017]

Yes,two.

[trapped2021]

Hi guys

This is my first post and am looking for some info regarding the Titan.

I was installed with an AMS LGX in late 2017. I had a number of difficulties with it but my main concern was and still is the shape. It's extremely “flat” rather than round or spherical. I lost a lot of girth, which was awful, but the flatness is something I could never get used to.

I’ve now seen a high volume implant surgeon who has told me he thinks having a revision with a Titan should address issues with the flat dick I have (i.e. by increasing the girth and roundness) plus it may resolve some other issues I have with tubing sticking too far out.

The only thing I’m confused about is the lengthening issue between an AMS700 and the Titan. My LGX in its flaccid state is very short (literally about 3 inches) but lengthens about another 2 inches when inflating to max. On the other hand, I understand the Titan doesn’t change in length when inflated. So does that mean with a Titan you permanently have a full-length dick sitting in your underwear? Isn’t that uncomfortable? For example, if a guy was well endowed (not me!), would he possibly be sitting with a full 8 inches in his pants permanently when flaccid and unable to deflate length at all when not “using” it? Does a Titan ever get flaccid and is it comfortable in underwear when not in use?

Also, I’m circumcised and always felt that the only way to stop the glans chaffing on underwear was to position my flaccid dick sideways so some of the remaining foreskin was used as a cushion from the underwear. Would you guys imagine this to be a problem if my impending Titan is always at its full length and therefore the forsekin is down and full glans are exposed?

I’m sorry if I’m not explaining this well but would love to get your insights.

Are you getting new one after 4 years for flatness only? What other issues? Does it work still?

[Hrc714]

I am needing a revision as my AMS 700 has failed. It was a 24 cm with 2x.5 cm RTE’s so I believe I can switch to Titan. This AMS does not shrink so I have 8” flaccid length which makes tight pants a bit difficult. Guessing Titan will be similar. What I do not like about the AMS is the very narrow girth. I am a flat 5” when inflated. (Back last week when I could inflate). I believe Titan will help the girth. 5” looks really skinny on an 8+” length. Also not thrilled with the 4 year lifespan of my AMS.

[Gt1956]

I think you'll find that all implants are flatter looking than most dicks. Two round cylinders next to each other form an 8 laying on its side. Just the way it is. Small trade off to get all the benefits of the implant.
As for girth. If you was on injections prior to your implant then there is your issue. The Injection medicines have a tendency to cause your girth to increase. Once you get an implant that reaction goes away. So your lost girth could be related from stopping injections, not from the implant.
I got a circusion in 2013. I interviewed doctors until I found one that would leave enough skin to cover my head. I had read of the chaffing issue. Just my guess. If you have chaffing now. It won't get better unless the skin on you penis head gets accustomed to the constant friction. I was told that in essence the head needs to get callused.
Yes, your flaccid is going to be longer.
My opinion. The tubing might be the only issue that could see any improvement.

I take your point Gt1956 - but isn't it the case that if the cylinders expand wider with a Titan that they would make the whole penis more round - ie because they are expanding on all sides? And wouldn't that mean the cylinders would push against the centre of the penis (is it called Tunica?) and therefore make it round? My real problem is the huge loss of girth and being very flat. I didn't really have injections but could always get erect without an implant with excessive friction. The problem was as soon as this heavy friction stoped the venous leak took over and the whole dick would deflate instantly.
I accept the sideways "8" example you point out, but its really flat and thin and my wife had noticed the shape didn't feel normal. I accept the response of one's partner is a whole different issue, however, the flatness was something I was not expecting to be so bad. I guess the question is also how many other people have "flatness" issues with their implant and now significant this flatness is?

Yes, there has been several long running discussions about penis shape being flattish. Its a common observation, but mainly an annoying feature. Btw, it happens with all implants. Some might be a bit more pronounced than others, but it still happens. Its the nature of the round cylinders.
Perhaps a better discussion with your wife would be if she prefers a limp round penis over what you have? Some compromises are needed with implants.
I believe you're misunderstanding what a larger diameter cylinders might do for you. If you have 1mm larger cylinders. That 1mm gets added to BOTH directions of your penis size. The basic shape will stay oval. Just might be bigger numbers.
How sure are you that you really do have a LGX not a CX? The LGX expands in girth. If you're lacking girth now I'm not sure that your penis tunica will support more girth.
Finally, how positive are you that you've maxed out the size capacity of your implant by doing consistent complete pumping. That might of required over a full year to do.
Filling in your personal data would be nice. Do you live in Canada or the British Isles? Well, maybe another European country?
You're asking good questions. Good luck.

[SuperReverb]

Thanks for all your responses guys.

I accept many people here notice their oval shape and I can deal with a bit of of an oval. I accept an implant is never a perfect solution. It's just in my case I lost a lot of girth and its very flat. I would not really call it oval as much as more towards "rectangle". Obviously as the edges of the penis are cylinders the penis does not have complete corners but it is really frustratinging flat and thin. Because I only had a venous leak issue (ie blood outflow being the problem rather than inflow), I could get full erections the day I went into surgery so I know how long and wide I was. The problem with the leak was the erection could not be maintained without constant friction.

In terms of post surgery, I came out of it knowing I'd lost a fair bit of length and a lot of girth. Over the last 4 years of painful stretching I have gained about 1.5 inches in length (now about 5.5" long) but the girth has remained very thin. At flaccid I'm literally about 1 inch only but with max pumping (ie about 65 pumps) I get this extremely flat dick thats about 4.5" wide and a strange shape.

I know of another patient who went to the same surgeon and complained about the very same issue - ie he was noticeably thinner afterwards. I'm thinking aloud here and may be way off the mark, but I wonder if its something to do with the surgeon cutting the cyclinder holes too large so that there is very little tissue left and the expanded width of the cylinders is literally the entire width of the whole penis? I do feel the cylinders are very hard through the outer skin.

I went and saw the most prominent implant surgeon in my country who told me that over time with a Titan, he believed the width of the cylinders would expand and they'd push together in the centre more. He said he thought this would probably remove some of the flatness and give me back some girth. He said the Titan width was only limited by the tissue in the penis where as the LGX doesn't expand more than its max width. Finally he said he'd also be able to instal the tubing further into my body (by not using RTE's but longer cylinders) so some of the existing tubing that is slightly jutting out isn't hurting during sex from impact with it.

I accept a lot of the feedback in this thread is that I may not derive as much as a benefit as I'm hoping to. I'm grateful for all your advice and would like to receive as much advice from you guys as I can. You guys are right that I need to carefully consider whether its worth going under the knife and post op complication risk if there is little benefit.

Cheers

[merrix]

I would disagree with some opinions stated by otherwise well educated members above.
But also agree with a lot that's been said.

Length
Should be no difference. There are multiple studies on the length advantage of the LGX, and we're talking small differences to a Titan. Whatever length gain you could have has already happened anyway, since you are several years from surgery now.

Flaccid length
Yes, it will be longer than an LGX most likely. Since the LGX changes in length when inflated vs deflated, this is likely to happen. My Titan has over an inch difference in length when comparing fully inflated with an engorged head to deflated with no glans engorgement. Some of that difference is from the glans swelling and increasing in size, but some is from the implant itself. My surgeon, Eid, told me that a perfectly sized Titan will have some wrinkles when deflated and none when fully inflated. Hence, it loses some length when deflated due to some kind of "accordion" principle. Not much though.
So is this a problem? Not if you ask me. I have a 24 cm Titan, 7"=17.8cm when ready for sex, and about 15 cm length when deflated. However, the comparison is questionable. An erect penis is measured on the top from the pubic bone. A flaccid penis does not point straight out by definition. So how do you even measure? Holding it up in that position? What's the relevance? It does hang down. My point is that my flaccid bothered me the first few months after surgery, then no more. Mostly because deflation, swelling, plastic stiffness will improve with time. But partly because we get used to everything. Including large flaccid dicks.
In your case, if your flaccid is 1" only, I guess a fair question is if you wouldn't actually benefit from a larger flaccid?

Oval shape
I agree that probably all (or most) implanted dicks will be oval to some degree when inflated. As someone said, this is two cylinders next to each others. On the other hand, that's what a natural dick has as well. What I disagree with though is that a Titan would not be able to improve this over an LGX. I have gotten it explained to me that a Titan, thanks to its wider circumference, will leave no (or less) gap between the cylinders. That means that all tissue between the cylinders are forced down, filling up the space between the cylinders and rounding it out. And I trust that source of information.
My dick has more of an oval shape than my natural dick, whenever it got hard enough. But for me, I don't think it is a major problem. The ovalness is not that pronounced. And when I get horny and my spongiosum swells, I would say there is no visible ovalness.

Girth
I can't agree with someone saying your girth can't/won't improve. The simple fact is that a Titan has larger circumference. Of course that means something. Otherwise we can say that if someone invented a 2 mm circumference implant, it would not make our dicks thinner..? Circumference of the cylinders must have some impact on girth of our dicks. How large the effect will be is more difficult to say. But why not use your surgeons estimation as a ball park idea.

Summarizing what I say above will lean towards a Titan possibly helping you.
But there is no guarantee that improvement will be enough to make you happy.
If you expect your oval thin dick to turn into a beer can (symmetrical massive girth), then you might not be any more satisfied than today.
And then there is always the risk and the hassle with surgery.
Whether it will be worth the downtime, risk and cost is a tough question that only you can answer.

Good luck.