GENESIS (Coloplast) — 5 events
- Patient dissatisfaction (size) was the leading issue — 2 of 5 events were incorrect sizing, including one patient switching from 9.5 mm to 11 mm.
- One malfunction — a cylinder break after 3 years of use led to removal and replacement with a Titan.
- One malposition — device placed incorrectly, removed and replaced with a Titan.
- One explant with no documented reason — revision performed but cause not recorded (unspecified).
- Zero infections reported, and no device was returned to Coloplast for evaluation in any case.
TACTRA (Boston Scientific) — 11 events
- Malposition was the leading clinical complication — 3 events: one left distal erosion (explant + grafting) and two curvature/curve-correction cases.
- Two infections — one in the corpora cavernosa (diagnosed intraoperatively) and one penoscrotal infection linked to heavy lifting before the incision had healed; both devices explanted and replaced.
- Two patient-dissatisfaction events — instability/short-lasting erection (replaced with a 2 cm longer device) and difficulty during intercourse (replaced with an IPP).
- Four explants/replacements with no stated reason — the largest single group; one was replaced with an IPP.
- No pure malfunctions reported, and product details were frequently missing, limiting Boston Scientific's ability to investigate.
