RTEs

[Steve5231]

What are RTEs? I keep reading where they’re sometimes used but I don’t know what for.

[Wiggles123]

They are implant Rear Tip Extenders.

[wolfpacker]

Rear Tip Extenders: when performing the implant operation, the surgeon will attempt to measure how long of an implant will be required, according to the size of the patient's penis. However, after inserting an implant inside the patient's dick according to the measurements, the surgeon may sometimes find that the measurements were slightly off and additional length is needed so that the tips of the implant will be fully inside the glans/head of the dick. So implant manufacturers make Rear Tip Extenders that are 1cm each and the surgeon can attach those to the rear (proximal portion) of the implant. This way the surgeon doesn't have to pull back out the $10k implant and throw it away to grab a slightly bigger size, which would also increase infection risk. Ideally the surgeon would measure exactly the right size and not need any RTEs; RTEs are undesirable because they do not inflate like the rest of the implant, they're just hard plastic. The more highly skilled the surgeon, the more likely that correct measurements will be taken and RTEs will not be needed.

Thank you for attending Rear Tip Extenders 101!

[iwantanewone]

Additionally to the above explanation, it’s my understanding that the implants don’t come in the perfect size for everyone so to make as perfect fit as possible an RTE will be used and it seems that most people do end up with an RTE…

[crazyjoe]

I know Eid tends to avoid them for the above cited reasons -- not sure but I think he will first cut tubes rather than use an RTE? or am I wrong?

[wolfpacker]

I know Eid tends to avoid them for the above cited reasons -- not sure but I think he will first cut tubes rather than use an RTE? or am I wrong?

Yes Dr Eid cut 1cm off of one of my implant cylinders for that reason

[Txagq8]

Wolf: a couple of questions since you seem to know what you’re talking about.

Does the use of RTEs affect erection angle? Reason I ask….I ended up with a really nice angle. My doc used the LGX in a 18+5 RTE configuration. After seeing a picture of my results one of the guys on here wondered if that had anything to do with it.

There’s no plumbing in the RTE at all, right? So wherever the implant ends is going to be where you get your tubing connection to close system between reservoir, pump, and cylinders? Reason I ask…5 cm seems like a lot of RTE. but I’ve had multiple hernia repairs and have mesh…scar tissue…the works. Could the larger amount of RTE in me be due to a desire to shorten tubing, allow for a smaller reservoir, etc?

[gjmjoe017]

To be honest when I saw you had 5 RTE’s I am to the conclusion he was way off on measuring you!Keepnin mind when they open that sterile Implant they bought it,there’s no opening another one!

[newbie443]

What are RTEs? I keep reading where they’re sometimes used but I don’t know what for.

Rear Tip Extenders: when performing the implant operation, the surgeon will attempt to measure how long of an implant will be required, according to the size of the patient's penis. However, after inserting an implant inside the patient's dick according to the measurements, the surgeon may sometimes find that the measurements were slightly off and additional length is needed so that the tips of the implant will be fully inside the glans/head of the dick. So implant manufacturers make Rear Tip Extenders that are 1cm each and the surgeon can attach those to the rear (proximal portion) of the implant. This way the surgeon doesn't have to pull back out the $10k implant and throw it away to grab a slightly bigger size, which would also increase infection risk. Ideally the surgeon would measure exactly the right size and not need any RTEs; RTEs are undesirable because they do not inflate like the rest of the implant, they're just hard plastic. The more highly skilled the surgeon, the more likely that correct measurements will be taken and RTEs will not be needed.

Thank you for attending Rear Tip Extenders 101!

Wolf: a couple of questions since you seem to know what you’re talking about.

Does the use of RTEs affect erection angle? Reason I ask….I ended up with a really nice angle. My doc used the LGX in a 18+5 RTE configuration. After seeing a picture of my results one of the guys on here wondered if that had anything to do with it.

There’s no plumbing in the RTE at all, right? So wherever the implant ends is going to be where you get your tubing connection to close system between reservoir, pump, and cylinders? Reason I ask…5 cm seems like a lot of RTE. but I’ve had multiple hernia repairs and have mesh…scar tissue…the works. Could the larger amount of RTE in me be due to a desire to shorten tubing, allow for a smaller reservoir, etc?

Titan cylinders come in 2cm increments and AMS in 3cm increments. The primary use of RTE's are to bridge the gap in cylinder sizes. They are available in .5cm increments. This is why many doctors say they will get the tips in the glans with in .5 cm of each other. Other uses for RTE's are if the doctor wants or needs the attachment point of the tubing to the cylinders to match the incision in the tunica. This can be doctor preference or because the Crus cannot be dilated enough to permit the tubing and attachment point to go down into the Crus or inside the mans body. RTE's are narrower than the cylinders. Another use is the selection of a certain device size. The LGX 21cm cylinders have pushed the limits of the design to far according so some well known doctors and they will not use it. So a 18cm LGX with additional RTE's or a 21cm CX will be used. And another paper showed the 18cm Titan cylinders to have greater girth than the 22 Titan cylinders. So again RTE's could be used.

Some well known doctors have published the dislike for RTE's. They say erection angle is better and the device is more stable. Some information indicates that due to the narrower diameter of the RTE's that they can wobble out the space in the Crus. Where as the inflatable portion will inflate and even expand to fill the space for more support. This is an advantage for the Titan having 2cm size increments in that less RTE's would be needed. And it permits some doctors to shorten the hard proximal end of the cylinder so that no RTE's are used and that the cylinder tip in the glans are exactly the same.

You can do a search on Rear Tip Extenders for penile implants. The well known NYC doctor has information on his web site about them. And I would bet the well known Florida doctor dose as well and maybe even a video.

I hope this helps out a bit. There is most likely more to this than I understand and is just how my brain sees this.