Question about rear tip extenders

[northernboy]

I have a question about the use of rear tip extenders(RTEs). I understand that they are used in order to adjust the size of the implants in 0.5 cm increments and that of course that they are not inflatable like the actual implant. But what are the positives and negatives of the RTEs?
Should the surgeon always be looking to use the minimal amount of RTEs when they do an implant?
Why would they use more RTEs instead of moving up to the next size implant (ex. 18cm implant with 3.5 RTE instead of a 21 cm implant with 0.5 cm RTE)?
Can you have an implant with no RTEs at all?
My biggest question is about RTEs and erection angle. I had heard that the fewer RTEs that are used the better the erection angle post-surgery. Is this true?
Thank you to everyone who posts here. I really appreciate the shared knowledge on this subject.

[cbinspok]

Some good Q here, My Doc told me he feels the 18 lgx is superior to the 20 for durability over a long haul so he chooses to do the extenders, I am at 3:30 fully pumped which is lower a tad from 6 mo ago.

[gjmjoe017]

When they start the procedure they open a sterile product based on the size they feel you need but a lot of times when they get the implant in place it is a little short so to achieve the correct length RTE’s are used.Once a sterile product is opened you bought it!They don’t have the luxury of opening a the next size up!RTE’s are a great thing making sure your implant fits properly!

[DougAnd]

I have a question about the use of rear tip extenders(RTEs). I understand that they are used in order to adjust the size of the implants in 0.5 cm increments and that of course that they are not inflatable like the actual implant. But what are the positives and negatives of the RTEs?
Should the surgeon always be looking to use the minimal amount of RTEs when they do an implant?
Why would they use more RTEs instead of moving up to the next size implant (ex. 18cm implant with 3.5 RTE instead of a 21 cm implant with 0.5 cm RTE)?
Can you have an implant with no RTEs at all?
My biggest question is about RTEs and erection angle. I had heard that the fewer RTEs that are used the better the erection angle post-surgery. Is this true?
Thank you to everyone who posts here. I really appreciate the shared knowledge on this subject.

First keep in mind that your doc will do what he feels best. I've had extended conversations with different docs and AMS RNs about the rte. I was told that no rtes leaves too much expandable cylinder inside of you and can cause herniation of the tissue. That too many rtes causes you to have a floppy erection with little control. 3 to 4cm was said to be the perfect number for me. But keep in mind that not everyone has the same proximal measurement. Mine was 11cm. Some docs only partially dilate downward and need no rtes. A guy who has 15cm proximal would need more than 4cms.

[tomas1]

I believe docs probably also use RTEs to get the tubes to go straight down to the pump and out of the shaft.
I don't like that rationale, but it's probably easier for them.
I think my penis is able to flop around too much even when fully inflated.

[DougAnd]

I believe docs probably also use RTEs to get the tubes to go straight down to the pump and out of the shaft.
I don't like that rationale, but it's probably easier for them.
I think my penis is able to flop around too much even when fully inflated.

Tomas,
What did they do for your prostate cancer?

[nuance]

When they start the procedure they open a sterile product based on the size they feel you need but a lot of times when they get the implant in place it is a little short so to achieve the correct length RTE’s are used.Once a sterile product is opened you bought it!They don’t have the luxury of opening a the next size up!RTE’s are a great thing making sure your implant fits properly!

In merrix's case, Dr Eid swapped out the initial one with a bigger one (probably before it was opened) since he didn't want to add RTE.

[oldbeek]

I have 5,5 cm of rte to get the tubes into the right position. My cruses area is 3 inch deep. I stand proud at 3 o'clock. Can hang a towel on it.

[newbie443]

I have a question about the use of rear tip extenders(RTEs). I understand that they are used in order to adjust the size of the implants in 0.5 cm increments and that of course that they are not inflatable like the actual implant. But what are the positives and negatives of the RTEs?
Should the surgeon always be looking to use the minimal amount of RTEs when they do an implant?
Why would they use more RTEs instead of moving up to the next size implant (ex. 18cm implant with 3.5 RTE instead of a 21 cm implant with 0.5 cm RTE)?
Can you have an implant with no RTEs at all?
My biggest question is about RTEs and erection angle. I had heard that the fewer RTEs that are used the better the erection angle post-surgery. Is this true?
Thank you to everyone who posts here. I really appreciate the shared knowledge on this subject.

Wow!! The responses are all over the place on this. This is the OR instructions from AMS for doctors. https://www.bostonscientific.com/conten ... M_en_s.pdf Page 14 is about measurements and page 15 about cylinder length selection. So this is what the doctors are advised to do by AMS. If the proximal portion of the corpora cannot be dilated enough or if the surgeon wants the tubes to exit the corporotomy for some reason then method B is used. If not method A should be used.

[tomas1]

What did they do for your prostate cancer?

Doug, sorry to go off topic but I'll keep it short.
Still doing active surveillance. Last biopsy failed to show ant cancer, but that doesn't mean much.
Maybe that it hasn't spread?

Next, I had my PSA go up more than I'd like.
We'll see where the next PSA falls.
Thanks for asking.