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ddbryan1972 wrote:Why is there such a paranoia concerning the use of RTEs. My Urologist used 5.5 in RTEs in my implant. Giving me 7" of good hard dick. Why are guys who are adamant about not receiving RTEs having to have revisions because the pump is too high. My Urologist used RTEs to keep about 2" of my AMS outside my body. Those 2 precious inches would have been useless buried inside my crus. I'm curious. Did you have RTEs? Have you had any problems at all. Is your pump accessible? If you didn't, are you happy with pump placement. Have you had to have a revision?
Donnie

You are strongly advocating RTEs in this thread, despite all the logic and information pointing in the opposite direction. As many have pointed out already in this thread.

Here is my way of arguing that excessive RTEs are bad. I will use you and your stated measurements as an example to illustrate my point.
Try to follow the maths, and then please respond to the facts and try not to moan about being questioned. Questioning what seems incorrect is an integral part of any fruitful discussion.
If you disagree, please question my numbers, focusing on the facts. Explain what is wrong with my logic, and present yours.

You have an 18 cm implant.
You have 5.5 cm RTE.
All implants have roughly 4.5 cm fixed part, and the remaining part is inflatable.
You say your dick is 7” which equals 17.8 cm.
You say your RTEs are buried deep inside your body.
You say your implant cylinder tips are nicely placed in your glans, no floppy head.
Let us assume that means your tips go till 1.5 cm from your glans tip, that would be considered a very good tip placement. (Mine are 1 cm from glans tip, but I think that is extreme).

Now, let me do the maths to come to the BS conclusion:

Total implant length in your dick: 17.8-1.5=16.3 cm.
Inflatable length in your implant: 18-4.5=13.5 cm.
Fixed part in your dick: 16.3-13.5=2.8 cm.

Having 2.8 cm (1.1”) fixed part in your dick must be absolutely horrible. It means when deflated, you will have a 1 inch long erection at the base of your dick, and then from that point your dick hangs down.
When erect, you will have the weakest part of your implant (the joint between fixed and inflatable part) at 1” from your penis base, at the point where it needs to be at its strongest. If you don’t have a hinge with that setup, nobody does. You should be the definition of the hinge effect.

Furthermore, and bear with me now, here comes more maths:

Your total implant length is 18+5.5=23.5 cm.
Inflatable length: 18-4.5=13.5 cm
Percent of your implant which is inflatable (i.e. your Rigidity Factor): 13.5/23.5=57% (as a reference, a 24 cm implant without RTEs has (24-4.5)/24=81%).
Normal proportion of implant in dick, according to rule of thumb: 2/3=67%
So, a guy with a normal deep crus would need a rigidity factor of higher than 67% to avoid having fixed parts in his dick.
Your inflatable part (Rigidity factory) is only 57%.
That should mean you must have a very, very deep crus to avoid having fixed parts in our dick.
How deep?
Let’s say you want the fixed part to extend no more than up till 1 cm inside your body to avoid hinge and pain.
Your fixed part: 5.5+4.5=10 cm.
So you will need to have 10+1=11 cm total implant length inside you.
Your total implant length: 18+5.5=23.5.
If 11 cm in your body, how much implant can you have in your dick?
23.5-11=12.5 cm.
Assuming you don’t have a floppy head, meaning the cylinders end 1.5 cm from your glans tip, your dick size will be:
12.5+1.5=14cm

Your RTEs means you either have an inch of fixed part in your dick, or you have a 14 cm long dick, or you have the floppiest of floppy heads.
How floppy?
More maths will give us the anser:
Well, if you have the required 11 cm inside you, and then 23.5-11=12.5cm in your dick, your cylinder tips will end 17.8-12.5=5.3 cm from your glans tip.

My bet is on the second alternative, because I guess no doc would insert an inch of fixed part in your dick, plus I guess it would hurt so bad that you would have had a revision by now.
So my money is on the 14 cm dick, which matches pretty will with your pic from before whn you measure your dick to 7” (17.8 cm) from the groin.
If I measure my dick from the groin, it gets about 4 cm longer as well, so 17.8-4=13.8, i.e. roughly 14 cm.

If you insist on the 17.8 cm dick, then you must have the floppy head.

And please don’t give me the “mean merrix always picking on poor honest Donnie” reply. I am not picking on you for the sake of picking on you.
I am just pointing out the obvious impossibilities in your statements.
Length is a very, very sensitive question for all guys coming on here looking for information.
That’s why I don’t want anybody to be fooled by your obvious faulty statements.

I am also writing this to avoid this forum spreading false information about RTEs.
As many have pointed out above, all top docs will say the less RTEs the better. Because of many reasons which I (and others) have stated many times before. RTEs are used when necessary, when the negative consequences of not using them (e.g. floppy head) is worse than the disadvantages of using them (e.g. wobblier erection). Only then. Or of course, if you go to a low volume surgeon who does not have the right implant size on stock, or who is not skilled enough to correctly place an implant without RTEs nice and deep in the crus (it is easier to place an implant in the crus the longer the fixed part is), you might end up having excessive RTEs for no good reason at all.

That’s pretty mean but very true.

To whom this may concern,
The figures are incorrect. You are totally ignorant of the measurements of fixed implant. I spoke to the AMS rep concerning this issue. My implant has less than 3cm fixed. I am so pissed at you and others telling me about my own dick. I have 7" of good firm hard dick, absolutely no swivel, no floppy Head, good firm impressive glans. I can think of somewhere I could put it as you are so pre-occupied with me. Please find someone else to torment with your misinformed so called knowledge. You have offended me numerous times, we're wrong and never apologized. Unlike you, I have the maturity not to make examples of brothers in an open forum. That's what PM is for. To correct you. I have never advocated the use of RTEs. Only pointing out when they are used seldom is a revision necessary due to a high pump. You have insulted me and my awesome Urologist.
Donnie

merrix wrote:

ddbryan1972 wrote:Why is there such a paranoia concerning the use of RTEs. My Urologist used 5.5 in RTEs in my implant. Giving me 7" of good hard dick. Why are guys who are adamant about not receiving RTEs having to have revisions because the pump is too high. My Urologist used RTEs to keep about 2" of my AMS outside my body. Those 2 precious inches would have been useless buried inside my crus. I'm curious. Did you have RTEs? Have you had any problems at all. Is your pump accessible? If you didn't, are you happy with pump placement. Have you had to have a revision?
Donnie

You are strongly advocating RTEs in this thread, despite all the logic and information pointing in the opposite direction. As many have pointed out already in this thread.

Here is my way of arguing that excessive RTEs are bad. I will use you and your stated measurements as an example to illustrate my point.
Try to follow the maths, and then please respond to the facts and try not to moan about being questioned. Questioning what seems incorrect is an integral part of any fruitful discussion.
If you disagree, please question my numbers, focusing on the facts. Explain what is wrong with my logic, and present yours.

You have an 18 cm implant.
You have 5.5 cm RTE.
All implants have roughly 4.5 cm fixed part, and the remaining part is inflatable.
You say your dick is 7” which equals 17.8 cm.
You say your RTEs are buried deep inside your body.
You say your implant cylinder tips are nicely placed in your glans, no floppy head.
Let us assume that means your tips go till 1.5 cm from your glans tip, that would be considered a very good tip placement. (Mine are 1 cm from glans tip, but I think that is extreme).

Now, let me do the maths to come to the BS conclusion:

Total implant length in your dick: 17.8-1.5=16.3 cm.
Inflatable length in your implant: 18-4.5=13.5 cm.
Fixed part in your dick: 16.3-13.5=2.8 cm.

Having 2.8 cm (1.1”) fixed part in your dick must be absolutely horrible. It means when deflated, you will have a 1 inch long erection at the base of your dick, and then from that point your dick hangs down.
When erect, you will have the weakest part of your implant (the joint between fixed and inflatable part) at 1” from your penis base, at the point where it needs to be at its strongest. If you don’t have a hinge with that setup, nobody does. You should be the definition of the hinge effect.

Furthermore, and bear with me now, here comes more maths:

Your total implant length is 18+5.5=23.5 cm.
Inflatable length: 18-4.5=13.5 cm
Percent of your implant which is inflatable (i.e. your Rigidity Factor): 13.5/23.5=57% (as a reference, a 24 cm implant without RTEs has (24-4.5)/24=81%).
Normal proportion of implant in dick, according to rule of thumb: 2/3=67%
So, a guy with a normal deep crus would need a rigidity factor of higher than 67% to avoid having fixed parts in his dick.
Your inflatable part (Rigidity factory) is only 57%.
That should mean you must have a very, very deep crus to avoid having fixed parts in our dick.
How deep?
Let’s say you want the fixed part to extend no more than up till 1 cm inside your body to avoid hinge and pain.
Your fixed part: 5.5+4.5=10 cm.
So you will need to have 10+1=11 cm total implant length inside you.
Your total implant length: 18+5.5=23.5.
If 11 cm in your body, how much implant can you have in your dick?
23.5-11=12.5 cm.
Assuming you don’t have a floppy head, meaning the cylinders end 1.5 cm from your glans tip, your dick size will be:
12.5+1.5=14cm

Your RTEs means you either have an inch of fixed part in your dick, or you have a 14 cm long dick, or you have the floppiest of floppy heads.
How floppy?
More maths will give us the anser:
Well, if you have the required 11 cm inside you, and then 23.5-11=12.5cm in your dick, your cylinder tips will end 17.8-12.5=5.3 cm from your glans tip.

My bet is on the second alternative, because I guess no doc would insert an inch of fixed part in your dick, plus I guess it would hurt so bad that you would have had a revision by now.
So my money is on the 14 cm dick, which matches pretty will with your pic from before whn you measure your dick to 7” (17.8 cm) from the groin.
If I measure my dick from the groin, it gets about 4 cm longer as well, so 17.8-4=13.8, i.e. roughly 14 cm.

If you insist on the 17.8 cm dick, then you must have the floppy head.

And please don’t give me the “mean merrix always picking on poor honest Donnie” reply. I am not picking on you for the sake of picking on you.
I am just pointing out the obvious impossibilities in your statements.
Length is a very, very sensitive question for all guys coming on here looking for information.
That’s why I don’t want anybody to be fooled by your obvious faulty statements.

I am also writing this to avoid this forum spreading false information about RTEs.
As many have pointed out above, all top docs will say the less RTEs the better. Because of many reasons which I (and others) have stated many times before. RTEs are used when necessary, when the negative consequences of not using them (e.g. floppy head) is worse than the disadvantages of using them (e.g. wobblier erection). Only then. Or of course, if you go to a low volume surgeon who does not have the right implant size on stock, or who is not skilled enough to correctly place an implant without RTEs nice and deep in the crus (it is easier to place an implant in the crus the longer the fixed part is), you might end up having excessive RTEs for no good reason at all.

The post doesn't seem mean or offensive. It does come across as very clinical and perhaps clinically cold. I'm not implanted (yet?) and for that reason I find the topic particularly interesting. A good informative discussion/debate is how we learn. How would others learn if the discussion was hidden in a PM?

"The post doesn't seem mean or offensive. It does come across as very clinical and perhaps clinically cold. I'm not implanted (yet?) and for that reason I find the topic particularly interesting. A good informative discussion/debate is how we learn. How would others learn if the discussion was hidden in a PM?"

i think you are unaware of the history between donnie and merrix.

merrix is (once again) telling donnie he doesn't have a 7" dick. publicly.

i've never understood why it matters so much. donnie is happy, tries to help people, but seems to be a target for merrix, for some reason.

nudist wrote:"The post doesn't seem mean or offensive. It does come across as very clinical and perhaps clinically cold. I'm not implanted (yet?) and for that reason I find the topic particularly interesting. A good informative discussion/debate is how we learn. How would others learn if the discussion was hidden in a PM?"

i think you are unaware of the history between donnie and merrix.

merrix is (once again) telling donnie he doesn't have a 7" dick. publicly.

i've never understood why it matters so much. donnie is happy, tries to help people, but seems to be a target for merrix, for some reason.

I'll grant there was that little dig but that seemed a minor point in the otherwise very detailed post on RTEs, and it did figure into his math. Donnie has been very clear and vocal on his opinion on the advantages of RTEs and the disadvantages of certain surgeons that don't routinely make extensive use of them. It was very interesting to read a detailed, verifiable (if you want to expend the effort) rebuttal to Donnie's opinion, which he has frequently expressed. From their arguments I gather that the use of RTE's can make pump placement easier at the risk of other possible disadvantages. I also get that the decision to forego RTEs to aid pump placement and using longer tubing instead can cause tubing kink issues.

This conversation is completely moot.
These decisions are made by surgeons. No surgeon is going to let a patient dictate how the surgeon is going to do the best job as he sees fit.
Can everyone drop this topic? It is not supportive for men who are looking for help and are scared.
Contact your surgeon if you have questions.
If the tone does not improve dramatically, the topic will be locked.
Thanks
Paul

deleted by user

thank you paul. amen!