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Hi All

I can feel the implant just millimetres under the gland when not inflate or engorged.

Is this normal or is there likely erosion? I have a titan

I have mine very near the tip with Titan too.

I don't thinks there is risk of erosion, if the doctor is good enough, he knows how far he can go with tips to avoid erosion keeping lenght.

Said this, I think you can modulate it: When pump, if you start to feel bad pain, stop pumping and keep it inflated to a point where you feel discomfort and not pain. Let tissues expand without hurting them. You better than anybody know when you are being damaging yourself.

What exactly is erosion? Wouldn't an LGX always erode then?

I think it should go to exactly where the corpora ( the part that fills with blood for a natural erection) ends at the glans. Not a hair under or over

As for erosion, the Tactra has a nicely rounded distal tip. The others have more pointed tips- which I don’t even understand the design thinking

The depth under the surface of the glans is dependent on the individual's own anatomy but the glans could be thought of as a hat that sits on the tip of the penis, a separate body, part of the spongiosum. That "hat" can be only about a quarter of an inch in depth where the erectile bodies are, as mine is. "A few millimeters" is objective without a way to measure for sure, just as my 0.25" is. You may be feeling something more akin to the 0.25" that I cited previously (which is about 6.35 mm).

young_and_impotent wrote:What exactly is erosion? Wouldn't an LGX always erode then?

Erosion (in the sense of the implant tips "eroding" through the meatus (distal tip of the glans) requires pressing so hard against the ends of the tunica that (most typically) living tissue is compressed, blood flow is inhibited, tissue death begins to occur and the end of the penis is penetrated by tissue or material that should remain inside you.

The LGX only expands in length just so far. If properly sized (during the surgery) the extended length of the LGX is short of the length required for erosion.

The surgeon accomplishes this by measuring the tunica, choosing the appropriate LGX, implanting it and then inflating it fully (before closing the incision in the tunica). If the fully inflated implant is in danger or eroding through, it should be shortened (either by removing rear tip extenders if any were placed, or by replacing with a shorter device).

This differs from implanting the CX or Coloplast Titan very little. They are implanted, inflated, checked for final fit before closing the incisions.

Kind of like buying shoes.

You measure your foot and select a shoe in your preferred style (select manufacturer and type, CX, LGX, Titan, etc). You take off your shoes (start the operation and open the tunica).

You measure the foot (measure the inside of your tunica with a measuring tool, such as the Furlow introducer or dialamesensert) and

select a shoe (implant) size that promises to fit.

You put the shoe on and see if it seems to fit (insert the implant).

Then you lace the shoe up and walk around the store (inflate the implant and examine the penis). In this way, LGXs are fitted at their FULLY extended length.

Only after that you leave the store (close the incisions and send the patient to post-op recovery).

The LGX only expands in length just so far. If properly sized (during the surgery) the extended length of the LGX is short of the length required for erosion.

Are you sure about this? If the penis is measured 18 cm will the LGX device be less than 18 cm LGX?

young_and_impotent wrote:

The LGX only expands in length just so far. If properly sized (during the surgery) the extended length of the LGX is short of the length required for erosion.

Are you sure about this? If the penis is measured 18 cm will the LGX device be less than 18 cm LGX?

Different measurements.

Penis is measured from (A) the surface of the skin at the pubic fat pad just above the penis, compressed against the pubic bone to (B) the tip of the penis.

The implant reaches from (A) deeper inside the body, the bottom of the crus to (B) a little bit short of the tip of the penis (the tunica ends inside the glans, not at its surface)

The implant should just fill the tunica albuginea from bottom of the crus to the end of the tunica. And no more. No matter where either terminus is. Too short and you get "floppy head". Too long and you get potential for erosion or the "s-curve deformity" (which plagued the earlier LGX Ultrex length-expanding implant which is now discontinued).

Guesstimate here, but my Titan cylinders (11 weeks post-implant) feel like they extend roughly halfway into the full width of my glans. I'm never aware of their presence there when I am deflated and just walking around. When inflated...fully inflated in particular...yes I'm aware to some extent, but only after either being 100% inflated while cycling, for 45-60 mins, or having sex for an extended period of time, where there are a lot of movements obviously, changes in angle, pressure, position, rhythm.

Oddly, I would say that the pressure I do feel within my glans due to the cylinder ends being rigid...it's not unpleasant in my opinion. It's kind of a moderate pressure combined with a kind of intriguing...I don't know...tingle? Thrusting into her and feeling my penis move against the cylinder tips in the glans...it's a bit of a cool sensation. When I feel it...I want more.

Not sure any of that makes the remotest sense to anyone else, but it's the experience I'm having for whatever that may be worth.