Welcome to the Coloplast Informed Patient Program
Congratulations on scheduling your solution to ED
At Coloplast, we are dedicated to helping people with intimate healthcare needs. As you prepare to receive a Titan® penile implant, we have created the Informed Patient Program to make sure you have the best possible experience by providing you with general guidelines and resources to help you prepare for the implant of the Titan penile implant. Your physician is responsible for your care and it is important to follow the recommendations that your surgeon provides for the best possible outcomes.
Pre-procedure checklist
This checklist is intended to help you prepare for your upcoming Titan inflatable penile implant procedure. The checklist is an example of typical pre-procedure activities. Your surgeon may have a specific checklist of pre-procedure activities. Please check with your surgeon and follow their specific instructions.
- Your physician may want you to stop some medications, including over the counter and/or supplements. It is also recommended to inform your surgeon of recreational drug usage prior to your procedure. Please check with your surgeon before stopping medications. These medications may include injectable medications indicated for diabetes, weight loss (i.e. Ozempic®, Trulicity® injections) and blood thinners.
- Please alert your surgeon if you have sleep apnea.
- You will not be permitted to drive home after your surgery. Please plan for a responsible person to drive you home.
- Please verify your insurance with your implant doctor’s office.
Please plan on arriving at the facility for your procedure early (typically 1-3 hours prior to your scheduled procedure time) based on your surgeon’s instructions.
As a reminder, your surgeon will likely ask you to stop blood thinners 7 days prior to your procedure. Please check with your surgeon to determine if you should stop any medications and/or recreational drug usage in advance of your surgery. Your surgeon may suggest antibiotics and a surgical soap prior to your surgery. It is important that you discuss with your doctor whether, or not, you should eat or drink anything, including water, starting from midnight the night before your procedure.
Medical clearance
You may need medical clearance from your primary care doctor and/or cardiologist before your procedure. If your urologist instructs you to do so, reach out to your primary care provider and/or cardiologist to get medical clearance. Click below to see an example of what this form typically includes. The form will need to be completed by your primary care provider and returned to your surgeon’s office prior to the procedure, to make sure you are ready for surgery.
Insurance information
If you feel like your insurance coverage is impossible to understand, you’re not alone. Insurance policies are notorious for their complexity. For general insurance information, click the link below.
Have questions on insurance and coverage? We’re here to help!
Our team of experts can assist you and you manage the complexities of insurance and coverage. We are available Monday – Friday, 9am to 4pm CST.
How to inflate/deflate your Coloplast penile implant
Titan® Inflatable Penile Implant
Inflation and deflation patient demonstration
What to expect post-procedure
Review this information to find out more about post-procedure care. Please discuss all of these matters with your doctor.
Frequently asked questions
PM-25749
If you have additional questions, call Coloplast Corporation at 1-800-258-3476 and/or visit company website at www.coloplast.us
Important safety information
Titan® & Titan Touch Inflatable Penile Prosthesis
The Titan Inflatable Penile Prosthesis is a surgically implanted mechanical penile implant intended for the treatment of erectile dysfunction in men. The Titan implant is a 3-piece fluid-filled system manually operated to produce and sustain an erection for sexual intercourse.
Indications
The Titan Inflatable Penile Prosthesis is indicated for male patients with erectile dysfunction who are considered to be candidates for implantation of a penile prosthesis.
Contraindications
The Titan implant is not for use in patients who have one or more of the following conditions: 1) have an active infection, particularly urinary tract or genital infection, 2) are sensitive or allergic to silicone or polyurethane, 3) have ongoing difficulty urinating or emptying the bladder (e.g., bladder outlet obstruction or neurogenic bladder), or 4) unwilling to undergo any further surgery for device revision.
Warnings
Patients should consider the warnings, precautions and potential complications associated with the use of this product, which may include the following: potential for resurgery (note: device is not a lifetime implant). Implantation makes latent natural erections, as well as other interventional treatment options, impossible. Implantation may result in penile shortening, curvature or scarring. Pre-existing abdominal or penile scarring or contracture may make surgical implantation more complicated or impractical. Diabetic, as well as immunocompromised patients, may have an increased risk of infection which could result in permanent damage to tissue/organs. Excessive stresses from rigorous exercise and vigorous masturbation/intercourse could lead to device damage. Certain stresses and pressures (straddle seating, obesity, etc.) could lead to involuntary inflation or deflation. Post-implant penile size, girth and angle can vary based on patient anatomy, implant size, level of inflation, and presence of Peyronie’s disease.
Precautions
Patients with spinal cord injury may have an increased risk of infection. This device may be used to treat erectile dysfunction in the presence of Peyronie’s disease. Although the implant is not visible, depending on the placement (submuscular) the reservoir may be palpable.
Patients should consider the following factors which could lead to increased risk of failure and can be critical to the eventual success of the procedure: ability and willingness of the patient to follow instructions; associated psychological status (e.g., psychogenic erectile dysfunction, inappropriate attitude or motivation); health conditions which hamper sexual activity (such as severe angina) may prevent successful use of this device; manual dexterity problems; and lack sufficient manual dexterity or strength necessary to operate the device.
Impact injuries to the pelvic or abdominal areas (e.g., sports injuries) can result in damage to the implant which may necessitate replacement of the device. Contracture of tissue around the pump can cause unnatural firmness in the scrotum and involuntary inflation or deflation. The device may fail to deflate and/or deflation of the device may be slow or difficult for some patients. Device malfunctions may result in the inability to inflate or deflate the device. Removal of the device without timely reimplantation of a new implant may complicate subsequent reimplantation.
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 onset (de novo), persistent, worsening, transient, or permanent.
Adverse events may include but are not limited to: inability to pull foreskin back from tip of uncircumcised penis (acquired phimosis); abnormal wound healing/adhesion/scar tissue; bladder storage symptoms/urinary retention; tightening, shortening, deformity or curvature of penis (capsular contracture, induration); discomfort/pain; injury to tissue or organs (perforation/erosion/extrusion) resulting in damage or loss of tissue (necrosis); open tunnel between tissue or organs (fistula); foreign body reaction/allergic reaction/sensitivity; bleeding/hemorrhage or collection of blood or fluid outside of tissue or vessels (hematoma/seroma); hernia; Infection/urinary tract infection; redness or swelling (inflammation/edema); difficult or painful intercourse (dyspareunia/sexual dysfunction); obstruction/occlusion; numbness or decreased sensation (e.g., hypoesthesia); and urinary incontinence. 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 an inflatable penile implant is right for you.
Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
PM-15451 / Feb 2024