Dr says LGX is junk

The final frontier. Deciding when, if and how.
Notgivingup
Posts: 78
Joined: Tue Aug 13, 2019 1:13 am

Re: Dr says LGX is junk

Postby Notgivingup » Thu Jan 16, 2020 12:43 am

Lots of guys have the CX; I’ve never heard there’s anything wrong with the device your doc is recommending. However, there are pros and cons for each device, and ideally you would have a conversation about which of several devices best suits YOUR anatomy and needs. My concern is that your doc is not giving you the kind of choice that many of us have had. (Although I know that some of our docs implant only Coloplast or only AMS.) Ideally you would want to be able to choose from all options on the market today.
69 years old. Implanted 3 Dec 2019 by Dr. Andrew Kramer, Baltimore, AMS 700 LGX, 21 cm + 2 cm RTE.

oldbeek
Posts: 2472
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Dr says LGX is junk

Postby oldbeek » Thu Jan 16, 2020 12:57 am

Your future doc is full of crap. I can not physically bend my LGX when pumped 100%. My doc who is a professor at a teaching hospital and 30 yrs experience. I would be looking for a new doc.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Dr says LGX is junk

Postby Trchd1 » Thu Jan 16, 2020 1:39 am

I'm pretty sure that my insurance won't allow me to travel the country to find a implant doctor it's kind of like a Wellness Plan thing you have to be on a list of doctors that you can use to get the best coverage but I think the doctor is a fine doctor with plenty of experience he just seems to favor the CX and I don't want to act like I'm a doctor and tell him what to do but I did tell him that I want him to use his best judgment

I'm pretty sure that there's going to be an AMS representative at the operating table so I would assume that if the CX isn't a good thing to use then the representative would say so or at least suggest it to the doctor and tell them to use the LG X instead wouldn't you think?
Should I consult with an AMS representative about the situation before the surgery in 3 weeks?
My insurance approved the surgery almost a year ago and the end of that approval is in March although I'm sure I can always get another approval if this does expire through complications before surgery happens

notaes
Posts: 523
Joined: Sat Mar 23, 2019 8:54 am

Re: Dr says LGX is junk

Postby notaes » Thu Jan 16, 2020 8:17 am

It was my experience that you have No say in what you are implanted with because the doctor does the measurement after he gets inside your penis. There are a lot of factors that go into the implant that you receive. Do you have Peyronie’s disease and is there scarring and so on. You don’t get to choose this implant or that implant. The decision is strictly the doctors choice based upon all the facts he has at the moment he makes the decision in surgery. The last words I said to my doctor was give me all you can and my belief is that he did just that! I trust my doctor 100% and you should also. My belief is that he had my best interest at heart when he started my implant surgery. When I had my consult visit with my surgeon I had three pages of questions for him. Knowing the critical ness of the topic being discussed he took his time an answered everyone. I even ask him if he pushed the envelope meaning, did he give a person all the implant he could. His answer was...that he tried too because never had anyone come to his office wanting a shorter penis! He knows men! He knows men want all the penis they can get. Any man doctor or surgeon who knows men realizes this is the way men are...it’s the way we think. That’s why I did my homework and research prior to surgery and had all the questions ready for my consult with the doctor. If he had not answered all my questions or had hurried through the consult skipping and ignoring questions he would not have touched my penis! This is why I trusted him completely. I believe he did all he could for me.
66 yr old male married 36 yrs use trimix four yrs, cilais and Viagra. trimix work well developed scarring on both sides had implant 1/9/2020 at UT Med Ctr, Knoxville, TN Dr. John Lacy.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Dr says LGX is junk

Postby Waynetho » Thu Jan 16, 2020 9:50 am

Notaes, not only does the doctor have the choice of brand/model but even whether to even proceed with the implant. You may go in for a Titan and come out with a Tactra or nothing but a hole in your scrotum and hollowed out corpora. I'm sure it happens.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Dr says LGX is junk

Postby Trchd1 » Thu Jan 16, 2020 11:04 am

I have contacted Boston Scientific and they couldn't believe what my Dr was saying about the LGX and are looking into the matter. A local rep is supposed to call me today
I think I might of opened a can of worms
I will keep everyone posted

Lost Sheep
Posts: 6147
Joined: Mon Jul 04, 2016 11:16 pm

Re: Dr says LGX is junk

Postby Lost Sheep » Thu Jan 16, 2020 12:54 pm

Waynetho wrote:
Lost Sheep wrote:
Greg1956 wrote:He probably gets some kickback from Titan.

It appeared to me from the original post that he was steering Trchd1 towards the AMS CX, not any Coloplast product.

So, I wonder if this one physician's prejudice is because of some bad experience with an LGX. Or perhaps he does not trust the LGX because of the failures of the prior AMS product (Ultrex, I believe) that attempted (badly) the lengthening feature that the LGX does much more successfully.


Isn't the main difference between the CX and LGX the lack of the Dacron webbing (or whatever it is) that prevents length expansion and limits girth expansion to a specific level on the CX? I understood that the LGX was basically the same material but it didn't have the restricting mesh in its makeup so it would stretch lengthwise and wasn't as limited in diameter.

This may be wrong but if that's the major difference, maybe the lack of the limiting layer is what concerns the doctor and makes him think the LGX is crap. That's its big selling point though, from what I know of the product.

As I understand it, the difference between the CX and the LGX is not the material. It is the weave. The LGX weave allows limited length expansion. This leaves the CX a little stiffer when inflated. Kind of like the difference between clothing made with cloth cut on the bias vs straight up (which I understand little of, either).
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Lost Sheep
Posts: 6147
Joined: Mon Jul 04, 2016 11:16 pm

Re: Dr says LGX is junk

Postby Lost Sheep » Thu Jan 16, 2020 12:55 pm

Trchd1 wrote:That is what he mentioned about the lgx model is its construction he only uses AMS products so it was not geared towards not using coloplast for sure or any kickbacks from coloplast
this doctor does about a hundred to 120 implants a year so I trust the guy
But after listening to you guys now I'm getting nervous and worried what should I do?

I am sure you will not be displeased with the CX. Don't sweat the small stuff.

Trchd1 wrote:I have contacted Boston Scientific and they couldn't believe what my Dr was saying about the LGX and are looking into the matter. A local rep is supposed to call me today
I think I might of opened a can of worms
I will keep everyone posted

Always be up front with your surgeon. He already knows you want the best choice between the CX and LGX, but have a question about why the blanket rejection of the LGX. This is a legitimate question and he should (the big SHOULD) not take offense at your interest in the matter. I went into surgery with the respect of both my primary care physician and my surgeon for my research into E.D. and treatments. If you are regarded as an integral part of your own medical team (an ideal sometimes hard to achieve) the "can of worms" issue should not arise.

Your surgeon should be able to (and willing to) explain thoroughly why he feels the LGX is not for you. (And, as I hinted at before, he may have a lingering distrust of length-expanding AMS products because of the failures of the Ultrex - now off the market).

I note (as I said before) my Patient Liaison himself preferred the CS over the LGX. My surgeon would do either, but leaned towards the LGX and, as I was a "grower", so did I.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Dr says LGX is junk

Postby Trchd1 » Thu Jan 16, 2020 1:33 pm

Did everyone here that has had a AMS implant have a representative in the surgery room along with the surgeon?

Txagq8
Posts: 717
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Dr says LGX is junk

Postby Txagq8 » Thu Jan 16, 2020 1:54 pm

Doctors, like everyone else, are entitled to their opinions.

It doesn’t always mean they are right. But you (and your insurance carrier) are paying for the doctor’s knowledge, expertise, and good judgment.

Like the previous poster stated. The CX is a good product and if the doctor installs it and does a good job you will no doubt be happy with it.

If you can’t abide the idea of having anything other than the LGX, it might be worth looking at who else is in your insurance carrier’s Network that might do the job.

I interviewed multiple doctors leading up to getting my implant a scant 15 days ago. The two “finalists” in my mind each had a different vision of what they thought they ought to install and how they ought to install it.

Some guys might freak out when talking matter-of-factly about putting a prosthetic device in their cock with a doctor. But I found it fascinating and educational.

Both wanted to go infrapubic instead of a scrotal. I’ve had inguinal hernias on both sides. One doctor gave that as his reason, telling me he could look around and find the strongest place to hang a reservoir so he did not have to do some bizarre, circuitous paths for the tubing to the pump. The other told me he much preferred the infrapubic because the wrinkles or folds on scrotum could harbor bacteria despite a heavy duty scrubbing.

One doctor wanted to go eith a Titan because I was starting out with 6” of girth and he thought it had the best chance of restoring that. The other wanted an LGX and he didn’t think that there would be any loss of girth....flaccid I am close to 5” in girth do his description was there’s already some meat there.....inflating the LGX cylinders are going to push you out to where you were. He also wanted the LGX. Because I’m a grower and he insisted that it’s expansion lengthwise would get me back to where I started from or at least awfully close.

Both doctors install both brands and neither referred to a model as junk. The doc I ultimately went with told me he installed about 10 AMS to every Titan, he was more comfortable installing the AMS, and felt like I would be happier long term with the outcome if he used a LGX.

I don’t guess I would mind if a doctor referred to something as junk. But I would damn sure want to know upon what was he basing his opinion. Personal opinion matters but if you’re going to let someone cut on you, especially down there, you deserve to know why he has that particular opinion.

For me a red flag in visiting any doctor: when I am dictated to, treated as an unknowledgeable bystander, or a doctor is unable or unwilling to discuss my concerns, thoughts, ideas, and opinions. If doctors were perfect, malpractice lawyers would have Cessna 152s instead of King Airs and Citations.

Decide what you think you need. If you don’t like the goods at Macy’s, go to Gimbel ‘s. Work with your insurance carrier. There’s bound to be other surgeons in their network or options for going out of network with s copay. And since this is self pay in a lot of cases, your insurance carrier may be able to find an out of network provider who won’t take them to the cleaners.

This is the absolute last thing I’d let a doctor do to me if I lacked confidence in his skill or judgment.
Robust, adolescent 65 year old. Venous leakage forever. Used shots, shots+pills 30+ years. Married to same wife ~35 yrs. Implanted 31Dec2019 in Austin Tx. AMS 700 LGX 18 cm with 5 cm RTE.


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