My opinion is that , with titan rough sex is not an issue at all.
Here is my rationale:
First, you quote Dr Wilson (and yes, he is truly a major expert), and Dr Wilson is quoted by you as follows:
I talked to Dr. Wilson who has done close to 11,000 implants which is the highest number of any surgeon of all time. He said that an implant should never rupture during sex.
I was told the One Touch had thicker maybe more durable pump tubing which may help offset rupture from aggressive sex.
Second,
I asked my surgeon (Dr Eid) the same question back in the day when I was preop.
Dr Eid stated that there is no concern about sexual positions and rough sex
. The titan implant cylinders are stronger than you are.
However, it is well known that the failure mode for titan is where the tubes connect to the bulb. So Eid has told me it is important to stabilize the pump when inflating so that it does not continuously flex the tubes. Also, of course, Coloplast titan is aware that they have an issue with the tubing bulp juction, so it is presumed that the most recent iteration of titan, "the titan touch" has been revised so that the tube bulb junction might now be stronger and less prone to failure.
Third,
During a routine office visit with my local west coast urologist Dr Karpman, I asked him if there is anything I should not do so that I optimize the chance of a long implant life.
Dr Karpman stated: He emphatically stated that the number of times I use the implant for sex is NOT a predictor of failure (so go ahead and use it a lot !). He suggested that, maybe , positions that can lead to penile fracture in the natural state might be an issue also for implanted guys. In that scenario, if the woman comes down real hard on you after you fall out (ie, women bouncing up and down crazilly, goes too high you slip out, she pounds down on you with all her weight).
BUT, in my opinion if you are on a soft bed, and she is not to much of a porker, I suspect that you will be ok. I do know that some guys on this board have described this experience (for example xomanow) and they stated that it "hurt" when she slammed down on them BUT, there was no damage to the implant.
Finally, rear entry sex, in my opinion, really does not stress the implant very much --- so pound away my friend !
TANGERINE
PS: xomanow does provide some good opinions on this issue in his nicely written 2017 thread titled the xo chronicals part 2. He is in good shape and has engaged in some serious pounding sex in all positions --- no issues !
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=7352&p=51396&hilit=rough#p51396