A Complete Comparison of Coloplast Titan, AMS 700, Rigicon Infla10, and Malleable Penile Implants
By Prof. Osama Shaeer
Professor of Andrology, Cairo University Faculty of Medicine
Academician at the European Academy of Andrology
30-years of experience in penile prosthesis surgery
Inventor of over 30 surgical techniques is Andrology
Quick Answer
The best penile implant depends on the patient’s anatomy, expectations, and medical condition.
- For maximum rigidity: Coloplast Titan is often preferred.
- For length and girth expansion: Boston Scientific AMS 700 LGX and Rigicon Infla10 AX are strong options.
- For severe corporal fibrosis: Coloplast Titan NB or Rigicon Narrow or AMS 700 CXR implants may offer advantages.
- For affordability and simplicity: Malleable penile implants remain an excellent solution.
- For patients seeking lifelong warranty coverage: Rigicon provides one of the strongest warranty programs available.
What Is a Penile Implant?
A penile implant is a medical device surgically inserted inside the penis to restore erectile function in men with severe erectile dysfunction (ED) who have not responded to medical treatments.
Penile implant surgery is typically performed through a small incision and usually takes between 30 and 60 minutes. Most patients return home the same day.
Penile implants provide reliable rigidity whenever desired and have among the highest patient and partner satisfaction rates of all erectile dysfunction treatments.
Who Is a Candidate for Penile Implant Surgery?
Penile implant surgery may be considered for men who:
- Have severe erectile dysfunction
- Do not respond adequately to PDE5 inhibitors such as sildenafil or tadalafil
- Have failed intracavernosal injections
- Have failed vacuum erection devices
- Have severe penile fibrosis
- Have Peyronie’s disease with erectile dysfunction
- Desire a permanent and reliable solution
A comprehensive evaluation is always required before surgery.
Types of Penile Implants
There are two major categories of penile implants:
1. Malleable (Semi-Rigid) Penile Implants
Malleable implants remain firm at all times but can be bent downward for concealment and upward for intercourse.
Advantages
- Simpler mechanical design
- Lower cost
- Easy operation
- Excellent rigidity
- Very low risk of mechanical failure
Disadvantages
- Penis remains semi-rigid continuously
- Less natural appearance compared with inflatable implants
Ideal Candidates
- Men seeking a cost-effective solution
- Patients with limited hand dexterity
- Patients preferring mechanical simplicity
2. Inflatable Penile Implants
Inflatable penile implants are considered the most advanced penile prostheses currently available.
These devices remain soft and natural when deflated and become rigid only when activated.
Advantages
- Most natural appearance
- Better concealment
- Greater patient satisfaction
- More natural flaccidity
- Potential for gradual tissue expansion in selected patients
Disadvantages
- Higher cost
- More complex mechanical system
Review of Inflatable Penile Implants
Coloplast Titan Review
Key Features
- Manufactured by Coloplast (USA)
- Hydrophilic antibiotic-binding coating
- Girth expansion design up to 21mm
- One-touch release pump
- Flat clover-leaf reservoir design
- Zero-angle tubing configuration
Special variant: Coloplast Titan Narrow Base (NB)
With a narrow base specifically designed for cases with fibrosis
Advantages of Coloplast Titan
The Coloplast Titan is widely regarded as one of the most rigid inflatable penile implants available.
Its Bioflex material allows exceptional rigidity, making it particularly attractive for:
- Men with severe erectile dysfunction
- Men with corporal fibrosis
- Men with Peyronie’s disease
- Men prioritizing rigidity over length expansion
The hydrophilic coating can absorb surgeon-selected antibiotics, helping reduce infection risk.
Best For
Patients with:
- Good penile length
- Fibrosis
- Peyronie’s disease
- Priority on maximum rigidity
Boston Scientific AMS 700 Review
Key Features
- Manufactured by Boston Scientific (USA)
- Antibiotic-coated surface
- Multiple models available
- Flat “Conceal” reservoir option
- User-friendly pump design
AMS 700 LGX
The AMS 700 LGX provides both length and girth expansion.
This may benefit patients who:
- Have concerns about penile shortening
- Are “growers” with significant flaccid retraction
- Desire length preservation
AMS 700 CX
The AMS 700 CX focuses primarily on girth expansion and rigidity.
AMS 700 CXR
With a narrow base specifically designed for cases with fibrosis
Advantages
- Excellent cosmetic appearance
- Natural flaccidity
- Length-expansion capability in LGX models
- Well-established clinical track record
Best For
Patients concerned about:
- Penile shortening
- Length preservation
- Natural appearance
Rigicon Infla10 Review
Key Features
- Rigicon penile implants are manufactured in the United States
- Hydrophilic coating
- Lifetime warranty program
- Multiple cylinder options
- Length and girth (up to 23mm) expansion models available
Rigicon Infla10 AX
The AX model offers both length and girth expansion.
Rigicon Infla10 X
The X model emphasizes girth expansion and rigidity.
AMS Rigicon Infla10 Narrow
With a narrow base specifically designed for cases with fibrosis
Advantages
- Lifetime warranty coverage
- Hydrophilic coating
- Length-expansion options
- Excellent rigidity
- Useful design characteristics for selected fibrosis cases
Best For
Patients seeking:
- Long-term warranty protection
- Length expansion
- Modern implant design
Review of Malleable Penile Implants
Coloplast Genesis Review
The Coloplast Genesis is one of the most established malleable penile implants in the world and has been used successfully for decades.
Key Features
- Hydrophilic coating
- Long clinical track record
- Three diameter options up to 13
- Semi-tapered tip design
Advantages
The main advantage of Coloplast Genesis is its hydrophilic coating. During surgery, the implant can absorb antibiotic solutions selected by the surgeon, helping reduce infection risk.
Because of its long history and reliability, Genesis remains one of the most commonly implanted malleable prostheses worldwide.
Best For
- Patients seeking a proven implant
- Patients concerned about infection prevention
- Men wanting a reliable long-term solution
Boston Scientific Tactra Review
Boston Scientific Tactra is malleable implant of the highly respected Boston Scientific.
Key Features
- Dual-density silicone exterior giving a more natural feeling to pressure
- Nitinol memory alloy core
- Soft distal tip
- Three diameter options up to 13
Advantages
Tactra’s most distinctive feature is its dual-density silicone construction, designed to simulate the feel of natural tissue more closely than traditional malleable implants.
The Nitinol core has shape-memory properties that allow the implant to maintain both the erect and concealed positions effectively.
Many surgeons consider Tactra one of the most natural-feeling malleable penile implants available.
Limitations
Unlike Coloplast Genesis and Rigicon Rigi10, Tactra does not have a hydrophilic coating, and may not bend as easily.
Best For
- Patients seeking the most natural feel
- Patients preferring Boston Scientific products
Rigicon Rigi10 Review
Rigicon Rigi10 is manufactured in the United States.
Key Features
- Hydrophilic coating
- Rounded distal tip
- Tapered proximal end
- Wider range of girths up to 14.
Advantages
The rounded tip may provide a more anatomical profile, while the tapered proximal end can facilitate implantation in selected patients with corporal fibrosis.
The hydrophilic coating allows antibiotic absorption similar to Coloplast Genesis.
One of the most important advantages of the Rigi10 is its design for challenging implant cases, particularly when fibrosis is present.
Best For
- Patients with corporal fibrosis
- Men seeking hydrophilic coating protection
- Patients wanting a modern implant design
Promedon Review
Promedon is an established manufacturer from Argentina with a strong presence throughout the Middle East and Latin America.
Key Features
- Semi-tapered tip
- Narrow proximal section
- Available VS (Very Short) models
- Wider range of girths and lengths
Advantages
The VS model is particularly valuable in patients with shorter corporal measurements because it uses a shorter internal metallic core.
This provides greater flexibility when sizing the implant and may simplify implantation in selected anatomical situations.
Promedon implants also feature a narrower proximal segment similar to Rigicon, which may be advantageous in selected fibrosis cases.
Best For
- Patients with shorter corporal measurements
- Selected fibrosis cases
- Surgeons requiring additional sizing flexibility
Which Malleable Penile Implant Is Best?
There is no universal winner among malleable penile implants.
Coloplast Genesis
Best known for:
- Proven track record
- Hydrophilic coating
- Long-term reliability
Boston Scientific Tactra
Best known for:
- Natural feel
- Dual-density silicone design
- Nitinol memory core
Rigicon Rigi10
Best known for:
- Hydrophilic coating
- Fibrosis-friendly design
- Rounded anatomical tip
- More diameter options up to 14
Promedon
Best known for:
- VS sizing options (for the shorter and wider penis)
- Flexible sizing solutions
- Utility in selected complex cases
For most patients, surgeon experience and proper sizing are more important than the specific malleable implant brand selected.
Which Inflatable Penile Implant Provides the Most Rigidity?
Most experienced implant surgeons consider the Coloplast Titan among the most rigid penile implants currently available.
However, AMS 700 and Rigicon implants also provide excellent rigidity that satisfies the vast majority of patients.
For most men, all three premium inflatable implants provide more than enough rigidity for successful sexual intercourse.
Which Inflatable Penile Implant Is Best for Penile Length?
Patients concerned about penile length may benefit from:
- AMS 700 LGX
- Rigicon Infla10 AX
These implants incorporate length-expansion capabilities in addition to girth expansion.
However, anatomy ultimately determines how much expansion is possible, and unrealistic expectations should be avoided.
Which Penile Implant Is Best for Fibrosis?
Severe corporal fibrosis presents unique surgical challenges.
In these situations:
- Coloplast Titan is often favored because of its rigidity and expansion characteristics.
- There are penile implant designs that are specific for corporal fibrosis: Coloplast Titan Narrow Base – Boston Scientific AMS 700 CXR and Rigicon Infla10 Narrow
- Among the malleable penile implants, Rigicon Rigi10 and Promedon have narrow rear ends which facilitates implantation in fibrotic cases.
The final choice depends on surgical findings and surgeon preference
Infection Risk and Implant Coatings
Modern penile implants have significantly reduced infection rates.
Protective technologies include:
Hydrophilic Coating
Found on:
- Coloplast implants
- Rigicon implants
This coating absorbs antibiotics selected by the surgeon.
Antibiotic Coating
Found on:
- Boston Scientific AMS 700
The implant surface is impregnated with antibiotics during manufacturing.
Both approaches are designed to reduce infection risk.
Inflatable penile implants generally provide the most natural appearance and feel.
Modern penile implants from Coloplast, Boston Scientific, and Rigicon are all highly durable and may function for many years. Malleable penile implants outlast inflatable implants
Yes. Penile implant surgery is considered a permanent treatment for erectile dysfunction, unless mechanical failure occurs which warrants replacement of the implant.
Penile implants are not intended as enlargement devices. However, some length-expanding models may help preserve or modestly improve length in selected patients.
There is no universal best implant. The ideal implant depends on anatomy, expectations, fibrosis status, desired rigidity, and surgeon experience.
Expert Opinion
After nearly three decades of penile implant surgery, I believe implant selection should never be based solely on brand recognition.
The best penile implant is the one that matches the patient’s anatomy, goals, and medical circumstances while being implanted by an experienced high-volume penile implant surgeon.
A careful consultation remains the most important step in achieving the best possible outcome.
Schedule an Online Consultation
Patients from around the world frequently travel to Cairo, Egypt for penile implant surgery.
An online consultation allows us to:
- Confirm candidacy for surgery
- Review previous treatments
- Discuss alternatives
- Optimize medical conditions before surgery
- Select the most appropriate implant
- Answer all questions before travel
Cost of Penile Implant Surgery in Egypt
Prof.Shaeer runs one of the internationally recognized centers of excellence, in Cairo, Egypt. A city knwon for its rich culture and tourism options. Situated approximately 45 minutes from Cairo International Airport, our hospital enjoys a central location and top tier surgical equipment and infection control protocols.
The cost of penile implant surgery in Egypt is very competitive, owing to the subsidized health care system and the special financial arrangements with the implant manufacturers.