AUUA

Penile Implants

What Is a Penile Implant?

A penile implant is a device that is designed to help a man get an erection and is implanted within the body, completely hidden from view. It allows men to restore their erectile function and can be used at will. The advantage that penile implants offer over other erectile dysfunction (ED) treatments is that it requires no planning or waiting to achieve an erection, and brings spontaneity back into the man’s sex life.

A procedure implants the device through a small opening in the skin. Men generally return home from the procedure the same day, and can return to sexual activity upon clearance from their doctor, which is usually between 4 – 6 weeks.2

Should I Get a Penile Implant?

Although people generally use pills as a first-line treatment for erectile dysfunction (ED), they are not an ideal long-term solution. Pills are the initial treatment for 75% of ED patients.3 Of those patients, half will discontinue treatment within the first year, citing reasons such as cost, medication failure, or concerns about side effects and long-term safety.4 These patients will then move on to try another brand of pills; others try penile injections; and others will move towards receiving a penile implant.

Among patients that try oral medications and penile injections as second-line treatments:

It is estimated that for

40% of cases

pills are not effective5

It is estimated that for

30% of cases

injections fail to work or men experience priapism

(erection lasting 4 hours or more)5

Some patients choose penile implants after finding pills and injections no longer work. Others move towards using a penile implant right away.7 Penile implants are also advantageous for being more cost-effective5 as a long-term treatment for ED.6

The Titan Inflatable Penile Implant

The Titan inflatable penile implant mimics the look and performance of a natural erection in its design. The Titan implant is made with a unique material that is safe for the body and stronger than silicone8, called Bioflex. This material has been specifically engineered to make penile implants stronger9 and more durable8 than other available penile implants.

The Titan Implant Is Comprised of Three Components:

  • Two cylinders placed in the penis
  • A pump placed in the scrotum
  • A reservoir placed in the abdomen

Features of the Titan Penile Implant:

  • Visibly unnoticeable when flaccid1
  • Easy to activate and use1
  • One-step deflation1
  • Acts and feels more like a natural erection1
  • Maximizes the girth and rigidity of the penis9, 10

How Does the Titan Penile Implant Work?

A man with the Titan penile implant can trigger an erection by squeezing the pump in his scrotum. This action moves fluid from the abdominal reservoir into the cylinders in the penis shaft and creates the erection.

When the deflate button on the scrotal pump is pushed, fluid is drawn out of the penis and back into the reservoir for a natural looking flaccid state.

The following videos will illustrate the concept.

Titan Inflate and Deflate Animation

Coloplast Titan Touch — Inflation and Deflation Patient Demonstration

Why Should I Consider a Penile Implant?

Discrete ED Treatment

When flaccid, the penile implant is not noticeable. A partner won’t be able to see that you’ve had an implant to treat your ED unless you disclose it.1

High Rates of Patient Satisfaction

Titan penile implants have received a 98% satisfaction rate from patients who have received them. Partners report a 96% satisfaction rate with Titan implants.1

Minimal Recovery Time

While recovery time varies, recovery for patients receiving a penile implant is typically four to six weeks. After full recovery, you can begin enjoying sex again.2

Cost Effective

Over a 10-year period, penile implants have shown to be the most cost-effective ED treatment.5

Insurance Coverage

Penile implants are physician prescribed and covered by most insurance plans, including Medicare.11

Spontaneity

With a penile implant, patients gain the ability to have an erection instantly and spontaneously, at any time.1

How Does the Bioflex Material in the Titan Penile Implant Make a Difference?

Bioflex is used to make the Titan inflatable penile implant. Bioflex is an exclusive material which gives the cylinders enhanced rigidity and girth compared to competing implants.

Durability

3x more durable than competitors8

The Titan penile implant can provide greater confidence ina variety of sexual positions through enhanced penetration performance, so patients can feel uninhibited.8, 9, 12

Rigidity

3x more rigid than competitors9

Penetration performance with your sexual partner can be enhanced thanks to Titan’s increased rigidity.

Girth

17% greater circumference than competitors10

The Coloplast Titan’s maximized girth can help increase partner stimulation and satisfaction.14

What Are Malleable Penile Implants?

The Genesis malleable penile implant is an alternative approach to penile implants used for treatment of erectile dysfunction (ED). Consisting of two firm yet flexible rods placed into the shaft of the penis, this provides a simpler approach to penile implantation for the treatment of ED. Achieving an erection is as simple as holding the penis and moving it in the desired position. Once finished, the penis can be bent down to a resting state. A malleable penile implant can be a good choice for men with hand coordination problems.13

Features of the Genesis Penile Implant

  • Easy to use by you or your partner13
  • Good for those with reduced hand coordination13
  • May be more difficult to conceal in clothing since it stays firm when not erect1

Both the Genesis and Titan penile implants are completely concealed within the body, and give men with ED the ability to have an erection—immediately, at any time, for however long as desired. Both penile implants put men back in control and back to their normal life. Speak to your doctor to determine if a penile implant is right for you.

Have Questions or Want More Information?

For more information, call AUUA at 623.547.2600, and visit https://iu.coloplast.us.

References

  1. Data on file at Coloplast
  2. Treatment for Erectile Dysfunction. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment. Accessed March 2023.
  3. Frederick LR, Cakir OO, Arora H, Helfand BT, McVary KT. Undertreatment of erectile dysfunction: claims analysis of 6.2 million patients. J Sex Med. 2014 Oct;11(10):2546-53.
  4. Jannini EA, Droupy S. Needs and Expectations of Patients with Erectile Dysfunction: An Update on Pharmacological Innovations in Phosphodiesterase Type 5 Inhibition with Focus on Sildenafil. Sex Med. 2019 Mar;7(1):1-10.
  5. Moses RA, Anderson RE, Kim J, Keihani S, Craig JR, Myers JB, Lenherr SM, Brant WO, Hotaling JM. Erectile dysfunction management after failed phosphodiesterase-5-inhibitor trial: a cost-effectiveness analysis. Transl Androl Urol. 2019 Aug;8(4):387-394.
  6. Miller LE, Khera M, Bhattacharyya S, Patel M, Nitschelm K, Burnett AL. Long-Term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis. Urology. 2022 Aug;166:6-10.
  7. Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, Heidelbaugh J, Khera M, McVary KT, Miner MM, Nelson CJ, Sadeghi-Nejad H, Seftel AD, Shindel AW. Erectile Dysfunction: AUA Guideline. J Urol. 2018 Sep;200(3):633-641.
  8. Pritchard, Charles, MD, et al. “Comparison of AMS 700 CX and Coloplast Titan Inflatable Penile Prosthesis Cylinders Subjected to In-Vitro Cyclic Buckling.” Sexual Medicine Society of North America Fall Meeting, Poster 111, 2008.
  9. Scovell JM, Ge L, Barrera EV, Wilson SK, Carrion RE, Hakky TS. Longitudinal and Horizontal Load Testing of Inflatable Penile Implant Cylinders of Two Manufacturers: An Ex Vivo Demonstration of Inflated Rigidity. J Sex Med. 2016 Nov;13(11):1750-1757.
  10. Pescatori ES, Goldstein I. Intraluminal device pressures in 3-piece inflatable penile prostheses: the “pathophysiology” of mechanical malfunction. J Urol. 1993 Feb;149(2):295-300.
  11. Does Medicare Cover Penile Implants? Medicare.org. https://www.medicare.org/articles/does-medicare-cover-penile-implants/. Accessed October 2022.
  12. Fernandez-Crespo RE, Buscaino K, Carrion R. Optimizing Outcomes in Penile Implant Surgery. Urol Clin North Am. 2021 Nov;48(4):527-542. doi: 10.1016/j.ucl.2021.06.010. PMID: 34602173.
  13. Malleable (Semi-Rigid) Penile Prosthesis (MPP). Habous, Mohamad. The Journal of Sexual Medicine, Volume 12, Issue 10, 1984 – 1988.
  14. Prause N, Park J, Leung S, Miller G. Women’s Preferences for Penis Size: A New Research Method Using Selection among 3D Models. PLoS One. 2015 Sep 2;10(9):e0133079. doi: 10.1371/journal.pone.0133079.

Important Safety Information

Titan and Titan Touch Inflatable Penile Prosthesis

A penile implant, also called a penile prosthesis, is concealed entirely within the body to address erectile dysfunction (impotence). The implant requires some degree of manipulation before and after intercourse to make the penis erect or flaccid.

Indications

The Titan and Titan Touch Inflatable Penile Prosthesis is indicated for male patients suffering from erectile dysfunction (impotence) who are considered to be candidates for implantation of a penile prosthesis.

Contraindications

The Titan and Titan Touch Inflatable Penile Prosthesis is contraindicated in patients who have one or more of the following: (1) Patients with an active infection present anywhere in the body, especially urinary tract or genital infection. (2) Patients with a documented sensitivity to silicone. (3) Patients with unresolved problems affecting urination, such as an elevated residual urine volume secondary to bladder outlet obstruction or neurogenic bladder. (4) Patients unwilling to undergo any further surgery for device revision.

Warnings

Implantation of the device may make latent natural erections, as well as other interventional treatment options, impossible. Men with diabetes or spinal cord injuries, as well as immunocompromised patients, may have an increased risk of infection associated with a prosthesis. Implantation of a penile prosthesis may result in penile shortening, curvature or scarring.

Precautions

Removal of an implanted prosthesis without timely reimplantation of a new prosthesis may complicate subsequent reimplantation or may make it impossible. MRI quality may be compromised if the area of interest is in the exact same area or relatively close to the position of the Titan, and Titan Touch IPP. Be sure to consult with your physician. Patients should discuss all available treatment options and their risks and benefits with their physician. Health conditions which hamper sexual activity, such as severe chest pain (angina), may prevent successful use of this device. The prosthesis should not be implanted in patients who lack the manual dexterity or strength necessary to operate the device. Trauma to the pelvic or abdominal areas, such as impact injuries associated with sports (e.g., bicycle riding), can result in damage of the implanted device and/or surrounding tissues. This damage may result in the malfunction of the device and may necessitate surgical correction, including replacement of the device. The device may be used in the presence of Peyronie’s Disease.

Potential Complications

Penile implants are surgical solutions requiring a healing period that have risks associated with surgery such as scrotal swelling, auto-inflation, discomfort, angulation/curvature, swelling (edema), device malfunction, chronic pain, difficulty with ejaculation, transient urinary retention, fever, migration, patient dissatisfaction, infection at surgical site or wound, deflation, swelling of clotted blood or clear fluid (hematoma/seroma), wound leakage, bleeding, delayed wound healing, narrowing of the opening of the foreskin (phimosis), sensory loss, cylinder malfunction, formation of thick tissue (fibrous capsule formation), over/under inflation, erosion, scrotal reddening (erythema), genital change, and inguinal hernia.

This treatment is prescribed by your physician. Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if a penile implant is right for you.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

Genesis Malleable Penile Prosthesis

A penile implant, also called a penile prosthesis, is concealed entirely within the body to address erectile dysfunction (impotence). The device is manually positioned to simulate an erect or flaccid penis.

Intended Purpose

The Genesis Malleable Penile Prosthesis is a flexible silicone elastomer device designed to be implanted into the penis for the management of erectile dysfunction (commonly known as impotence).

Indications

The prosthesis is designed for the management of erectile dysfunction (impotence) stemming from a variety of causes, including: epispadias (a rare birth defect located at the opening of the urethra), pelvic fracture; spinal cord injury or disease; prostatectomy; cystectomy; abdominal-perineal resection (surgical removal of the anus, rectum, and sigmoid colon); multiple sclerosis; diabetes mellitus; alcoholism; arteriosclerosis and hypertensive vascular disease; priapism (prolonged and painful erection of the penis); and Peyronie’s disease (curvature of the penis). The Prosthesis may also be used in selected patients with psychogenic impotence.

Contraindications

The Genesis Malleable Penile Prosthesis should not be used in: patients with an active infection present anywhere in the body, especially urinary tract or genital infection; patients with a documented sensitivity to silicone; and, patients with unresolved urinary problems, such as an elevated residual urine volume secondary to bladder outlet obstruction or neurogenic bladder.

Warnings

Implantation of a penile Prosthesis may make natural erections difficult to achieve. It may make some other interventional treatment options not possible. Implantation of a penile Prosthesis may result in penile shortening, curvature or scarring. Men with diabetes as well as immunocompromised patients, may have an increased risk of infection which could result in permanent damage to tissue/organs.

Consult with your physician if you are experiencing a change in rigidity or appearance of the erect penis. Replacement of the prosthesis may be necessary. If you have borderline bladder decompensation, an indwelling catheter, or enlargement of the prostate talk to your doctor.

Precautions

Patients should be informed that erections achieved with a malleable penile Prosthesis may differ from original erection (e.g. not of equal length or girth) compared to what was previously experienced with natural erections. Talk with your physician regarding realistic expectations. Health conditions which hamper sexual activity (e.g. severe angina) may prevent successful use of this device. Penile implants are not considered lifetime implants due to the inherent nature of mechanical devices. Trauma to the pelvic area, such as impact injuries associated with sports, can result in damage of the implanted device and/or surrounding tissues. This damage may result in the malfunction of the device and may necessitate surgical correction, including replacement of the device.

Potential Complications

Adverse events are known to occur with penile protheses procedures and implants; some may require revision surgery or removal of the implant. Adverse events following penile protheses implantation may be new (de novo), persistent, worsening, lasting for a short time (transient), or permanent.

Penile implants are surgical solutions requiring a healing period that have risks associated with surgery such as deformity, delayed / impaired / abnormal wound healing, injury to tissue or organs (erosion / extrusion / migration) resulting in damage or loss of tissue (necrosis), opening or tunnel between tissue or organs (fistula), allergic reaction or sensitivity to device, collection of blood or fluid outside of tissue or vessels (hematoma, seroma), bleeding or excessive bleeding (hemorrhage), infection, redness or swelling of tissue, irritation, penile implant moves (migration), penile tissue dying off (necrosis), pain/discomfort, inability to pull the foreskin forward over the tip of an uncircumcised penis (paraphimosis), inability to pull the foreskin back from the tip of an uncircumcised penis (acquired phimosis), perforation or injury of soft tissue (e.g., muscles, nerves, vessels), penile structures, or organs (e.g., urethra), scarring, difficulty during sexual activity, numbness or decreased sensation in penis, blockage or slowing of urine (urethral obstruction / occlusion), urinary tract infection, and difficulty emptying bladder.

The occurrence of these events may require one or more subsequent surgeries which may or may not always fully correct the complication.

This treatment is prescribed by your physician. Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if a penile implant is right for you.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

 

Call 623-547-2600

to schedule an appointment for a consultation with one of our Urologists and start restoring your
pelvic health today.