
AMS 700 vs. Coloplast Titan: Which Implant Is Better?
An honest, side-by-side look at the two leading three-piece inflatable penile prostheses, so you can discuss the right choice with Dr. Tuncay Tas.
Table of Contents
AMS 700 vs. Coloplast Titan: What Both Devices Actually Are
The AMS 700 (Boston Scientific) and Coloplast Titan are both three-piece inflatable penile prostheses. In each case, the system uses three parts: cylinders in the penis, a pump in the scrotum, and a fluid reservoir in the lower abdomen.
As a result, both devices allow a natural-feeling erection on demand. The rest of the time, the implant stays fully deflated.
Surgeons implant both brands for men with erectile dysfunction that has not responded to less invasive treatments. Consequently, this comparison assumes that implant surgery is already the right path for you. If that is not yet clear, in addition, see our When Should I Consider Penile Implant Surgery guide first.
AMS 700 vs. Coloplast Titan: Side-by-Side Comparison
| Aspect | AMS 700 | Coloplast Titan |
|---|---|---|
| Cylinder material | Layered silicone | Bioflex® polymer |
| Deflation mechanism | Squeeze-and-release pump action | One-Touch Release valve |
| Infection coating | InhibiZone® (factory antibiotic layer) | Hydrophilic (surgeon-applied solution) |
| Cylinder sizing options | Multiple lengths and girths | Wider range, including narrower sizes |
| 5-year mechanical survival | Approximately 91% | Approximately 87% |
| Proven overall superiority | Not statistically significant over Titan | Not statistically significant over AMS 700 |
As the table shows, the two devices sit much closer together than marketing materials sometimes suggest. Therefore, the more decisive factors usually come down to surgeon familiarity and your own anatomy. The brand name itself, in short, matters less.
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Dr. Tas will assess your anatomy and goals directly.
Material and Feel: Silicone vs. Bioflex®
The two brands use genuinely different cylinder materials, and this is one of the few differences patients can actually notice day to day. AMS 700 cylinders use a layered silicone construction, engineered specifically for a soft, natural feel whether inflated or deflated.
Coloplast Titan cylinders, in contrast, use Bioflex®, a tougher polymer. It provides excellent durability, though some patients notice a firmer texture, and a small number report visible kinks or "dogears" at the tip when the penis is flaccid. Dr. Tas discusses this trade-off openly during consultation, since patient preference here varies quite a bit.
Design and Deflation: The Real Difference
Both devices share the same three-piece architecture. However, they differ slightly in how the pump deflates the cylinders.
The AMS 700 relies on a squeeze-and-release pump action. This cycles fluid back into the reservoir.
Coloplast Titan, in contrast, uses a One-Touch Release valve. It offers a simpler, single-step deflation.
In practice, most patients adapt to either mechanism within a short learning period. For this reason, therefore, the deflation style rarely determines long-term satisfaction on its own.
AMS 700 vs. Coloplast Titan: Survival and Satisfaction
Published five-year Kaplan-Meier survival estimates run around 91% for AMS 700 and 87% for Titan. The trend favors AMS 700 slightly, but researchers found no statistically significant difference between the two devices overall.
Satisfaction runs high with both brands. Roughly 79% of patients report great satisfaction, more than two-thirds describe greater self-confidence, and 82% say they would choose the same surgery again. These figures come from pooled data across both devices, which underscores that the surgery itself, not the specific brand, drives most of the benefit patients experience.
AMS 700 vs. Coloplast Titan: What the Evidence Shows
Systematic literature reviews comparing AMS 700 and Coloplast Titan consistently find only minor, inconsistent differences between them. Neither device shows a clear, reproducible advantage across large patient cohorts. Consequently, most specialists rely on their own clinical judgment and hands-on experience with each brand.
Preoperative expectations, moreover, appear to influence satisfaction as much as the device itself. Therefore, a thorough consultation matters more than the brand you choose. One notable exception involves complex anatomy: Titan's wider range of narrower cylinder sizes gives surgeons more options for patients with significant scar tissue or corporal fibrosis, including men who need implant surgery alongside Peyronie's disease correction.
Why Surgeon Experience Matters More Than Brand
The surgeon's skill and experience remain the strongest predictor of a successful outcome, regardless of which implant is chosen. Some surgeons naturally gain more experience with one brand over the other. This often comes down to regional availability or where they trained, rather than any real performance gap.
For this reason, we recommend asking any prospective surgeon directly about their experience with both brands. Ask, specifically, how many of each device they have implanted, and what their own complication and revision rates look like.
Dr. Tuncay Tas discusses both AMS 700 and Coloplast Titan with every implant patient. As a result, the final choice reflects your anatomy, not a single default preference.
This individualized approach, rather than a one-size-fits-all recommendation, most consistently predicts a satisfied outcome years after surgery.
Other Factors Worth Weighing
- Patient reviews: Online forums and men's health communities offer real-world perspectives, though individual experiences vary widely.
- Insurance and cost: Coverage and out-of-pocket cost can differ by brand and provider, so confirm this directly with your clinic before deciding.
- Sizing needs: Both brands offer multiple cylinder lengths and girths, so your specific anatomy may fit one range slightly better.
- Revision history: Ask your surgeon about their own revision rates with each device, not just published averages.
Ultimately, prospective randomized trials may one day settle the debate more conclusively. Until then, in the meantime, an individualized consultation remains the most reliable way to choose. During that consultation, bring a written list of your priorities, whether that means material feel, deflation style, or long-term durability, so Dr. Tas can match the device to what matters most to you specifically.
Revision Surgery and Long-Term Care
Both AMS 700 and Coloplast Titan sometimes require revision surgery over a patient's lifetime, whether due to mechanical wear, infection, or a patient wanting a size change. Revision rates for both brands stay low in the first several years and gradually increase over time, a normal pattern for any mechanical implant that functions daily inside the body.
When revision does become necessary, the original surgical approach usually makes the second procedure more straightforward, since the surgeon already knows the anatomy and scar tissue pattern. For this reason, choosing a surgeon with deep experience in both brands, rather than one who only implants a single device, matters just as much at the revision stage as it does the first time around.
Annual check-ups also play a meaningful role in long-term success. During these visits, Dr. Tas confirms proper implant function and addresses any early signs of a problem before they become urgent, which helps both AMS 700 and Titan patients get the most years of reliable use from their device.

Assoc. Prof. Dr. Tuncay Tas
Board-Certified Urologist & Male Sexual Health Specialist, based in Istanbul. Dr. Tas discusses both AMS 700 and Coloplast Titan with every implant patient, basing the final recommendation on your anatomy rather than a single default brand.
Frequently Asked Questions
Is AMS 700 or Coloplast Titan more reliable?
Which device deflates more easily?
Does Dr. Tas recommend one brand over the other?
Do both devices have infection-resistant coatings?
How do I know which implant fits my anatomy?
Does insurance cover either device?
Do AMS 700 and Titan feel different?
Which implant lasts longer?
Will I need revision surgery eventually?
Does the original surgeon matter for future revisions?
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