Penile Prosthesis Placement
(Semirigid & Inflatable Coloplast Titan)

A comprehensive patient guide to surgical implants for erectile dysfunction. We offer both semirigid (malleable) rods and multi-component inflatable prostheses — and we use the Coloplast Titan for inflatable implants due to its durability, rigidity, and natural feel.

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Educational content only; not medical advice.

Who Should Consider a Penile Implant?

Penile prosthesis (implant) surgery is a definitive solution for erectile dysfunction (ED) when oral medications, vacuum devices, shockwave therapy, or injections are no longer effective or acceptable. It restores reliable, on-demand rigidity for intercourse while preserving sensation and orgasm in most men.

Ideal Candidates

ED from diabetes, vascular disease, Peyronie’s disease with ED, post-prostatectomy ED, or medication-refractory ED
Desire a dependable, spontaneous erection without planning around pills or injections
Realistic expectations about length, girth, and postoperative “cycling” (for inflatable devices)

Note: Implants do not increase penile length beyond what healthy erectile tissue allowed prior to ED; they restore rigidity using cylinders sized to your corporal bodies at surgery.

Implant Options We Offer

Semirigid (Malleable) Rods

Two bendable rods placed inside the penis
Always firm; bend up for intercourse, down for concealment
Mechanically simple, very low risk of mechanical failure
Excellent choice for patients who want no pump to operate or have limited hand dexterity

Multi-Component Inflatable — Coloplast Titan

Two inflatable cylinders + concealed scrotal pump + abdominal reservoir
Natural look and feel; flaccid when deflated, rigid when inflated
Strong axial rigidity for penetration; excellent concealment when deflated
We use the Coloplast Titan for its durability, hydrophilic coating, and rigidity profile

We do not use Boston Scientific/AMS inflatable systems in our practice.

Semirigid vs Inflatable — Quick Comparison

Feature	Semirigid (Malleable)	Inflatable (Coloplast Titan)
Appearance/Feel	Always firm; bends down for concealment	Flaccid when deflated; natural-feeling erection when inflated
Ease of Use	Simplest (no pump); ideal for limited dexterity	One-hand pump to inflate/deflate; brief learning curve
Mechanical Reliability	Very few parts to fail	Modern systems are highly reliable; parts are replaceable if needed
Concealment Comfort	Good, but penis remains firm	Excellent — soft/flat when deflated
Rigidity for Intercourse	Dependable; may be slightly less natural feel	Outstanding axial rigidity and glans support feel with Titan
Surgery Complexity	Simpler, shorter surgery	More components; still typically outpatient

How Surgery Works — Step by Step

Pre-op visit & sizing plan: We review your history, goals, and anatomy; choose semirigid vs inflatable. Men with curvature may have adjunct straightening maneuvers during inflatable placement.
Anesthesia & setting: Procedure is performed under general or regional anesthesia in our state-of-the-art Ambulatory Surgery Centers (ASC) for comfort and safety.
Antibiotic protocol: Targeted IV antibiotics + device coatings reduce infection risk.
Placement: Cylinders are inserted into the corpora cavernosa (the erectile bodies). For Titan, a reservoir is placed in the lower abdomen and a pump is positioned in the scrotum through the same small incision.
Testing & closure: We test function, achieve hemostasis, and close with absorbable sutures. A compressive dressing supports healing.
Discharge: Most patients go home the same day with detailed instructions and pain control plan.

Surgical time: ~45–60 minutes for semirigid; ~60–90 minutes for inflatable (individual factors vary).

Recovery, “Cycling,” and When You Can Resume Sex

Week-by-Week Recovery

Week 1: Rest, scrotal support, ice as directed. Short walks. Expect swelling/bruising.
Week 2–3: Light activity; most return to desk work. Pain improves.
Week 4–6: For inflatable, begin daily “cycling” (inflate/deflate) to optimize comfort and length preservation per instructions.
Week 6–8: Typically cleared for intercourse if incisions healed and tenderness resolved.

What to Expect Long-Term

Sensation and orgasm generally unchanged; ejaculation depends on prior prostate/duct status
High satisfaction for patient and partner once device use is learned
Device lifespan commonly 10+ years; parts can be revised if needed

Risks, Safety, and How We Minimize Complications

Modern penile implants are safe and dependable. As with any surgery, risks exist. We use evidence-based protocols to reduce them.

Potential Risks

Infection (uncommon with modern protocols)
Bleeding or hematoma
Device malfunction over time (repairable)
Discomfort from pump early on (improves as swelling subsides)
Perceived change in length (due to long-standing ED fibrosis)

Our Prevention Measures

Targeted antibiotics + device antimicrobial coatings
Experienced high-volume surgeons and meticulous technique
Careful cylinder sizing and corporal dilation
Post-op support, swelling control, and guided cycling

We counsel honestly about expectations: implants restore rigidity reliably but cannot “add” length beyond your corporal capacity. Cycling helps maximize comfort and functional length.

Why We Use the Coloplast Titan for Inflatable Implants

Rigidity & durability: Cylinder materials provide strong axial rigidity for penetration with a natural feel.
Hydrophilic coating: Aids antibiotic adherence during surgery as part of infection-prevention strategy.
Concealment: Deflates to a soft, low-profile state for daily comfort and discretion.
Component design: Proven pump ergonomics and replaceable parts facilitate longevity and serviceability.

We exclusively place the Coloplast Titan for multi-component inflatable systems in our practice.

Preparing for Surgery

Before Your Procedure

Complete pre-op labs and medical clearance if needed
Hold blood thinners as directed
Antibacterial wash the night before and morning of surgery
Arrange a ride home (same-day discharge)

Aftercare Essentials

Supportive underwear and scrotal support
Ice and elevation routine for swelling control
Pain plan with scheduled OTC/ Rx as directed
Follow-up visits to begin cycling (inflatable) and ensure healing

Frequently Asked Questions

Will an implant affect my sensation or orgasm?

Sensation and orgasm are typically unchanged because nerves responsible for pleasure are not removed. If you’ve had prostate surgery, ejaculation may be absent; orgasm is often still achievable.

Can anyone tell I have an implant?

With inflatable devices, the penis looks and feels soft at rest. The small pump is concealed in the scrotum.

How long will it last?

Many devices last 10 years or more. If a part wears out, it can be repaired or replaced.

What if I have Peyronie’s disease?

Inflatable implants often straighten curvature; adjunct techniques (modeling, plication, or grafting) may be used during the same surgery if needed.

Is an implant covered by insurance?

Many insurance plans, including Medicare, cover penile prostheses for medically refractory ED. Our team will verify your specific benefits.

Why Choose Advanced Urology

High-volume implant surgeons with refined technique and outcomes
State-of-the-art ASCs for comfort, efficiency, and safety
Comprehensive ED program — we offer every major therapy and tailor the best option to you
Patient-first coaching on expectations, cycling, and partner communication

Call 678-344-8900 Book a Consultation

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