I have answers: TEP, Rigicon, Expandables, Pump Position etc etc

[splitpeach]

The Rigicon implant is available in Manchester at Trafford General, Sheffield & Southampton. It’s also available privately at many different locations.

In terms of UCLH unfortunately they are under contract with Coloplast & Boston scientific. Rigicon wasn’t available in the UK market when this contract went live hence it not being available. The hope is it will be available once the contract ends next year

Do you know if there is any way that the Rigicon could be used for an implant procedure at UCLH? Under a trial or fellowship perhaps?

Otherwise are there any other NHS departments that use Rigicon IPPs other than Trafford General, Sheffield and Southampton?

Someone else on here said they got one at the Manchester Royal Infirmary.

What would the differences be between Infla10X / AX to say a Titan Coloplast?

[2435tjklAS]

What he say about the tunica expansion procedure (TEP)?

[splitpeach]

What he say about the tunica expansion procedure (TEP)?

He didn't advise it for me as I have a slight congenital curvature that he said TEP could make worse.

I think he said that it is mainly used for peyronies. Been a while now so not so clear on that one.

[niall4473]

Had my appointment this AM to see my consultant surgeon at Manchester Royal Infirmary, he told me that they no longer implant the Rigicon because of 'poor outcomes', and mine is going to have to be removed in it's entirety and replaced with what he called a "Boston", more details when I have them.

[splitpeach]

Had my appointment this AM to see my consultant surgeon at Manchester Royal Infirmary, he told me that they no longer implant the Rigicon because of 'poor outcomes', and mine is going to have to be removed in it's entirety and replaced with what he called a "Boston", more details when I have them.

Really? This is of course about the inflatable prosthesis?

Was it Ian Pearce or Moghdil you saw?

I'm fascinated by this. Very curious to hear more when you have it.

[Discovernew]

Had my appointment this AM to see my consultant surgeon at Manchester Royal Infirmary, he told me that they no longer implant the Rigicon because of 'poor outcomes', and mine is going to have to be removed in it's entirety and replaced with what he called a "Boston", more details when I have them.

Rigicon had several problems with the pump when it was released a few years ago, but they released a new pump last year which fixed a lot of the problems.

Did you have your surgery with Dr Ralph? And when will you do your revision?

[sambalamba]

So I had my appointment with Prof David Ralph at UCLH and I got as close to an interrogation as I could.

He said that Coloplast had been saying for some time that they would resolve the unnatural flaccid feeling and dog ears by introducing a softer implant to the market. But nothing had arrived yet. (And unlikely to by the time of my surgery)

My doc has told me that Coloplast will release the new implant with more natural flaccid look and a new pump around 2030.

With regard to girth and residual erection. The info conveyed to me by my doc is that he does a 12mm distal dilation. So there would be quite a bit of leftover corporal tissue. With an AMS CX I can expect to get more residual erection since the cylinder diameter maxes out around 18mm or so which is less than the Titan around 22mm+. But the down side is, tissue thinning will happen over time and chances of losing girth over time is higher with the CX. On the flip side, with the Titan I can expect minimal residual erection for the same exact reason you described and if there is auto inflation or I keep my penis partially inflated to avoid dog ears the tissue will thin out faster.

[splitpeach]

Had my appointment this AM to see my consultant surgeon at Manchester Royal Infirmary, he told me that they no longer implant the Rigicon because of 'poor outcomes', and mine is going to have to be removed in it's entirety and replaced with what he called a "Boston", more details when I have them.

Rigicon had several problems with the pump when it was released a few years ago, but they released a new pump last year which fixed a lot of the problems.

Did you have your surgery with Dr Ralph? And when will you do your revision?

It wouldn't be Ralph if he was seen in Manchester. Likely either Ian Pearce or Vaibhav Mogdil. Ralph only offers Rigicon in his private practice.

[splitpeach]

So I had my appointment with Prof David Ralph at UCLH and I got as close to an interrogation as I could.

He said that Coloplast had been saying for some time that they would resolve the unnatural flaccid feeling and dog ears by introducing a softer implant to the market. But nothing had arrived yet. (And unlikely to by the time of my surgery)

My doc has told me that Coloplast will release the new implant with more natural flaccid look and a new pump around 2030.

With regard to girth and residual erection. The info conveyed to me by my doc is that he does a 12mm distal dilation. So there would be quite a bit of leftover corporal tissue. With an AMS CX I can expect to get more residual erection since the cylinder diameter maxes out around 18mm or so which is less than the Titan around 22mm+. But the down side is, tissue thinning will happen over time and chances of losing girth over time is higher with the CX. On the flip side, with the Titan I can expect minimal residual erection for the same exact reason you described and if there is auto inflation or I keep my penis partially inflated to avoid dog ears the tissue will thin out faster.

That's useful (and disappointing) to hear. 2030 is way too far off. I would have thought with Rigicon coming out more than five years ago they'd have been quicker than that.

Whereabouts would tissue thinning take place? In the glans and wherever the "dog ears" would be present?

How common and significant is tissue thinning over time?

[sambalamba]

That's useful (and disappointing) to hear. 2030 is way too far off. I would have thought with Rigicon coming out more than five years ago they'd have been quicker than that.

Whereabouts would tissue thinning take place? In the glans and wherever the "dog ears" would be present?

How common and significant is tissue thinning over time?

No clear guidance from my doc on tissue thinning. I presume there is too much variability from person to person. General guidance was tissue thinning will happen around the shaft. Glans erosion is rare. Dog ear spots in some people can cause chronic inflammation which can cause tissue thinning. When I get my implant I'm still leaning towards the Titan. If tissue thinning was such a big issue with the Titan then they would have hard time gaining market share. But over the years Titan has captured more market share away from AMS.

Could you share your girth mid-shaft?