Is this doctor good enough for implant surgery?

The final frontier. Deciding when, if and how.
LGXDownunder
Posts: 457
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: Is this doctor good enough for implant surgery?

Postby LGXDownunder » Sun Nov 02, 2025 9:34 am

ElbowRoom wrote:Downunder…

I’m just a layman going off my own research and what I’ve been told by others, so I could be off on any or all of what I said. The rigidity may just be a matter of a broomstick vs. an iron rod. :lol: I know my Titan fully inflated is ridiculously hard, to the point that if seems it would be uncomfortable to both partners, and if an LGX is even 80% of that it’s more than adequate for any human endeavors. :D

I do think the lengthwise expansion is kind of marketing though…if it was really stretching the length out significantly it would be causing erosion issues. Now it certainly might help create a more natural flaccid by being undersized when deflated and then expanding to fill the tunica when inflated.

Again, I’m not an expert and likely talking out of my ass.

Elbow, From what I've read the Titan is definitely the most rigid implant available. I'm assuming that's why it seems to be the most common choice for larger penises, apart from having a broader range of sizes. Simple physics I guess. Heavier, longer shaft needs better support for sustained penetration.
I think the LGX cylinders themselves probably can expand to whatever is claimed, but they can't expand anyone's dick beyond its natural maximum size. The more I've cycled the deeper into the glans the tips have become, and they are now very far in. Which probably means that I'm at or close to my limit, so I'm mindful not to overdo it and risk any erosion. Strangely, fully bone pressed I now appear to be visually longer flaccid than erect. But I have some curvature when erect, and girth has started to thicken at the base, which confuses things.

p.s. Mrs thinks I always talk out of my ass :lol:
71, married, Sydney Oz. PC & nerve sparing RRP Mar 22, profound ED since. Tried pills, Trimix inj, focal shockwave, VED.
Finally implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal.
Recovery great so far but have a bend.

macoza
Posts: 256
Joined: Sat Oct 15, 2022 7:45 pm

Re: Is this doctor good enough for implant surgery?

Postby macoza » Sun Nov 02, 2025 10:43 am

prguy3 wrote:That sucks... IF going out of pocket, definitely make sure you get a high volume surgeon.


Thanks I'll do that. But I first have to see if my company has the insurance to cover Eid's surgery. I just started working and I found out it has the 'Freedom' insurance from Oxford which I believe Eid accepts. But got to make sure.

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macoza
Posts: 256
Joined: Sat Oct 15, 2022 7:45 pm

Re: Is this doctor good enough for implant surgery?

Postby macoza » Sun Nov 02, 2025 10:54 am

LGXDownunder wrote: The LGX seems to be something of a workhorse for those of us with average sized dicks, especially those who have suffered some level of atrophy after PC/prostatectomy and consequent ED. I had a bit over 6 inches originally, as best as I can recall, and definitely lost some size after my RP.

I assume the doctor will measure me for size and best match me to either AMS or Titan. Is this what the doctor did for you for your implant?

Post implant I'm well above 6 inches after many months of cycling. Substantially bigger flaccid than I've ever been in my life. My aim was to get back my original size back. I seem to have done that, maybe very slightly more, and I knew that you can't expect more than that. I have the longest LGX cylinders at 21cm, albeit without any RTEs. Fully pumped it stands erect like an impenetrable Rock of Gibraltar. I cannot imagine anyone possibly wanting it harder.

But is getting back your original length needed to get orgasm? For example,when you were you able to safely have sex postop, were you able to have reach orgasm even with the size that you werent satisfied with postop?

Maybe mine is somehow anchored better, or the lack of RTEs makes a difference

Whats RTE?

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macoza
Posts: 256
Joined: Sat Oct 15, 2022 7:45 pm

Re: Is this doctor good enough for implant surgery?

Postby macoza » Sun Nov 02, 2025 11:01 am

LGXDownunder wrote:the Titan is definitely the most rigid implant available. I'm assuming that's why it seems to be the most common choice for larger penises, apart from having a broader range of sizes. Heavier, longer shaft needs better support for sustained penetration.

But whats considered "large penis?" Will the doctor determine which device is best for me before the surgery based on size?

But I have some curvature when erect, and girth has started to thicken at the base, which confuses things.

Is this curvature the result of the surgery?

LGXDownunder
Posts: 457
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: Is this doctor good enough for implant surgery?

Postby LGXDownunder » Sun Nov 02, 2025 8:23 pm

LGXDownunder wrote:The LGX seems to be something of a workhorse for those of us with average sized dicks, especially those who have suffered some level of atrophy after PC/prostatectomy and consequent ED. I had a bit over 6 inches originally, as best as I can recall, and definitely lost some size after my RP.

macoza wrote:I assume the doctor will measure me for size and best match me to either AMS or Titan. Is this what the doctor did for you for your implant?

We had discussions pre op about which implant would suit me best. My doc does AMS and Rigicon. I don't know if he also does the Coloplast Titan as he hasn't mentioned them to me. With the sizing he told me he would dilate and measure me on the operating table to get the correct size.

LGXDownunder wrote:Post implant I'm well above 6 inches after many months of cycling. Substantially bigger flaccid than I've ever been in my life. My aim was to get back my original size back. I seem to have done that, maybe very slightly more, and I knew that you can't expect more than that. I have the longest LGX cylinders at 21cm, albeit without any RTEs. Fully pumped it stands erect like an impenetrable Rock of Gibraltar. I cannot imagine anyone possibly wanting it harder.

macoza wrote:But is getting back your original length needed to get orgasm? For example,when you were you able to safely have sex postop, were you able to have reach orgasm even with the size that you werent satisfied with postop?

No, if you can orgasm now you should be able to cum post implant regardless of size. The main thing that affects orgasm is pain while healing. I had the OK for sex at 6 weeks but didn't start having sex until 8 weeks due to discomfort. I had also got some of my size back by then. It also seems fairly common to experience some numbness post op. I had/have some numbness on the underside of my penis mainly near the base. It has slowly gotten better and hasn't affected my ability to orgasm, as the most sensitive parts under the glans kept full sensation. What can make orgasm difficult initially is just discomfort from your penis, scrotum etc getting used to the cylinders, pump and tubing. And the continued stretching of everything from daily cycling. That healing can take some time and how long varies from person to person. I could not orgasm the first few attempts at sex but then gradually started to climax maybe every third time. It was a mix of pleasure and pain at that stage, but slowly got better and now I orgasm 9 times out of 10, and having sex feels great again.

LGXDownunder wrote:Maybe mine is somehow anchored better, or the lack of RTEs makes a difference

macoza wrote:Whats RTE?.

Rear Tip Extenders. They vary in length and surgeons generally use them to get a more accurate fitting when a standard cylinder length is not an exact fit. Sometimes they may also use them if they think it will suit the patient's anatomy better.
71, married, Sydney Oz. PC & nerve sparing RRP Mar 22, profound ED since. Tried pills, Trimix inj, focal shockwave, VED.
Finally implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal.
Recovery great so far but have a bend.

LGXDownunder
Posts: 457
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: Is this doctor good enough for implant surgery?

Postby LGXDownunder » Sun Nov 02, 2025 8:52 pm

LGXDownunder wrote:the Titan is definitely the most rigid implant available. I'm assuming that's why it seems to be the most common choice for larger penises, apart from having a broader range of sizes. Heavier, longer shaft needs better support for sustained penetration.


macoza wrote:But whats considered "large penis?" Will the doctor determine which device is best for me before the surgery based on size?


It's a bit subjective. The world average is about 5.5 inches but a lot of guys with very big dicks think they are average.
My thinking is probably guys approaching 7 inches and larger, but to be more objective I'm also thinking anyone who would need the Coloplast Titan XL series, which comes in larger length cylinders of 24, 26, and 28 cm. Yes you should have a discussion with your surgeon about what might suit you best, and make them aware of your preferences and objectives. Sometimes they may say they will make a final decision decide in theatre after measuring.

LGXDownunder wrote:But I have some curvature when erect, and girth has started to thicken at the base, which confuses things.


macoza wrote:Is this curvature the result of the surgery?

Not exactly and it's very specific to my case, so I wouldn't be concerned. I had scarring/fibrosis from use of Trimix injections and already had some level of curvature. That was cleaned up during the implant surgery but over time with cycling it has caused a bend to the right. It's actually considered a form of Peyronie's disease. It's mainly cosmetic and doesn't affect sexual function. But I still want to fix it and I'm doing exercises to break up the remaining plaque under my surgeon's guidance.
71, married, Sydney Oz. PC & nerve sparing RRP Mar 22, profound ED since. Tried pills, Trimix inj, focal shockwave, VED.
Finally implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal.
Recovery great so far but have a bend.


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