Question about LGX

The final frontier. Deciding when, if and how.
Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Question about LGX

Postby Lost Sheep » Tue Nov 24, 2020 5:54 pm

hope794 wrote:

Thank you LS!!! Nice answers, as always.

Thanks for the praise.

It would be nicer if they were definitive. As it is, no matter how carefully I read them, I cannot find the exact wording that would be absolutely unambiguous.
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

newbie443
Posts: 1838
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Question about LGX

Postby newbie443 » Tue Nov 24, 2020 10:40 pm

First of all In the link I posted earlier the LGX does expand. That test of the LGX and Titan did show 2 sizes of each and 2 each of the sizes and the amount of expansion. Table one shows this. Here it is again: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/ The way I understand it is that the LGX will not expand if there is not room inside the tunica for expansion. Like a balloon in a tube. The balloon can not expand beyond it's restraints. Over time if the restraints or tube stretches and provides more room the balloon will fill the space when inflated. But as the test showed in the link above the devices have limits to the amount of expansion. Another part of this is that of the implant tips being the same depth in the Glans. The implants ability to expand to fill the corpora will give a better outcome with this. As the Titan does expand in length but not as much as the LGX would be the reason a doctor would trim the RTE's or Proximal end of the Titan implant.

As far as the 2cm subtraction in the AMS manual, that was added back with a longer RTE. In both the final measurement of the device was 19cm. The reason for the two measurements was where the tube exited. As shown to the side of the measurement chart. One was an 18 cm device with 1 cm RTE for 19 cm total. The other was a 15 cm device with 4 cm RTE for 19 cm total. No difference in total length.

As far as the studies that showed no great difference in size gain between the LGX I would agree that if the men studied had no regain able loss of size or very little this to be accurate. But if men did have regain able size and did VED or inflation stretching I think that a study would show this. But I see no way to determine this ahead of time for a study in that some men with size loss will be permanent. And some men with regain able loss will not do VED or stretching inflations.

But that is just the way my brain see's this. I had size loss and the LGX was a chance at regaining some of that back. My next implant may be a Titan or something else. I will decide that when it happens. Now that I have worked with the LGX for length I might want to see if the Titan helps with girth. I let my doctor choose my device as I figured he had more experience and knowledge than I would ever have. And he did do both so he could have picked either one. Most likely I will do so the next time.

Table one in the link above clearly shows that the LGX 21 cm measures 21 cm at 0 psi. And that it does expand with out the restrictions of the tunica. The reason for the shorter more natural flaccid of the LGX is due to the softer cylinders.

Take care all
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

Waynetho
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Location: Dallas, TX

Re: Question about LGX

Postby Waynetho » Tue Nov 24, 2020 11:15 pm

newbie443 wrote:First of all In the link I posted earlier the LGX does expand. That test of the LGX and Titan did show 2 sizes of each and 2 each of the sizes and the amount of expansion. Table one shows this. Here it is again: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/
[Edited for focus]
Table one in the link above clearly shows that the LGX 21 cm measures 21 cm at 0 psi. And that it does expand with out the restrictions of the tunica. The reason for the shorter more natural flaccid of the LGX is due to the softer cylinders.


Well there you go! Definitive proof from a clinical 3rd party test showing that the LGX is at it's posted size at 0 psi.

LGX Stretch.png
LGX Stretch.png (36.91 KiB) Viewed 766 times
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

newbie443
Posts: 1838
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Question about LGX

Postby newbie443 » Tue Nov 24, 2020 11:23 pm

And the expansion to 24 and 24.9 cm.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Question about LGX

Postby Lost Sheep » Wed Nov 25, 2020 2:36 am

Waynetho

I read that study some time ago but missed the significance of the detail tabulated in Table 1.

That does shake my confidence some. It does contradict what the LGX literature says, though, so I am not completely swayed from my opinion. But not so certain as I was. :?

Call me obstinate if you will. I consider myself firm. (Borrowed from "Russell's conjugation" of emotive conjugation.)

I will investigate further.

On the matter of lengthening beyond what the tunica was at the time of implant, it gives me new hope that I might grow longer than the 6" I had at implant (and the 6" I still have 3 years post-op). Perhaps I am not cycling aggressively enough. :shock:

Thanks for bringing that article to the thread.
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

newbie443
Posts: 1838
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Question about LGX

Postby newbie443 » Wed Nov 25, 2020 9:18 am

Lost Sheep, the way I understand this is the LGX will not expand past what the Tunica will permit. It is not enlargement. But if some of the shrinkage can be reversed it will fill that space. Or permit the tip(s) to fill the space in the corpora in the glans and be equal length. Up to the limits of the LGX device. Having read your post on the aggressive cycling thread I would guess you are at the limits of your Tunica. But I am no doctor.

Take care friend.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

hope794
Posts: 278
Joined: Wed May 30, 2018 7:59 am

Re: Question about LGX

Postby hope794 » Wed Nov 25, 2020 9:54 am

Love your envolvement guys! Thank you so much, nice infos.
26 yo from Italy.Peyronie's disease probably since 2015.Since then,penis bends of about 20-25°. PD keeps progressing. Moderate ED since 4 years and things getting worse.From pornstar-like to depressed, but still fighting for a solution.

merrix
Posts: 1187
Joined: Tue Oct 27, 2015 1:08 am

Re: Question about LGX

Postby merrix » Wed Nov 25, 2020 12:57 pm

I saw this post yesterday, and the intense discussion on whether the LGX expands to or from its stated length.
I was under the same impression as LS in the past, but I was proven wrong by someone who linked to a study I posted here myself a long time ago.
Yesterday I said to myself I will post that study again.
Now I can see above that someone already did.
The LGX stated size is in its deflated state.
Then it expands from there.
And I did like LS think I was smart and said that if a 21 cm cylinder expands 20%, it actually only expands 20%*(21-4.5-1)=3.1 cm. 3.1/21=15%.
So it would actually only expand 15% of total length.
The truth it seems, is somewhere in between 16-17% according to the study.

However, what we must understand, or rather the guys thinking of getting implanted, is that no dick will get 3 cm longer with the LGX than it would have been with a CX or Titan.
It just ain't that easy.
I have posted in another thread, and will post here again, results that clearly show no consistent advantage for the LGX in length. Dicks grow with all models. At similar level.

So how can the LGX have shorter flaccid than Titan and CX if the deflated cylinder is the same size as them?
Good question.
Logic says that if a doc sizes someone with the same size LGX as the other models - you will not have a shorter flaccid. Period. And I think we have a member here who recently swapped from one model to the other (LGX and Titan) and reports no difference in flaccid length.

Maybe the shorter flaccid comes from the 2 cm rule, which some docs uses to size an LGX a bit shorter. That means there is a shorter implant in the dick (2 cm if the rule is followed to the T) and then the flaccid will be 2 cm shorter than with a CX or Titan. With an LGX this is possible, since the length expanding will push the cylinders out in the tip of the penis on inflation anyway.

Probably another reason the LGX flaccid might be shorter is simply that the cylinders are so soft that the dick itself when shrinking from expanded inflated state to natural deflated state will retract and compress (i.e. fold, accordion style) the cylinders. These folds might not be felt due to their thin and pliable material.
But this is just guessing.

I think the LGX advantages are somewhat over hyped. Dicks don't get longer than with other models. Flaccids don't always get shorter. Some don't even want shorter flaccids. Average time to failure is shorter (i.e. more frequent revisions). Pump is bigger.

Apparently it is not a bad device, since many have them and are satisfied. But forget that they are some magic stuff that will grow your dick 20% and give you a 100% natural flaccid. That just ain't how it is.

https://www.ncbi.nlm.nih.gov/pubmed/28537700
http://neaua.org/meeting/abstracts/2016/P4.cgi
http://www.ajandrology.com/article.asp? ... last=Negro
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5000799/
http://europepmc.org/article/MED/26459782
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

zandro
Posts: 55
Joined: Thu Oct 24, 2019 11:35 pm

Re: Question about LGX

Postby zandro » Thu Nov 26, 2020 11:54 pm

Not a big fan of the titan (I've had both)
Last edited by zandro on Thu Mar 18, 2021 7:59 pm, edited 1 time in total.
Implanted @ 36 on Oct 8th, '19 - Titan Touch 24cm (XL)
Revision Sept '20 - AMS CX 24cm

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

Re: Question about LGX

Postby Waynetho » Fri Nov 27, 2020 2:05 am

zandro wrote:
Waynetho wrote:Using my hypothetical 6cm tip-size in the equation,

21 - 6 = 15
15 * 1.20 = 18
18 + 6 = 24 (24 cm expanded size for 21 cm)


I have to disagree here. According to my uro 21cm is the max inflated length for the LGX which is why I have the CX since I needed the 24cm CX (LGX cannot reach 24cm)

CX is also firmer at full inflation so better option if anal sex is important to you

Titan is trash in my opinion, avoid it (I know I'm going to take a lot of fire for that statement but I have my reasons and had my Titan replaced with an AMS CX within a year and the improvement is incredible)


Based on the information from the independent testing of different LGX versions and Titans, I would have to say that your statement appears to be incorrect. The testing proved that one 21cm LGX expanded to 24cm and another 21cm LGX expanded to 24.9cm.

newbie443 wrote:First of all In the link I posted earlier the LGX does expand. That test of the LGX and Titan did show 2 sizes of each and 2 each of the sizes and the amount of expansion. Table one shows this. Here it is again: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/
[Edited for focus]
Table one in the link above clearly shows that the LGX 21 cm measures 21 cm at 0 psi. And that it does expand with out the restrictions of the tunica. The reason for the shorter more natural flaccid of the LGX is due to the softer cylinders.

Table below is from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/
Image
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


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