Coloplast Titan inflatable penile prosthesis
with One Touch Release pump: initial results
Bruce B. Garber, MD, FACS
Clinical Associate Professor
Drexel University College of Medicine
Philadelphia, PA
215-247-3082
Website: www.garber-online.com
Email: [email protected]
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The Coloplast Titan inflatable penile prosthesis (IPP) was recently
modified with a One Touch Release (OTR) pump, to facilitate
deflation
The OTR pump became available in September of 2008
OTR pumps are now available as separate units, or pre-connected
to cylinders
The objectives of this investigation were to assess the ease of
implantation of this new pump, and to assess it’s functionality and
ease of patient use, compared to the prior (Genesis) pump.
Coloplast Titan with Genesis pump
Coloplast Titan with One Touch Release (OTR) pump
August 1, 2017
Engineering changes:
Genesis pump vs. OTR pump
5
Methods
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50 consecutive patients were implanted with a Titan IPP containing an OTR
pump; some received a primary implant, others received an OTR pump
during an IPP replacement procedure
Implantation was either via standard trans-scrotal or infrapubic technique
All procedures were done as an outpatient, by an experienced (>1000
cases) surgeon
All patients received IV vancomycin and gentamicin pre-op
Intra-op antibiotic irrigation and device soaking was carried out with rifampin
and gentamicin, 1.0 mg. of each per ml of sterile water
Follow-up was obtained by retrospective chart review
The control group consisted of 50 consecutive patients implanted with a
Titan IPP containing a Genesis pump, immediately prior to the availability of
the OTR pump
Objective results
Mean follow up (mos.)
% follow-up
# of IPP infections
Average # of teaching visits
(p=.0004)
Range of teaching visits
# of pump malfunctions
Control Group (N=50)
13.5
100
0
1.9
1-4
0
OTR group (N=50)
4.8
100
0
1.1
1-3
0
Subjective results
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OTR pump just as easy to implant as Genesis pump
OTR pump easier for surgeon and patient to deflate
Genesis and OTR pumps equally easy to inflate
Genesis pump deflation requires continuous pressure on deflate
bars, which some patients find difficult or painful
OTR pump deflation requires only one firm squeeze of the release
pads
Conclusions
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With short term follow-up:
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OTR pump functioned as specified by the manufacturer
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No instance of OTR pump malfunction
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OTR pump resulted in a statistically significant reduction in the
number of post-op inflate/deflate patient teaching sessions
(p=.0004)
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OTR pump was subjectively easier for patient and surgeon to
deflate; equally easy to inflate, compared to Genesis pump
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A larger series with longer follow-up is needed to confirm these
initial results