Titan Premature Failure 2y > Infection from Revision > Tactra Salvage and length loss

The final frontier. Deciding when, if and how.
principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Titan Premature Failure 2y > Infection from Revision > Tactra Salvage and length loss

Postby principles » Sat Nov 19, 2022 4:22 pm

Hi friends,

Had my revision done yesterday at 07:00. First day was great, got out of the hospital same day at 20:00.

Started having moderate pulsating pain after I got home, similar to the first surgery, precisely located near the new pump.
Of course, peeing was also very painful after I got back home and after the anesthesia post effects subsided, and I almosted passed out trying to empty the bladder for the first time at home. I woke up from surgery without a catheter this time.

The culprit for this revision was a tubing failure near the pump. I have attached a photo from the surgery showing the tiny little hole that caused this failure. It's hard to believe that I had to get opened up to fix this tiny little fucker of a rupture :lol:

The whole system was replaced except for the reservoir. At my request, we did get it topped up to 140ml since I was easily maxing out the previous amount of fluid (we suspect it was 90 ml from the first surgery).

Relatively rought first 24 hours as expected, I'll be laying down as much as I possibly can.

I'll try to provide some updates for my own referencing in the future, hopefully some information is also useful to any of you going through something similar.

Thanks for reading!
Last edited by principles on Sun Jan 29, 2023 6:58 am, edited 8 times in total.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Sat Nov 19, 2022 4:26 pm

a.jpg
a.jpg (235.74 KiB) Viewed 2337 times
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

Jage64
Posts: 515
Joined: Sat Oct 22, 2022 9:38 pm

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby Jage64 » Sat Nov 19, 2022 4:28 pm

I guess they haven't designed a 'patch' for tubes with such a small breach? Seems I've seen on youtube surgeons cutting the tubes to the proper length and then using a connector to make a leakproof connection. Sure seems like it'd be far less traumatic to install a patch coupler there rather than go through a complete replacement.

I suppose since they're in there they might as well restart the clock on the whole implant, but boy that'd be tempting to just patch and be back on your feet in a day or two.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Sat Nov 19, 2022 4:31 pm

Surgeon said the exact thing, however I did want to get an upgrade to the XL size since I wanted to reduce RTE's. The only thing that was not replaced was the reservoir. It took me a long while to feel it was completed healed. It'd bother me even nearly a year after the initial surgery after I was running or jumping for more than 20m. The end of 5ks was painful due to the sharp pain near the reservoir. That just happened during heavy exercising though, daily routine was completely uneventful, so I also requested to maintain the current reservoir unless there was a real reason to have it replaced.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

newbie443
Posts: 1827
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby newbie443 » Sun Nov 20, 2022 2:46 am

It has been stated by a number of sources that the tubing is a less than strong part of the Coloplast device. I have read that Coloplast has the tubing made by another manufacturer. Unlike AMS that produces tubing inhouse. Probably best you had all that old tubing removed and replaced.

Good luck.
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.

Gt1956
Posts: 2859
Joined: Fri Apr 05, 2019 2:47 pm

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby Gt1956 » Sun Nov 20, 2022 10:21 pm

I'm thinking the tubing was damaged by the forceps. In the YouTube videos, it seems that the tubing is frequently pinched shut as all the parts are assembled. They don't want any saline to leak out of the reservoir.
Not saying that this is common or a large fault of the surgeon. But I'm betting on that scenario .
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Sun Nov 20, 2022 11:42 pm

Gt1956 wrote:I'm thinking the tubing was damaged by the forceps. In the YouTube videos, it seems that the tubing is frequently pinched shut as all the parts are assembled. They don't want any saline to leak out of the reservoir.
Not saying that this is common or a large fault of the surgeon. But I'm betting on that scenario .


Interesting hypothesis. We'll never know however.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Sun Nov 20, 2022 11:43 pm

newbie443 wrote:It has been stated by a number of sources that the tubing is a less than strong part of the Coloplast device. I have read that Coloplast has the tubing made by another manufacturer. Unlike AMS that produces tubing inhouse. Probably best you had all that old tubing removed and replaced.

Good luck.


Thanks. Recovery is already much better than the first surgery. Currently, I have no pain.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

User avatar
ShouldIwait
Posts: 253
Joined: Fri Apr 03, 2020 12:36 am
Location: Southern Calif

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby ShouldIwait » Mon Nov 21, 2022 1:43 am

Would love to know the difference you feel going from standard to "XL"
Im 22 +1rte and was disappointed to not have the 24xl
57, ED 10-15 years. Pills, Bi, Tri then Quad Mix Injections- all slowly less effective. IPP July 2022 (Penscrotal, Titan, 22 + 1) @6mo back to OEM--7.2"L x 5.5"w

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Mon Nov 21, 2022 5:41 am

I'll let you know if I notice any difference within a few months from now.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.


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