Top 10 Coloplast Titan Surgeons

These are the surgeons performing the highest volume of Titan implants in the country.

What is the Coloplast Titan?

The Coloplast Titan is a three-piece inflatable implant used to treat severe erectile dysfunction. It consists of two cylinders implanted in the penis, a fluid reservoir placed in the lower abdomen, and a small pump positioned in the scrotum. When you want an erection, you squeeze the pump. Fluid moves from the reservoir into the cylinders. You're erect, on demand, in seconds.

When you're done, you press a release valve. The fluid drains back into the reservoir. The penis returns to its flaccid state. The entire device is concealed inside the body — invisible from the outside, undetectable to a partner. There are no external parts. There is no pill to take. There is no needle to inject. You forget the device exists until you need it.

A short history of the Titan

Coloplast acquired the original Mentor inflatable implant business in 2006 and refined it into what is now known as the Titan. The product line has been continuously upgraded over the past two decades, incorporating advances in cylinder material, pump ergonomics, infection prevention, and reservoir design. Today's Titan is the most evolved version of an inflatable device that has been studied for nearly 50 years. That long arc of research and refinement is part of why it's considered a gold standard.

Coloplast is a Danish medical device company with a deep specialty in urology and continence care. Unlike companies that treat severe ED as a side business, Coloplast has built its reputation on this category. That specialization shows up in product quality, surgeon training programs, and long-term clinical support.

The science of Bioflex

The cylinder material is the single biggest differentiator of the Titan. Most inflatable implants use silicone. The Titan uses Bioflex, a proprietary high-strength elastomer engineered specifically for repeated mechanical stress. Bioflex resists wear, mechanical aneurysm formation, and material fatigue better than the silicone used in older designs. In practical terms, that means a longer device lifespan, fewer revision surgeries, and a more rigid erection at full inflation.

For patients, the trade-off is straightforward. A more rigid erection feels firmer during sex but also feels firmer in the flaccid state. Some men prefer this. Others prefer the softer feel of the AMS 700. There is no objectively right answer. Both approaches produce excellent outcomes when implanted by an experienced surgeon.

The four components, explained

Every three-piece inflatable implant has the same basic architecture. Understanding the parts helps you understand what surgery actually involves.

Cylinders. Two cylinders are placed inside the corpora cavernosa — the natural erectile chambers of the penis. When inflated, they replicate the function of an erection. When deflated, they let the penis return to a soft state. Cylinder length and girth are sized to your individual anatomy.

Pump. A small pump is placed inside the scrotum, positioned where you can easily reach it but where it stays hidden during normal activities. Squeezing the pump moves fluid from the reservoir into the cylinders. A separate release valve drains the cylinders back to the reservoir when you're done.

Reservoir. A fluid reservoir is placed in the lower abdomen, behind the muscle wall. It holds the saline that inflates and deflates the cylinders. The reservoir is invisible and undetectable.

Tubing. Tiny silicone tubes connect the three components. The entire system is closed and sterile. Once implanted, it functions for 15 to 20 years or longer with minimal maintenance.

Surgical approach: penoscrotal versus infrapubic

There are two main surgical approaches to placing a Titan. The penoscrotal approach uses a single small incision at the top of the scrotum. The infrapubic approach uses an incision just above the base of the penis. Both produce excellent results in experienced hands. The choice depends on the surgeon's training, the patient's anatomy, and any history of prior surgery in the area.

High-volume surgeons typically have a preferred approach they have refined over hundreds or thousands of cases. That's a feature, not a bug. The right answer is whichever approach the surgeon does most often, because volume drives precision. A surgeon who has done two thousand penoscrotal Titan implants is going to give you a better outcome than a surgeon who has done fifty cases split between two techniques.

Sizing: why it's everything

The Titan offers the widest range of cylinder sizes on the market. That fact gets overlooked in most patient marketing, but it's one of the most important features of the device. A properly sized cylinder produces a natural-feeling erection at full inflation, sits comfortably in the flaccid state, and avoids the two most common complications of poor sizing: cylinder oversizing, which causes pain and erosion, and cylinder undersizing, which produces a weaker erection and patient dissatisfaction.

Surgeons use intraoperative measurements to determine the right size for your specific anatomy. The wider the available size range, the more precisely the surgeon can match the device to you. This is one of the structural reasons high-volume implant surgeons often prefer the Titan for patients with anatomical variation, prior surgery, or unusual measurements.

Special applications

Severe ED rarely exists in isolation. Many of the men who pursue surgical treatment have other conditions affecting their pelvic anatomy. The Titan is particularly well-suited for several of these populations.

Peyronie's disease. Men with significant penile curvature from scar tissue often need a more rigid implant to straighten the curve mechanically during surgery. The Titan's high-strength cylinders provide that rigidity. Many top severe ED surgeons consider the Titan the device of choice for combined Peyronie's correction and implant placement.

Post-prostatectomy patients. Erectile dysfunction is one of the most common long-term side effects of radical prostatectomy. For men whose ED has not resolved with pills or injections in the years following prostate surgery, the Titan is frequently recommended. Its durability and customizable sizing make it well-suited to anatomy that has been surgically altered.

Diabetic patients. Diabetes is one of the leading causes of severe ED, and diabetic men often have poor results with pills and other conservative treatments. Surgical implants restore reliable function regardless of the underlying cause of ED, which is why diabetic patients are one of the largest populations served by penile implant surgery.

Long-term outcomes

Multiple long-term studies of the Titan and its predecessors show patient satisfaction rates above 90 percent at 5, 10, and 15 years post-surgery. Mechanical reliability of modern Titan implants is excellent — the vast majority of devices remain functional well beyond 15 years. When mechanical issues do occur, they are typically related to wear of moving parts and can be addressed with replacement of the affected component.

Equally important: partner satisfaction rates are also above 80 percent in published studies. The natural-looking erection, the spontaneous timing, and the confidence that returns to the relationship matter just as much for the partner as they do for the patient.

Common myths about the Titan

"It will look fake." No. When deflated, the penis looks natural. When inflated, it looks like a normal erection. The cylinders are inside the corpora cavernosa — the same chambers that fill with blood during a natural erection.

"My partner will know." Only if you tell them. The device is fully concealed and the erection looks and feels natural. Many men do tell their partners — most surgeons recommend it — but the choice is yours.

"It will affect sensation or orgasm." No. The implant only affects your ability to get erect. Sensation, orgasm, and ejaculation remain unchanged.

"Recovery is brutal." The first week is uncomfortable. The first two weeks require limits on activity. By week three, most men feel significantly better. By week six to eight, most are cleared for sex. The discomfort is real but temporary. Compared to a lifetime of failed pills and avoidance, it is not a difficult tradeoff.

Coloplast Titan Specifications

Recovery at a glance

• Outpatient procedure — typically 60 to 90 minutes
• Most men return to work within 1 to 2 weeks
• Device activation around week 4 to 6
• Cleared for sexual activity around week 6 to 8
• Full recovery and natural feel by month 3

For the full timeline, see the aftercare page.

Top 10 AMS 700 Surgeons

These are the highest-volume Boston Scientific AMS 700 implanters in the United States.

What is the AMS 700?

The AMS 700 is a three-piece inflatable implant manufactured by Boston Scientific. Like the Coloplast Titan, it consists of two cylinders inside the penis, a fluid reservoir in the abdomen, and a small pump in the scrotum. Squeeze the pump and you get an erection. Press the deflation valve and you return to flaccid. Completely concealed, completely on demand, and completely controlled by you.

What makes the AMS 700 unique isn't the basic architecture, which it shares with the Titan. It's the combination of the longest clinical track record in the industry, the smoothest natural feel, and the most advanced infection-prevention coating ever developed for a urologic implant. More men have received an AMS 700 than any other inflatable implant in the world.

A short history of the AMS 700

The AMS 700 has roots that go back more than four decades. American Medical Systems (AMS) introduced its first inflatable penile prosthesis in the early 1980s, and the AMS 700 line evolved from that original design. Endo Pharmaceuticals acquired AMS in 2011, and Boston Scientific acquired the device line in 2015. Boston Scientific has invested heavily in the technology since then, expanding it into the most refined version available today.

That long history matters. Forty years of clinical use means forty years of patient feedback, surgeon refinement, and engineering improvement. Every weakness has been studied. Every component has been redesigned at least once. Every version has been benchmarked against patient satisfaction data. The result is a device that has the deepest validation of any inflatable implant on the market.

Three models, one platform

The AMS 700 actually exists in three configurations. Each is built for a slightly different anatomy and patient profile.

AMS 700 CX. The standard model. The cylinders expand in girth but not in length. This is the most commonly implanted version and is suitable for the majority of patients with severe ED.

AMS 700 CXR. A narrower-cylinder version of the CX. Designed for men with smaller anatomy or significant scarring inside the corpora cavernosa where a standard cylinder cannot be safely placed. This model expands the population of men who can be successfully implanted.

AMS 700 LGX. A unique cylinder design that expands in both length and girth when inflated. This is the only inflatable implant on the market that provides both kinds of expansion. The LGX is often chosen for men who have lost length over time due to severe ED, post-prostatectomy changes, or the natural progression of vascular disease.

The science of InhibiZone

The biggest single risk of any implanted medical device is infection. For penile implants specifically, infection can be devastating because it often requires removal of the device. Boston Scientific developed InhibiZone to address this directly.

InhibiZone is a dual-antibiotic surface treatment that combines rifampin and minocycline. The two antibiotics are bonded directly to the surface of the cylinders, pump, and tubing during manufacturing. When the device is implanted, the antibiotics elute slowly into the surrounding tissue during the critical post-operative window when infection risk is highest. Multiple peer-reviewed studies have shown that InhibiZone significantly reduces infection rates compared to non-coated implants.

For most patients, infection rates with the AMS 700 are now below two percent — a dramatic improvement over the rates seen with older non-coated devices. This is one of the major reasons many top surgeons prefer the AMS 700 for higher-risk patients, including men with diabetes, immunocompromised patients, and patients undergoing revision surgery.

The MS Pump

The pump is the part of the device the patient interacts with most often. Boston Scientific redesigned the AMS 700 pump several years ago to be easier to operate, with a more ergonomic shape and a clearer tactile feedback when activating and deactivating the device. The MS Pump is widely considered the easiest pump on the market to use, particularly for older patients, patients with reduced manual dexterity, or patients with arthritis. This is a small detail that has a large impact on long-term patient satisfaction.

Surgical approach

Like the Titan, the AMS 700 is implanted using either a penoscrotal or infrapubic approach. Both produce excellent results in experienced hands. High-volume surgeons typically have a preferred approach based on their training and case experience. The operation is outpatient, takes 60 to 90 minutes, and patients typically go home the same day.

The surgeon's experience is the dominant factor in your outcome. A surgeon who has performed several hundred AMS 700 cases will produce a better result, with fewer complications and a shorter recovery, than a surgeon who performs the procedure occasionally. This is true regardless of the device chosen, but it's especially true for inflatable implants where surgical precision affects both function and longevity.

Special applications

The AMS 700 is particularly favored for several specific patient populations.

Patients prioritizing concealment. The AMS 700 has the softest flaccid state of any inflatable implant on the market. Men who are concerned about how the device will feel and look when not in use often prefer the AMS 700 for this reason.

Patients with infection risk factors. The InhibiZone coating makes the AMS 700 the preferred choice for many surgeons treating diabetic patients, immunocompromised patients, and patients undergoing revision surgery.

Men who have lost length. The LGX model is the only inflatable implant on the market that expands in both length and girth. For men who have noticed a decrease in penile length over time — common after prostate surgery or with long-standing severe ED — this can be the difference between an acceptable result and an exceptional one.

Patients with smaller anatomy. The CXR model addresses a population that historically struggled to find a well-fitting implant. The narrower cylinder profile expands surgical eligibility to more men.

Long-term outcomes

The AMS 700 has the largest long-term outcomes database of any inflatable implant. Multiple studies show patient satisfaction rates above 90 percent at five, ten, and fifteen years post-surgery. Mechanical reliability is excellent. Most devices remain fully functional well beyond fifteen years, and many patients report they have completely forgotten the device exists during normal life until they need it.

Partner satisfaction rates are also consistently reported above 80 percent. The combination of natural feel, on-demand use, and unchanged sensation makes the AMS 700 effectively invisible during sex — exactly the goal.

Common myths about the AMS 700

"The pump will be obvious." No. The pump is small, hidden in the scrotum, and feels like normal anatomy to a partner. Most people who don't know what to look for cannot tell it's there.

"It will affect orgasm." No. Sensation, orgasm, and ejaculation are unchanged. The device only affects your ability to get and maintain an erection.

"It needs frequent maintenance." No. Once it's healed and you're cleared for use, the device requires no special maintenance. You simply use it when you want and forget about it the rest of the time.

"The surgery is dangerous." Like any surgery, there is risk. But infection rates are below two percent with modern coated devices, mechanical complications are rare, and serious adverse events are uncommon when the procedure is performed by a high-volume surgeon. The risks are real, but they are manageable and small in the hands of an experienced specialist.

AMS 700 Specifications

Recovery at a glance

• Outpatient procedure — typically 60 to 90 minutes
• Most men return to work within 1 to 2 weeks
• Device activation around week 4 to 6
• Cleared for sexual activity around week 6 to 8
• Full recovery and natural feel by month 3

For the full timeline, see the aftercare page.

Coloplast Titan vs. AMS 700

Both devices are excellent. Both have 90 percent-plus satisfaction rates. The right choice comes down to anatomy, surgeon preference, and what you personally prioritize.

Surgery vs. Pills, Shots, Pumps & TRT

Most men try everything else first. Pills, shots, pumps, gels, supplements, shockwave, testosterone. They work for some men. They fail for many. Here's how surgery stacks up against every other option for severe ED.

Why most men wait too long

Almost every patient who has the surgery says the same thing: "I should have done this years ago." The reason they waited isn't logic. It's fear. Fear of surgery. Fear of the unknown. Fear of admitting that the pills aren't working.

The reality is the procedure is outpatient, recovery is straightforward, and the results are permanent. Men go from anxiety, frustration, and avoiding intimacy to having reliable, on-demand erections within weeks. That's not marketing language. That's the published data.

The big picture

Severe ED surgery is an outpatient procedure. You'll typically go home the same day. The first few days are uncomfortable but manageable. Most men are back to work in one to two weeks. Sex is generally cleared by week six to eight. By month three, the device feels natural and most patients forget it's there until they need it.

Below is a typical recovery timeline. Your specific surgeon will give you instructions tailored to your case — always follow theirs first.

Week-by-week recovery timeline

Do's and don'ts

Do

• Take all prescribed antibiotics — every dose, on schedule
• Walk daily, starting day one
• Wear loose, supportive underwear
• Keep the incision clean and dry
• Sleep on your back the first week if possible
• Follow your surgeon's instructions to the letter

Don't

• Lift anything heavier than 10 pounds for the first 4 weeks
• Take baths, swim, or soak in hot tubs until cleared
• Drive while on pain medication
• Have sex before your surgeon clears you
• Skip your follow-up appointments
• Try to inflate the device before your training appointment

The honest part

The first two weeks aren't fun. Nobody pretends they are. But the men who come out the other side say it was the best decision they ever made. The discomfort fades. The function returns. And what you get back is worth every uncomfortable day of recovery.

Skip the waiting list. Talk to the right surgeon.

Most men spend months trying to figure out who the best penile implant surgeons are, only to find out the top names have 3 to 6 month waiting lists. We change that.

Our network is built on direct relationships with the highest-volume implant surgeons in the United States. When you reach out, we look at your case and connect you with the right specialist for your situation — not the closest one, not the cheapest one, the right one.

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