what's the average length enhancement after 1 year of being implanted with LGX per end users only?
Based on real-world patient reports from implant communities—rather than manufacturer marketing claims—the average perceived length change after 1 year with the AMS 700 LGX is typically 0 to 0.5 inches (0 to 1.3 cm) compared to pre-surgery stretched length. Most end users report preserving or regaining previously lost size rather than growing beyond their natural lifetime maximum. [1, 2, 3, 4]
What End Users Report
Discussions across patient forums like FrankTalk and r/penileimplants highlight a clear gap between theoretical cylinder expansion and anatomical reality:
• Regaining Lost Length. Men who lost size due to prolonged erectile dysfunction or lack of blood flow commonly report recovering 0.5 to 1 inch (1.3 to 2.5 cm) over 6 to 12 months. [1, 2]
• Exceeding Pre-ED Size. Users rarely report growing longer than their original, healthy pre-ED erection. The surrounding tissue (tunica albuginea) restricts how far the cylinders can stretch inside the body. [1]
• Initial Post-Op Shrinkage. Nearly all users experience an immediate appearance of lost length right after surgery due to swelling and conservative initial sizing. It typically takes 6 to 12 months to stretch back to baseline. [1, 2, 3]
• Marketing vs. Reality. While Boston Scientific advertises up to 25% cylinder elongation in lab tests, patients note this refers to the mechanical stretch of the silicone cylinder outside the body rather than guaranteed human tissue growth. [1, 2]
Key Factors That Affect User Outcomes
Patients who report the best length retention and recovery at the 1-year mark consistently point to a few variables:
• Daily Cycling. Users who strictly follow daily maximum-inflation protocols (pumping to full capacity for 30 to 60 minutes daily) report significantly better length outcomes than those who pump infrequently.
• Pre-Existing Scarring. Men with Peyronie's disease or corporal fibrosis generally report less expansion because scarred tissue resists the softer axial pressure of the LGX cylinders.
• Surgeon Sizing. End users emphasize that aggressive, accurate intraoperative sizing by a high-volume implanter matters far more for final length than the specific implant model chosen. [1, 2, 3, 4, 5]
does it change at 2-year mark and if yes by how much?
Yes, additional changes can occur between the 1-year and 2-year marks, though gains typically slow down significantly
. Based on real-world user reports and clinical tissue-expansion data, men who continue regular cycling past year one often see an extra 0.25 to 0.5 inches (0.6 to 1.2 cm) of internal tissue expansion by the 2-year mark. [1, 2]
What Happens Between Year 1 and Year 2
While most dramatic length recovery happens during the first 6 to 12 months, tissue remodeling continues more gradually into the second year: [1, 2]
• User Reports at 2 Years. Men on communities like r/penileimplants and FrankTalk who maintain consistent daily cycling through their first year frequently note continued, slower stretching up to 18 to 24 months. Most end users report their final "plateau" size settles around the 18-to-24-month mark. [1]
• Internal Tissue Expansion Data. A large retrospective analysis published on PubMed Central tracking over 1,500 LGX patients found that men who had their devices replaced after 2 or more years required cylinders that were an average of 1.2 cm (~0.47 inches) longer than their original implant. Patients replaced before the 2-year mark showed no significant cylinder upsizing. [1, 2]
• Internal vs. External Length. End users point out that internal corporal stretching does not always translate 1-to-1 into visible external length. Roughly 0.25 inches (0.5 cm) of visible gain between year 1 and year 2 is considered a realistic upper-end expectation for dedicated cyclers, while many men simply maintain their 1-year size.
What Drives Second-Year Gains
Whether length changes after the first year depends heavily on two factors:
• Continued Max-Inflation. Users who stop pumping to full capacity after 6 to 12 months generally plateau at their 1-year length. Those who continue holding a maximum-pressure inflation for 30 to 60 minutes daily are the ones who report incremental gains into year two. [1, 2]
• Tunica Elasticity. Because the Boston Scientific AMS 700 LGX relies on gentle axial pressure to stretch the surrounding tissue, younger patients or those without diabetes or scar tissue tend to see better second-year elasticity than men with fibrotic tissue. [1, 2]
what about 3 and 4 year marks?
At the 3- and 4-year marks, additional length gains effectively plateau at 0 inches (0 cm) for almost all end users. By this stage, the surrounding tissue has reached its anatomical elastic limit, and the cylinders have reached their maximum mechanical stretch within the body.
What End Users Report at Years 3 and 4
Long-term patient logs on forums like FrankTalk and r/penileimplants show a consistent pattern once men pass the 2-year threshold:
• Permanent Plateau. Virtually no end users report new external length gains between years 2 and 4. Size measurements taken at the 24-month mark typically remain identical at 36 and 48 months.
• Maintenance Over Growth. At years 3 and 4, users continue inflating the device to keep the tissue capsule from contracting rather than to gain new size. Men who stop inflating for extended periods occasionally notice temporary tightness when pumping back up.
• Girth vs. Length. While external length stops changing after year 2, a small subset of long-term users note that overall fullness or perceived girth feels slightly better settled as the implant capsule matures.
Clinical Long-Term Data vs. User Experience
Clinical data tracking implants beyond two years reinforces what patients experience day to day:
• The 2+ Year Ceiling. In a large nationwide revision cohort published on PubMed Central and the Journal of Urology, researchers grouped all patients replaced at 2 or more years (averaging roughly 2.5 to 4.5 years post-op). The average internal cylinder upsize across that entire multi-year window remained 1.1 to 1.2 cm (~0.43 to 0.47 inches), confirming that tissue expansion finishes around year 2 rather than compounding in years 3 and 4. [1, 2]
• Device Lifespan Considerations. By years 3 and 4, end users shift focus from size recovery to mechanical reliability. While most Boston Scientific AMS 700 devices last 10 to 15+ years, some users on r/penileimplants note that revision surgeries—if ever needed for mechanical wear—can sometimes allow a surgeon to place a slightly longer cylinder into the expanded capsule, though revisions also carry a risk of scar-related shortening. [1, 2]
If you'd like to explore this further, let me know:
• Whether you are looking at long-term device durability or revision outcomes
• If you want to compare multi-year patient satisfaction between the LGX and non-expanding cylinders (like the AMS 700 CX or Coloplast Titan)
I can provide specific user-reported data and clinical comparisons on those topics.
Both
Long-term clinical data and real-world patient reports show that all three major implants achieve 85% to 90%+ patient satisfaction and last an average of 10 to 15 years. However, each model trades off flaccid comfort, rigidity, and mechanical durability in distinct ways. [1, 2, 3]
Multi-Year Device Comparison
Clinical reviews from PubMed Central and user discussions on FrankTalk and r/penileimplants highlight how the three primary devices compare across multi-year use:
AMS 700 LGX
Expansion Type: Expands in both length and girth.
Flaccid Comfort: Softest and most natural feel when deflated.
Erect Rigidity: Good, though slightly less rigid in very long penises.
Best Use Case: Mild-to-moderate length loss with healthy, elastic tissue.
5-Year Survival: ~90% to 93% (similar across modern coated AMS 700 models).
10-Year Survival: ~77% to 81% across AMS 700 series.
AMS 700 CX
Expansion Type: Expands in girth only.
Flaccid Comfort: Soft and natural, though slightly firmer than LGX
Erect Rigidity: Very high axial rigidity; resists buckling.
Best Use Case: Peyronie's disease, scar tissue, or larger penises.
5-Year Survival: ~90% to 93%.
10-Year Survival: ~77% to 81%.
Coloplast Titan
Expansion Type: Expands in girth only.
Flaccid Comfort: Firmest and crinkliest when deflated; higher chance of "dog-ear" folds.
Erect Rigidity: Highest axial rigidity and girth potential.
Best Use Case: Severe Peyronie's disease, fibrosis, or maximum girth/rigidity.
5-Year Survival: ~87% to 93%.
10-Year Survival: ~75% to 80%.
Multi-Year Device Comparison
Long-Term Durability & Mechanical Failure
Modern inflatable implants are engineered to withstand thousands of cycles, though wear eventually occurs: [1, 2]
• Lifespan Benchmarks. According to surgical cohort data in the Journal of Urology and urology clinical reviews, roughly 90% of implants remain trouble-free at 5 years, 75% to 80% at 10 years, and 60% to 65% at 15 years. [1, 2]
• LGX vs. CX Stress. Because the Boston Scientific AMS 700 LGX stretches both axially and radially, its silicone-and-Dacron sleeve experiences slightly more mechanical friction over a decade than the girth-only CX. Modern parylene coatings added to AMS cylinders have largely closed this durability gap. [1, 2, 3]
• Common Failure Points. When an implant eventually fails, fluid leakage is the primary cause. Studies published in AME Medical Journal note that Coloplast Titan devices most commonly fail due to tubing fractures near the pump, whereas AMS 700 devices more frequently develop slow cylinder wear or pump malfunctions. [1, 2]
Revision Surgery & Size Outcomes
When a device reaches the end of its mechanical lifespan, a revision surgery replaces the worn components:
• Upsizing Potential. End users on r/penileimplants and clinical revision studies confirm that years of cycling often stretch the internal tissue capsule. During a routine mechanical revision, surgeons can frequently insert a cylinder that is 1 to 2 cm longer than the original implant.
• Infection Risk. While primary implant infections occur in roughly 0.5% to 1.6% of cases (aided by InhibiZone antibiotic coatings on AMS devices and hydrophilic dips on Coloplast), revision surgeries carry a higher infection risk of 5% to 7% due to existing scar tissue around the capsule. [1, 2, 3]
• Scarring Risk. If an implant has to be removed temporarily due to infection rather than swapped in a single procedure, rapid internal scarring can cause noticeable length loss before a replacement can be placed.
how do ams700cx and amst700lgx compare in terms of longevity
Large-scale clinical studies show no statistically significant difference in overall longevity between modern AMS 700 CX and AMS 700 LGX penile implants. Both models share the same internal hydraulic platform and reach roughly 89% device survival at 7 years. [1, 2, 3]
Clinical Survival & Revision Data
Both devices are manufactured by Boston Scientific with an identical pump, reservoir, and triple-layer cylinder construction. [1, 2, 3]
• 7-Year Survival Rates. A large comparative analysis of over 55,000 patients found an estimated 7-year survival rate of 89.5% for the AMS 700 CX and 88.7% for the AMS 700 LGX. [1, 2]
• 10-Year Mechanical Reliability. Across the modern AMS 700 family, long-term mechanical reliability averages roughly 76.5% to 81.3% at 10 years. [1]
• Impact of Parylene Coating. Older versions of the length-expanding cylinder (formerly known as the Ultrex) had higher failure rates than the CX. Adding an internal parylene coating to reduce friction between cylinder layers brought the LGX's durability in line with the CX. [1, 2, 3, 4, 5]
Miscelaneous
The softer AMS 700 LGX is generally avoided in severe scarring because length-expanding cylinders carry a higher risk of mechanical buckling under heavy resistance
When accounting for specific anatomical challenges and hand dexterity, the Coloplast Titan and AMS 700 CX offer better long-term mechanical durability in scarred or curved tissue, while the AMS 700 LGX is built specifically for length preservation in healthy tissue. For hand dexterity, each brand favors a different phase of operation: Titan is easier to inflate, while AMS 700 is easier to deflate.
Fucking young chicks to compensate 
