The Coloplast Titan Touch inflatable prosthesis is described as a concealed, fluid-filled system that aims to emulate a natural erection. This page serves as a product review for adults comparing solutions for erectile dysfunction and considering a surgical option.
Unlike tablets, injections or vacuum devices, the device provides a mechanical, on-demand method that does not depend on medication timing. It is typically placed as a routine outpatient procedure and most patients may wait four to six weeks before using it.
This content is for adults discussing options with a consultant urologist. It outlines how outcomes depend on anatomy, surgeon technique and recovery, and it does not replace personalised medical advice.
The article compares the two common three-piece inflatable choices discussed in clinical commentary — the Coloplast Titan and the AMS 700 — and previews core buying criteria such as rigidity, girth, discreetness, deflation usability, reliability data, reservoir and pump placement, and the recovery timeline.
Safety note: this review is intended to support informed conversation with a urologist and not to substitute clinical guidance.
Key Takeaways
- The Coloplast penile implant is an inflatable prosthesis offered as a surgical treatment for erectile dysfunction.
- It differs from drugs and vacuum devices by giving mechanical, on-demand function without timing medication.
- Placement is usually outpatient with a typical four to six week recovery before use.
- Two main three-piece devices discussed are the Coloplast Titan and the AMS 700; comparisons follow later.
- Deciding factors include rigidity, girth, discreetness, ease of deflation, reliability and reservoir/pump placement.
- Patients should discuss risks and expectations with a consultant urologist; this article supports but does not replace medical advice.
What the Coloplast Titan is and where it fits in erectile dysfunction treatment
The Titan sits in the treatment pathway as a surgical option for men when tablets and vacuum devices do not give reliable intercourse. It is offered when first-line therapies fail or cause unacceptable side effects.
When tablets and vacuum devices have not worked
Many urologists reserve a prosthesis for refractory cases because it is invasive yet provides a consistent, controllable erection that does not depend on vascular response. Dr Jonathan Clavell and others prefer a three-piece device where anatomy allows, aiming for a more natural feel.
Common decision triggers include unpredictable results from medicines, difficulty using pumps, medication side effects and lifestyle inconvenience. Candidates are usually those who prioritise reliable function over non‑surgical options.
Who may also consider an implant with Peyronie disease
Men with curvature from Peyronie disease who cannot achieve erections sufficient for intercourse may discuss a device as part of their plan. In such cases, combined surgical strategies can address curvature and function together.
Note: the Titan solves mechanical dysfunction; it does not treat underlying cardiovascular risk factors. Candidacy remains clinician‑led, with discussion of goals — rigidity, size priorities and ease of use — shaping the final choice.
| Trigger | What patients want | What the Titan provides | What it does not do |
|---|---|---|---|
| Unreliable pills | Predictable erections | Controllable, on-demand rigidity | Fix vascular disease |
| Vacuum device difficulty | Ease of use for intercourse | Simpler, discreet method | Treat Peyronie curvature alone |
| Side effects from meds | Fewer systemic effects | Local mechanical solution | Replace lifestyle advice |
Coloplast penile implant: an overview of the Titan Touch inflatable penile prosthesis
The Titan Touch is a three-piece, inflatable system designed to provide on‑demand rigidity with minimal visible signs when deflated. It combines two shaft cylinders, a hidden reservoir and a scrotal pump with a release valve so the user controls inflation and deflation.
Three-piece design: cylinders, reservoir, pump and release valve
The two cylinders sit inside the shaft and fill with fluid to create rigidity suitable for intercourse. Each cylinder acts as the primary structural element that supports firmness and girth when inflated.
The reservoir stores the fluid when the device is deflated. The pump and release valve are placed in the scrotum; the pump moves fluid to the cylinders and the valve returns fluid to the reservoir.
Materials and build: Bioflex and silicone in a fluid-filled system
The system is a self-contained, fluid-filled prosthesis made from Bioflex and silicone. Bioflex is noted for being supple and durable, while silicone aids smooth movement and long-term comfort.
Designed to look and feel discreet in everyday life
The device is internal; when deflated the penis appears relaxed with no external hardware visible. The pump is low-profile by design, which can mean greater comfort and confidence for day-to-day wear.
Next: the core user experience centres on how the pump moves fluid to create and end an erection and how firmness is controlled.
How the Titan Touch pump creates and ends an erection
Inflation starts when the user squeezes the scrotal pump. Each squeeze moves fluid from the reservoir into the two shaft cylinders, causing a controlled erection.
Inflation: moving fluid from the reservoir to the cylinders
The user feels a low‑profile pump under the scrotal skin. Repeated compressions transfer stored fluid along tubing until the desired firmness is reached.
Deflation: using the release/deflate button to return fluid
To end the process the user opens the release valve or presses the deflate button. Fluid flows back to the reservoir, and the shaft returns to a flaccid state.
Controlling firmness with pumping
More pumping increases pressure in the cylinders, letting the user adjust firmness. Hand strength and dexterity affect ease of use, so clinicians teach technique during recovery.
| Action | User movement | Immediate effect |
|---|---|---|
| Inflate | Squeeze the pump | Fluid moves to cylinders; erection forms |
| Adjust firmness | Continue pumping | Increased rigidity and girth |
| Deflate | Press deflate button / open valve | Fluid returns to reservoir; flaccid state |
Note: this mechanical method is internal and activated externally only by the pump. With practice, cycling becomes quicker and translates into predictable rigidity, girth and a more natural feel.
Performance and outcomes: rigidity, girth and natural feel
For most men the key questions are whether the device creates adequate rigidity, adds useful girth and feels natural in daily life.
Why some surgeons favour the Titan
Experienced prosthetic urology commentary notes a tendency to select the coloplast titan for younger, larger men. Dr Jonathan Clavell (BackTable) says he often chooses it because it can produce a harder, wider erection and suits bigger phalluses.
What “natural feel” means with a three-piece system
Natural feel refers to two things. When inflated the shaft should look and act like an organic penis for intercourse. When deflated it should lie relaxed with minimal visible bulk.
Choice is anatomy-led. Larger size may favour devices that add girth. Final selection remains clinician-led after examination and discussion.
Sensation and orgasm are commonly preserved if they existed before surgery, but outcomes vary with overall health. Ask at consultation about expected rigidity, likely change in girth and how the device feels when flaccid.
“He tends to use Coloplast Titan in younger patients because it produces a harder, wider erection and for men with bigger phalluses.”
Next: balance these performance aims against long-term reliability and satisfaction data when deciding.
Mechanical reliability and satisfaction: what current evidence says
Published evidence now addresses both mechanical reliability and how satisfied patients are after choosing a surgical solution. This section summarises key figures and practical implications for anyone weighing options for erectile dysfunction.
Patient satisfaction compared with pills and injections
Manufacturer reports show about 80% of patients were moderately or completely satisfied after receiving the device. By contrast, satisfaction rates reported for Viagra were 51.6% and for injection therapy 40.9%.
Reliability data and what it means
Recent studies cite 97.5% mechanical reliability at five years in first-time patients. This figure refers to mechanical function only and does not account for all surgical complications or infection risk.
Lifetime replacement policy: plain terms
The manufacturer states a lifetime replacement policy covering replacement of the device or components for any reason during the patient’s lifetime. Hospital, anaesthetic or surgeon fees are typically separate and vary by setting.
- Why reliability matters: fewer revisions, less long‑term disruption and greater confidence in spontaneous use.
- Ask clinics for written warranty and clear details on what the replacement policy covers and any patient charges.
- Reliability is strong but not absolute; individual health and surgical factors influence outcomes.
Buyers often balance headline reliability with usability and anatomy fit when comparing the Titan with the AMS 700 in the next section.
Coloplast Titan vs AMS 700: key differences buyers compare
Practical differences in pump shape and button access can determine which system suits an individual best.
Deflation usability and accessibility
ams 700 is often praised for a pump shape that makes the deflate button easier to find and press. This can help faster, more confident cycling in everyday use.
coloplast titan may give firmer results, but some patients report the pocketed pump feels firmer to locate when deflating. Surgeons describe the choice like choosing between a Mercedes and a BMW — both high quality, with different driving feels.
How age and hand function influence choice
Older men, or those with arthritis or reduced grip strength, may prefer the AMS 700 because its pump often needs less precise pressure to deflate.
Conversely, younger patients who prioritise a harder, wider result may favour the titan penile implant option when anatomy and hand ability suit it.
Girth and anatomy-led selection
Some men prioritise girth and perceived rigidity; others prioritise simple operation. Both prostheses are established three-piece penile prostheses, so final selection depends on goals, anatomy and surgeon experience.
- Ask the surgeon to let you feel each pump and to simulate inflation and deflation before choosing.
- Discuss how sizing and component placement will affect comfort and function.
Whichever model is selected, careful customisation of cylinders and tubing is critical to reduce complications and improve satisfaction. For unrelated cosmetic procedures or additional reading see a short note on a male chin implant.
Customising the implant to anatomy: sizing, cylinders and tubing
Intraoperative measurement guides cylinder selection so the device sits correctly when inflated and when flaccid.
Choosing cylinder length to match the penis
Surgeons select cylinder length from a range of sizes to support the visible shaft. Precise sizing helps produce expected rigidity and avoids a device that is too short or too long.
When surgeons avoid rear tip extenders for comfort and rigidity
Rear tip extenders are short segments added to reach deep measurements. Many prefer to avoid them because extenders can change feel and increase discomfort.
Dr Jonathan Clavell often uses longer tubing and native cylinder length when possible to preserve a more natural sensation.
When extenders may be unavoidable in deeper anatomy
Extenders become necessary in rare cases where internal length measures 14–15 cm or in some obese patients. These situations are less common but are planned for to reduce revision risk.
| Aspect | Reason | Patient effect |
|---|---|---|
| Cylinder length | Matches internal shaft span | Better firmness and natural look |
| Rear tip extenders | Reach deeper corpora when needed | May alter feel; used selectively |
| Tubing and placement | Positions pump and reservoir | Improves scrotal fit and daily comfort |
Careful, anatomy-led choices aim to lower revision rates and improve satisfaction with the coloplast titan device and similar implants.
Reservoir placement options and why alternative placement is increasingly used
Surgeons place the reservoir in different spots to balance safety, comfort and function after implant surgery.
Traditional placement versus ectopic placement
The traditional site is the prevesical Space of Retzius, a pocket behind the pubic bone where the reservoir sits out of the way.
In contrast, ectopic or alternative placement positions the reservoir more superficially or lateral to avoid scarred or altered tissue.
Lowering risk in a hostile pelvis
A “hostile pelvis” describes altered anatomy after prior pelvic operations such as prostatectomy or cystectomy.
In these cases surgeons avoid the retroperitoneal space to reduce surgical injury and bleeding risk for patients.
Cloverleaf reservoir design and underfilling to reduce palpation
The Coloplast Titan option uses a Cloverleaf reservoir shape to lower the chance of auto‑inflation by stabilising fluid distribution.
Some surgeons report underfilling a larger reservoir (for example, around 125 mL) so it is less palpable under the lower abdominal wall.
“Ectopic placement reduces the chance of injuring bowel or major vessels in a scarred pelvis.”
| Placement type | Practical goal | Patient effect |
|---|---|---|
| Space of Retzius (traditional) | Hide reservoir deep and central | Low palpability; standard method |
| Ectopic / alternative | Avoid scarred or risky spaces | Lower surgical risk in hostile pelvis |
| Underfilled Cloverleaf | Reduce bulk and auto‑inflation | Less abdominal discomfort and palpation |
Decision guide: ask where the reservoir will be placed, why that site suits your anatomy and how prior operations affect the plan.
Next: pump placement in the scrotum is another key factor for comfort and use.
Pump placement in the scrotum: comfort, fit and practical adjustments
Where the pump sits under the scrotal skin can change how the device feels and how easily a user finds the control.
The pump normally sits within the scrotum so it is accessible for inflation and deflation. Correct placement improves comfort and makes the pump simple to locate with a hand.
What happens if the pump feels too large for a smaller scrotum
In men with a smaller or tight scrotum the pump can feel bulky or awkward at first. Early swelling after surgery may temporarily increase this sensation, and fit is usually reassessed during follow-up.
Repositioning with connectors and adjusted tubing length
Surgeons can reposition the titan pump without replacing the whole device. Techniques include trimming tubing, adding small connectors and moving the pump pocket to a better site.
Dr Jonathan Clavell has described cutting tubing and using multiple connectors to place the pump comfortably without opening another implant.
- Correct placement reduces day-to-day discomfort and helps patients use the pump confidently.
- Adjustments limit the need for later revision and can improve commercial satisfaction with the implant.
- Ask your surgeon about their approach if scrotal size or prior scrotal surgery is a concern.
Next: placement choices feed directly into the broader recovery and use timeline, which is discussed in the following section.
For related reconstructive options see FTM bottom surgery.
Penile implant surgery and recovery timeline in present-day practice
A typical treatment journey begins with pre‑operative assessment and counselling, then moves to same‑day discharge and planned follow‑ups. This pathway helps patients understand risks, expected recovery and practical training before returning to normal activity.
Typical pathway: outpatient procedure and immediate aftercare
Pre-op checks include medical review and optimisation of general health. On the day, most cases are performed as day surgery with short anaesthesia and an overnight stay only if needed.
Immediate aftercare focuses on pain control, wound checks and avoiding strain. Follow-up visits confirm healing and plan device training.
Recovery expectations: four to six weeks before use
Most clinicians advise waiting four to six weeks before attempting intercourse. Healing times vary with individual recovery and any other operations.
Learning to cycle the inflatable penile implant
“Cycling” means inflating and deflating the device as taught by the surgeon. This hands‑on practice builds confidence and reduces the learning curve.
- Early common issues: swelling, soreness and reduced scrotal sensitivity.
- These effects usually ease over weeks with rest and adherence to instructions.
- Following surgeon guidance on mobilisation and timing of intercourse improves outcomes.
Buyer note: recovery time and training form part of the overall cost of choosing implantation versus non‑surgical treatment. Many accept this short recovery for long‑term reliability, discretion and controllable firmness.
Benefits, limitations and risks to weigh before choosing a Titan penile implant
Before deciding on a Titan option, patients should weigh clear benefits against likely short‑term discomfort and surgical risk.
Benefits to consider
Discreet internal design: the system sits hidden when deflated, helping day‑to‑day confidence.
Dependable, on‑demand function: pumping reliably produces an erection without timed medication.
Controllable firmness: users can adjust rigidity and girth by varying pump cycles.
Limitations and realistic expectations
Early post‑operative discomfort and swelling are common and usually settle over weeks.
The shaft can feel different when flaccid compared with a non‑operated state, which some people find noticeable.
Risk and complication considerations
Choices in size and component placement strongly affect outcomes. Accurate cylinder sizing lowers revision risk. Thoughtful reservoir and pump positioning reduces later issues.
| Risk | Why it happens | How surgeons reduce it |
|---|---|---|
| Mechanical failure | Wear or incorrect sizing | Precision sizing and quality device selection |
| Palpable reservoir | Shallow placement | Ectopic placement or underfilling |
| Scrotal discomfort | Poor pump position | Repositioning with tubing adjustments |
Discuss individual risk factors such as prior pelvic surgery, manual dexterity and general health with a specialist prosthetic urologist to set realistic goals and consent fully.
Conclusion
The final takeaway compares performance, reliability and real‑world fit to guide the next step towards treatment.
This three‑piece option is presented as a credible surgical choice for men with persistent erectile dysfunction when non‑surgical care fails. The pump, reservoir and cylinders work together to give controllable firmness and discreet everyday appearance, designed to emulate the look and performance of a natural erection.
Evidence matters: reported satisfaction compared with tablets and injection therapy favours the device (about 80% vs 51.6% and 40.9%), and reliability data cites ~97.5% five‑year mechanical reliability in first‑time patients with a lifetime replacement policy.
Decisions rest on matching anatomy, sizing and pump placement, and weighing the titan penile implant against alternatives for deflation usability. Book a specialist urology consultation and request a hands‑on demonstration plus full warranty details before proceeding. For clinic information see male genital services.
