Funny Question

The final frontier. Deciding when, if and how.
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rjdoan
Posts: 125
Joined: Sun Dec 06, 2020 11:45 am
Location: Baltimore, MD

Funny Question

Postby rjdoan » Wed Jan 27, 2021 6:18 pm

OK, I've been lurking for a while--and I have appreciated the information provided on the board. As a result, I am scheduled to join the bionic brotherhood on February 12th. Dr Amin Herati of Johns Hopkins will be doing the surgery. I am very excited--but have one weird question that popped into my head this morning as I was relieving myself. The question: Will I be able to feel the cylinders and when I relieve myself? I don't know why I have the question, but I wondered. Thoughts?
Bob Doan
65 yo, Prostate Cancer - radiation therapy 2018, ED 20 years used pills, MUSE, trimix. Weekly testosterone injections for TRT. AMS 700 CX implanted Feb 12, 2021, 18/1, by Dr Herati, Johns Hopkins

mike123
Posts: 61
Joined: Fri Jul 10, 2020 4:01 pm

Re: Funny Question

Postby mike123 » Wed Jan 27, 2021 6:50 pm

Your flaccid with an implant will feel very different from the flaccid you're used to. It will be much stiffer. When holding it to relieve yourself, it will feel larger, heavier and less pliable. Your shake at the end will change due to the stiffness. You won't feel the cylinders per se, but you will definitely feel the effect they have on your penis. None of this is a bad thing. Just different.
Implanted 2020 Nov 30 with Titan 22cm, no RTEs by Dr Dineen in Daytona Beach.
TURP for BPH 2020 Jul 27. Resulted in RE.
ED started around 2005.

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: Funny Question

Postby Lost Sheep » Wed Jan 27, 2021 7:06 pm

rjdoan wrote:OK, I've been lurking for a while--and I have appreciated the information provided on the board. As a result, I am scheduled to join the bionic brotherhood on February 12th. Dr Amin Herati of Johns Hopkins will be doing the surgery. I am very excited--but have one weird question that popped into my head this morning as I was relieving myself. The question: Will I be able to feel the cylinders and when I relieve myself? I don't know why I have the question, but I wondered. Thoughts?

When you read Mike123's experience, keep in mind that he has a Titan from Coloplast The AMS implants are made of a more pliable material, thus my flaccid is much closer to my pre-implant feel. In fact, if I am 10%-15% inflated, almost indistinguishable. If I have deflated to a lower degree than that, I can feel the implant tubes as flat, pliable tubes that are even smaller than my flaccid natural tunica albuginea. Strange folds are apparent if I feel for them. There are plastic tips in my glans. I can feel them. The tubes that transfer fluid among the reservoir, pump and implant tubes can be felt, too, depending on how they were routed through your anatomy.
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

mike123
Posts: 61
Joined: Fri Jul 10, 2020 4:01 pm

Re: Funny Question

Postby mike123 » Wed Jan 27, 2021 8:00 pm

LS is right. Titans are stiffer than AMS. I am also not able to deflate as fully as most. When LS and most others deflate, they are able (if they choose) to squeeze nearly the entire length of the inflatable part of their implant to remove the liquid. If the implant is deflated to that degree, there will be more folds making it more noticeable. For that reason, many will leave it partially inflated.

In my case, I've got a 22cm implant. Of that, 5cm is non-inflatable hard plastic. Of the remaining 17cm, only 9cm is outside my body with the remaining 8cm inside. That means that when deflating, I can only squeeze half of the inflatable part of the implant to get the liquid out. That tends to leave more liquid in mine than in most others. The result is that I don't get a lot of the dog ear folds that come with more deflated cylinders making the feel of the cylinders is less noticeable, but also me stiffer than a lot of others.
Implanted 2020 Nov 30 with Titan 22cm, no RTEs by Dr Dineen in Daytona Beach.
TURP for BPH 2020 Jul 27. Resulted in RE.
ED started around 2005.

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Funny Question

Postby Waynetho » Wed Jan 27, 2021 8:17 pm

Additionally, I hear that the tips of the Titans are softer than the tips of AMS but I can't speak from experience for the Titans.

I do know I once equated the feeling of the AMS CX cylinder tips in the tip of my penis to feeling like two short library pencils had been stuffed inside my dick because of the hard plastic, slightly pointy tips at the end of the cylinders.

They don't cause any problems but I had to be careful when learning how to deflate, so I didn't squeeze too close to the glans to squeeze the saline out, otherwise squeezing the plastic tips does hurt a little.
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

544kenmatt
Posts: 221
Joined: Sun Nov 17, 2019 10:17 am
Location: ROCHESTER , NY

Re: Funny Question

Postby 544kenmatt » Wed Jan 27, 2021 9:32 pm

agree with Mike123. My flaccid is larger now and harder, but as he said, it's not necessarily a bad thing.

My implant always has some residual saline in it, even when I squeeze most of it out when deflating. I get a slow "flowback" of saline.

It's not an erection, just a semi, I guess. Urination is not affected in any way.
AMS 700 LGX 10/31/2019. age 63

User avatar
rjdoan
Posts: 125
Joined: Sun Dec 06, 2020 11:45 am
Location: Baltimore, MD

Re: Funny Question

Postby rjdoan » Thu Jan 28, 2021 11:59 am

Thanks all for the information. I have grown tired of dealing with the TRIMIX injection which certainly kills spontaniety. I am very excited since I have been dealing with ED for so many years. I will let you all know how it goes.
Bob Doan
65 yo, Prostate Cancer - radiation therapy 2018, ED 20 years used pills, MUSE, trimix. Weekly testosterone injections for TRT. AMS 700 CX implanted Feb 12, 2021, 18/1, by Dr Herati, Johns Hopkins

MK1965
Posts: 625
Joined: Thu May 24, 2018 5:32 pm

Re: Funny Question

Postby MK1965 » Thu Jan 28, 2021 3:41 pm

I agree with LS.
I experienced both models: Titan and AMS.
Definitely, AMS cylinders are way softer and more pliable when compared to Titan. Flaccid look and feel is very close to natural penis feel.
MK
IPP 9/5/18; TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED,TRIMIX painful, BIMIX ineffective,lost 2+ inches of length after RP. Revision 12/2/20 by Dr Clavell, AMS 700 CX, L 21 R 21+1.5 RTE.

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: Funny Question

Postby Lost Sheep » Thu Jan 28, 2021 3:53 pm

Other factors that might be pertinent

The Titan pump is smaller than the AMS, thus less obvious in the scrotum.

I am surprised no one has jumped in to point out:
The AMS devices, being made of a more-flexible material will never surpass the Coloplast devices in stiffness/rigidity at the same inflation pressure. Not that any of the available devices, AMS (CX, LGX or CXR) or Coloplast (Titan or Titan Narrow Base) are inadequate for any type of sexual activity. They are all PLENTY adequate.

The AMS IPPs come with tubing, pump and reservoir pre- assembled. The Colopast has the surgeon use connectors for the tubing between the components. Thus, the surgeon has the theoretical opportunity to exercise more control over routing the tubing. I have never heard anyone comment on whether or not this is significant at all.
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

MK1965
Posts: 625
Joined: Thu May 24, 2018 5:32 pm

Re: Funny Question

Postby MK1965 » Thu Jan 28, 2021 4:00 pm

LS,
When you mentioned tubing, my Titan tubing was very prominent and tenting scrotal skin in few places. Was also palpable at penis base on both sides, right and left.
My AMS tubings are not visible nor easily palpable in the scrotum.
Surgeon did good job placing tubing a beet deeper and covered it in multiple layers.
MK
IPP 9/5/18; TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED,TRIMIX painful, BIMIX ineffective,lost 2+ inches of length after RP. Revision 12/2/20 by Dr Clavell, AMS 700 CX, L 21 R 21+1.5 RTE.


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