Coffin effect = shrink to fit

[DougAnd]

What has been described here as pseudo coffin is actually the shrink to fit method that all of us have experienced. Modern implants and pumps were NOT designed for this. The pumps cannot give enough pressure to efficiently stretch out undue scarring. So basically dilation induces Peyronies disease in us all. Then these knuckleheads allow scarring to set in and then on your mark get set go! You start pumping AFTER scar has already crossed the finish line. We all had the coffin effect before starting to cycle. Scarring has won within the first 2 weeks. 6 weeks is an easy victory the celebration has long passed no one is even watching the race.
Decades ago the implant pumps were very powerful and the implants crude. That is what today's surgeons learned in premed etc. No longer applies to AMS and Titan implants. Not even similar technology.
Every one of our doctors has placed us in a coffin and nailed it shut. Why not, less problems for them more money in their pockets. There are a few exceptions.
if your surgeon had you cycle within 2 weeks or inflated you for 10 days or more I'd like know. Anyone?
Thanks

[Dave52]

Yes my surgeon had me cycling on day three and everyday since.

[DonDon]

"Shrink to fit" is the ideal description. I have lost a lot of length also. RP took away about an inch and a quarter, and the implant, which barely reached the glans at first, seemed small to me as soon as the swelling went down. Since I am fully adjusted to the implant, my penis has "shrunk to fit" around the tubes and the tip is mid-glans now. However, that took away another inch. Not my favorite outcome. I have NO hope that any of my length will return. I double pump every day, usually in the morning when the alarm goes off. In the shower I add 4 to 5 more pumps to really harden it up. I keep it inflated for about 2 hours, or until I have to put on pants. Of course I also pump it up at night, but not every night. For sex I usually am most happy with about 80% inflation, so 80% is not doing anything to stretch things out. I had asked for the LGX, but Dr refused, saying it doesn't work. (Really??) As I said it has SHRUNK to the length of the inflated implant over time. I think the LGX would have been better for this shrink to fit issue. It is supposed to expand lengthwise about 20 percent and that would have made up most of the difference before implant to after.

It's still the best decision of my sex life and I will never have to worry about ED the rest of my life as non-implanted men do. So many of my grandparents and uncles quit having sex in their 60s and 70s. The women like it too.

[Larry10625]

"Shrink to fit" is the ideal description. I have lost a lot of length also. RP took away about an inch and a quarter, and the implant, which barely reached the glans at first, seemed small to me as soon as the swelling went down. Since I am fully adjusted to the implant, my penis has "shrunk to fit" around the tubes and the tip is mid-glans now. However, that took away another inch. Not my favorite outcome. I have NO hope that any of my length will return. I double pump every day, usually in the morning when the alarm goes off. In the shower I add 4 to 5 more pumps to really harden it up. I keep it inflated for about 2 hours, or until I have to put on pants. Of course I also pump it up at night, but not every night. For sex I usually am most happy with about 80% inflation, so 80% is not doing anything to stretch things out. I had asked for the LGX, but Dr refused, saying it doesn't work. (Really??) As I said it has SHRUNK to the length of the inflated implant over time. I think the LGX would have been better for this shrink to fit issue. It is supposed to expand lengthwise about 20 percent and that would have made up most of the difference before implant to after.

It's still the best decision of my sex life and I will never have to worry about ED the rest of my life as non-implanted men do. So many of my grandparents and uncles quit having sex in their 60s and 70s. The women like it too.

Sorry to say, the doctor is FULL OF IT!!! There are MANY of us with the LGX that have regained length, me included. It's a shame that the patient suffers, not the doctor and his lack of understanding of the equipment he/she is using.

Larry

[David_R]

There are MANY of us with the LGX that have regained length, me included.

Me too.

[wallyworld]

Here are some data points I am puzzling over relative to this subject. One is the the pseudo-capsule "coffin-effect" study had a small sample size of 46 patients. Large enough to be statistically significant? Too small to be anything more than an interesting piece of data? Don't know. I do know that if I search "coffin effect" this is the only paper that comes up. If there are some other relevant studies, please point me towards them.

Another is that Dr Eid enjoys a stellar reputation and has been doing this for 27 years - he touts that on his site. But he only started doing the almost immediate cycling 4 years ago. That means that for 23 years he did the 4-6 week wait for cycling as was stated in the 2014 interview with him I found on Yahoo Finance. Still, he must have had excellent success with the old approach to achieve the reputation he did. So is the new procedure more incremental than exponential? Or, another way to ask that is whether the old method creates that much more risk of encountering the "coffin effect"?

Yet another is that AMS's written Operating Room procedures still recommend a 3 to 6 week wait before cycling. Seems to me that they would have a significant interest in wanting their customers to have a positive experience and would not want to continue a practice that has a statistically significant chance of disappointing us. I temper that with the fact that their video is now recommending cycling sooner. But countering that is the AMS support team states that the reservoir encapsulation is more of an issue than the cylinder encapsulation. They are telling me that the implant CAN stretch the pseudo-capsule.

Lastly, my surgeon, who has me waiting 6 weeks, is aware of the encapsulation issue and VERY aware of my interest in maintaining my size yet he made the call during surgery to give the reservoir encapsulation priority over the cylinders. This was a reversal of what he was planning to do which was to leave the cylinders inflated. What caused the change? Was it my anatomy? The AMS rep's suggestion? Again, don't know but the Doc remains confident I will maintain my length. So is the "coffin effect" risk that great? Doesn't sound as if it is. I'm not suggesting it isn't real just that it may not be that great. Or it may be a great risk and many doctors and AMS aren't recognizing it for some reason?

For me, I am just sharing why I'm not freaking out that my Doc has me on hold for 6 weeks. Plus, I couldn't even imagine trying to cycle on day 3. Wasn't ready physically or psychologically. Just started handling the pump this week.

Just my thoughts on the subject as a very, very recent implantee - 10/22.

Mark

[London lad]

I am having penile-implant in the UK, where I've been offered either Titan or AMS.

Is AMS the same thing as "LGX"?

Not sure if LGX is offered on NHS in the UK - I've been told I can either have "Titan" or "AMS" - so not sure if LGX would be referring to the same thing as AMS.

I did come across an interesting study about high satisfaction rates with LGX (with respect to post-penile length) at the below:
http://www.ajandrology.com/article.asp? ... last=Negro

[wallyworld]

I am having penile-implant in the UK, where I've been offered either Titan or AMS.

Is AMS the same thing as "LGX"?

AMS is the mfgr and LGX is one of their models. It expands length and girth. That's the L and G in LGX.

Thanks for sharing the article and good luck.

Mark

[Dave52]

I will caution you that The stats on the LGX are not totally documented to give all the advertising they are hyped up to. The Titan also is trumped up. Do your own research talk to people that have both before you make your decision. Each has there strong points and their weak so
Don’t let the advertising hype sway your decision.
Dave

[DougAnd]

Here are some data points I am puzzling over relative to this subject. One is the the pseudo-capsule "coffin-effect" study had a small sample size of 46 patients. Large enough to be statistically significant? Too small to be anything more than an interesting piece of data? Don't know. I do know that if I search "coffin effect" this is the only paper that comes up. If there are some other relevant studies, please point me towards them.

Another is that Dr Eid enjoys a stellar reputation and has been doing this for 27 years - he touts that on his site. But he only started doing the almost immediate cycling 4 years ago. That means that for 23 years he did the 4-6 week wait for cycling as was stated in the 2014 interview with him I found on Yahoo Finance. Still, he must have had excellent success with the old approach to achieve the reputation he did. So is the new procedure more incremental than exponential? Or, another way to ask that is whether the old method creates that much more risk of encountering the "coffin effect"?

Yet another is that AMS's written Operating Room procedures still recommend a 3 to 6 week wait before cycling. Seems to me that they would have a significant interest in wanting their customers to have a positive experience and would not want to continue a practice that has a statistically significant chance of disappointing us. I temper that with the fact that their video is now recommending cycling sooner. But countering that is the AMS support team states that the reservoir encapsulation is more of an issue than the cylinder encapsulation. They are telling me that the implant CAN stretch the pseudo-capsule.

Lastly, my surgeon, who has me waiting 6 weeks, is aware of the encapsulation issue and VERY aware of my interest in maintaining my size yet he made the call during surgery to give the reservoir encapsulation priority over the cylinders. This was a reversal of what he was planning to do which was to leave the cylinders inflated. What caused the change? Was it my anatomy? The AMS rep's suggestion? Again, don't know but the Doc remains confident I will maintain my length. So is the "coffin effect" risk that great? Doesn't sound as if it is. I'm not suggesting it isn't real just that it may not be that great. Or it may be a great risk and many doctors and AMS aren't recognizing it for some reason?

For me, I am just sharing why I'm not freaking out that my Doc has me on hold for 6 weeks. Plus, I couldn't even imagine trying to cycle on day 3. Wasn't ready physically or psychologically. Just started handling the pump this week.

Just my thoughts on the subject as a very, very recent implantee - 10/22.

Mark

Mark my AMS video given to me when I went home says to start cycling the first week on. No doubt just like Eid they realized they have been screwing up thousands of patients for no good reason for years. Why would they change otherwise. Answer they wouldn't. Coffin effect doesn't mean it's gone forever just that it's gone for now so you had better run like hell to catch it. Stupid stupid stupid. Would you rather drive a car or walk every where? That is the difference between breaking scarring early or waiting till it's to damn late. We don't need studies we have thousands here who have suffered from this tragedy.