Is this doctor good enough for implant surgery?

The final frontier. Deciding when, if and how.
LetoMan
Posts: 264
Joined: Tue Apr 09, 2024 1:25 pm

Re: Is this doctor good enough for implant surgery?

Postby LetoMan » Fri Oct 31, 2025 10:54 pm

macoza wrote:Can you clarify what you mean? I really dont understand what youre trying to say.

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Doctors who perform only a few implants per year have a greater risk of infection and need for revision. Once they perform about 25 or so per year, that increased risk goes away. There does not appear to be decreased risk because a doctor performs more than that, even many, many, many more.
50. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

macoza
Posts: 244
Joined: Sat Oct 15, 2022 7:45 pm

Re: Is this doctor good enough for implant surgery?

Postby macoza » Sat Nov 01, 2025 10:53 am

LetoMan wrote:
macoza wrote:Can you clarify what you mean? I really dont understand what youre trying to say.

.


Doctors who perform only a few implants per year have a greater risk of infection and need for revision. Once they perform about 25 or so per year, that increased risk goes away. There does not appear to be decreased risk because a doctor performs more than that, even many, many, many more.

So when an implanter does more than 25 surgeries a year the increase in risk of infection is eliminated. But the risk of infection never is eliminated no matter how many surgeries you perform after that.

Good to know this. My doc told me he's done 50 - 60 a year and has been doing this for 8 years. But he also does other types of surgeries also.

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macoza
Posts: 244
Joined: Sat Oct 15, 2022 7:45 pm

Re: Is this doctor good enough for implant surgery?

Postby macoza » Sat Nov 01, 2025 10:57 am

lasthope2.0 wrote:Hey Macoza, just FYI..... Dr. Leon Telis is a Coloplast Titan COE. He is not a COE for AMS 700. Just a FYI, when you have your brand selection conversations with him.


He told me he does both devices. Does it really matter if he does more coloplast than AMS? He told me his patients have had great results and I haven't found negative reviews on his surgeries when researching him.

Let me know your thoughts.

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lasthope2.0
Posts: 31
Joined: Sat Oct 11, 2025 1:23 pm

Re: Is this doctor good enough for implant surgery?

Postby lasthope2.0 » Sat Nov 01, 2025 12:01 pm

macoza wrote:
lasthope2.0 wrote:Hey Macoza, just FYI..... Dr. Leon Telis is a Coloplast Titan COE. He is not a COE for AMS 700. Just a FYI, when you have your brand selection conversations with him.


He told me he does both devices. Does it really matter if he does more coloplast than AMS? He told me his patients have had great results and I haven't found negative reviews on his surgeries when researching him.

Let me know your thoughts.

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If he routinely uses both, I wouldn’t worry. He’ll recommend what best fits your anatomy and goals. It is just for your research. Some surgeons favor one over the other, often because of their or their hospital’s contracts and it can reflect their COE status.

macoza
Posts: 244
Joined: Sat Oct 15, 2022 7:45 pm

Re: Is this doctor good enough for implant surgery?

Postby macoza » Sat Nov 01, 2025 1:38 pm

lasthope2.0 wrote:If he routinely uses both, I wouldn’t worry. He’ll recommend what best fits your anatomy and goals.


He actually asked me which device I prefer. I told him In prefer AMS cuz of the length but to be honest I really dont know which to get. Maybe you can help me decide?

Some surgeons favor one over the other, often because of their or their hospital’s contracts and it can reflect their COE status.


Would that be a problem? Does that mean that favoritism towards a device can be at the detriment to the patient?

Btw, I created a thread on my insurance covering the cost of the implant. Please take a look and I look forward to your replies on it. Thanks!!
viewtopic.php?f=6&t=27400

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User avatar
ElbowRoom
Posts: 574
Joined: Mon Mar 17, 2025 1:58 pm

Re: Is this doctor good enough for implant surgery?

Postby ElbowRoom » Sat Nov 01, 2025 3:05 pm

macoza wrote:He actually asked me which device I prefer. I told him In prefer AMS cuz of the length but to be honest I really dont know which to get. Maybe you can help me decide?


I assume you’re talking about the LGX from AMS, for the length expansion. Honestly, from my research and talking to implant surgeons, it seems like the length expansion feature is more marketing than game-changing feature. Yes, it expands lengthwise, but how much is limited by your anatomy. You’re not going to start with a 6” dick and end with 7”. You might see an extra 1/4” over a properly-sized CX or Titan.

But that comes at a price…the LGX has the poorest axial rigidity of all major implants. It can bend more easily even at full inflation than a CX or Titan. That can make a big difference when getting aggressive during sex. One surgeon went so far as to say to me he’d never install an LGX in even an average sized penis, because the longer it is the worse the rigidity problem becomes (long lever and all that). He said the LGX is only really suitable for short penises to try to eke out every last mm of size.
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.


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