Coloplast
The Coloplast Titan Penile Implant
The Coloplast Titan is a three-piece inflatable penile prosthesis. Like all devices in this class it consists of two cylinders implanted in the penis, a pump placed in the scrotum and a fluid reservoir. Its distinguishing engineering features are the material used for the cylinders and the design of its pump.
- Written by
- Istanbul Penile Implant Centre editorial team
- Medically reviewed by
- Prof. Dr. Bülent AlıcıMD, Professor of Urology and Andrology
- Published
- Last updated
Design
What the Coloplast is made of
The Coloplast Titan is a three-piece inflatable penile prosthesis. Every part is implanted; nothing is worn or attached externally.
- Bioflex cylinders
- The cylinders are made from Bioflex, a proprietary polyurethane elastomer Coloplast developed for this device. It is used because of its resistance to wear and to the pressure generated inside the cylinder during inflation.
- Titan Touch pump
- The scrotal pump inflates the device when squeezed. The Touch design deflates the device through a release area on the pump body rather than a separate valve that must be located and held.
- Reservoir
- Holds the sterile saline. Coloplast supplies more than one reservoir shape, including a lower-profile design intended for placement where space is limited.
- Hydrophilic coating
- The device surface is hydrophilic. It is designed to be dipped in solution at the time of surgery, which allows the surgical team to load it with an antibiotic solution of their choice immediately before implantation.
Using the device
How it is operated
Operating an inflatable prosthesis is a learned skill. Most men find it awkward for the first few attempts and straightforward within a few weeks.
Locate the pump in the scrotum. It sits where it can be reached with one hand.
Squeeze the pump repeatedly. Each squeeze transfers saline from the reservoir into the two cylinders.
Stop when the penis is as rigid as you want it. Rigidity builds progressively as you pump.
To deflate, press the release area on the pump. The fluid returns to the reservoir and the penis becomes soft again.
Options
Configurations and sizes
Manufacturers produce several variants of the same platform. Which one is implanted is decided in theatre, once the erectile bodies have been measured directly.
- Titan Touch
- The standard three-piece inflatable configuration with the Touch pump.
- Titan OTR
- One Touch Release, the pump design that allows deflation by pressing a single point on the pump.
- Narrow-base and reduced-diameter cylinders
- Cylinder options exist for anatomy or scarring that will not accommodate a standard cylinder. The surgeon selects sizing intraoperatively.
- Coloplast Genesis
- Coloplast also produces a malleable device. It is a different product class, not a Titan configuration.
Assessment
Points that are weighed up
These are the factors discussed at consultation. None of them makes this device the right or wrong choice on its own.
Potential advantages
- Girth expansion on inflation, with a flaccid state that requires no concealment.
- A deflation mechanism designed to be operated without locating a separate valve.
- A coating that allows the surgical team to add an antibiotic solution at the time of implantation.
Limitations
- It is a mechanical device. Any implant of this type can develop a mechanical problem and may need revision surgery.
- It is not a treatment for the underlying cause of erectile dysfunction — it replaces the mechanism of erection.
- Once the erectile bodies have been prepared for an implant, other treatments for erectile dysfunction are generally no longer effective.
Clinical considerations
- You need enough hand strength and dexterity to operate a scrotal pump.
- Prior abdominal, pelvic or hernia surgery may affect where the reservoir can safely be placed and should be disclosed before surgery.
- Penile scarring, fibrosis or Peyronie’s disease may influence which cylinder diameter and length can be used.
- The device is implanted at a size chosen during the operation, based on measurements taken once the erectile bodies are opened.
Afterwards
Recovery with this device
Recovery follows the same pattern as any three-piece inflatable implant: an overnight hospital stay, swelling and discomfort that settle over the first one to two weeks, and a period of several weeks before the device is activated and used. The device-specific detail is in the manufacturer’s patient information; the general timeline is set out on our recovery page.
The full week-by-week schedule, which is the same for both three-piece devices, is on the recovery page.
Questions about the Coloplast
Is the Coloplast Titan visible from the outside?
When the device is deflated the penis is soft and the pump sits inside the scrotum, so there is nothing visible under clothing. A partner may be able to feel the pump in the scrotum.
How is the Titan deflated?
By pressing the release area on the scrotal pump, which returns the saline to the reservoir. Your surgeon and nurse will teach you the technique before you go home and again at your postoperative review.
Does the Titan change penile length?
A three-piece inflatable implant is sized to your own anatomy as measured during surgery. It restores rigidity but is not a lengthening procedure, and you should not expect an increase in length. Some men perceive a small reduction, particularly if there was pre-existing shortening.
Can the Titan be replaced if it fails?
Yes. Revision surgery to replace part or all of an implant is an established procedure. It is more complex than a first implant, and your surgeon will discuss what it involves in your situation.
Medical references
We do not publish complication rates, device survival figures or satisfaction percentages on this website without a citation to the study they come from. Where you see a figure quoted elsewhere without a source, treat it with caution.
Guidelines and professional bodies
- Guidelines on Sexual and Reproductive HealthEuropean Association of Urology (EAU) — European guidance covering the assessment and management of erectile dysfunction, including the place of penile prosthesis surgery.
- Erectile Dysfunction: AUA GuidelineAmerican Urological Association (AUA) — United States guidance on the evaluation and treatment of erectile dysfunction, including surgical options.
- Sexual Medicine Society of North America (SMSNA)SMSNA — Professional society resources on sexual medicine, including prosthetic surgery.
- International Society for Sexual Medicine (ISSM)ISSM — International professional society with patient-facing information on sexual medicine.
- PubMedUS National Library of Medicine — Index of peer-reviewed literature. Use it to look up the primary research behind any claim you read about penile implants, including ours.
Device manufacturer documentation
- Coloplast Titan product and technical informationColoplast — Manufacturer documentation for the Titan inflatable penile prosthesis, including materials, configurations and instructions for use.
- AMS 700 product and technical informationBoston Scientific — Manufacturer documentation for the AMS 700 inflatable penile prosthesis, including models, the Conceal reservoir and InhibiZone.
Citations to be supplied
- [MEDICAL REFERENCE — long-term device survival study][JOURNAL, YEAR] — Cite a peer-reviewed source before publishing any statement about how long a device lasts.
- [MEDICAL REFERENCE — infection rate study][JOURNAL, YEAR] — Cite a peer-reviewed source before publishing any infection-rate figure.
- [MEDICAL REFERENCE — patient satisfaction study][JOURNAL, YEAR] — Cite a peer-reviewed source before publishing any satisfaction figure.
External links open in a new tab and are provided for reference only. We are not affiliated with, and do not speak for, the organisations listed.
Ask whether the Titan is the right device for you
Device choice is made after an assessment, not from a website. Send your history and you will receive a written opinion on which implant would be considered in your case and why.