UAMS Designated Center of Excellence for Second Inflatable Penile Prosthesis

By Linda Satter

In a brief Nov. 12 ceremony at the UAMS Health Urology Clinic in the Premier Medical Plaza in Little Rock, Coloplast representative Tyler Schwaller presented a plaque and a poster signifying the designation to Bruno Machado, M.D.

Machado is one of two UAMS urologists who implant the prostheses in a minimally invasive outpatient procedure that lasts about an hour and 20 minutes.

Coloplast awards Center of Excellence designation to centers that implant more than 30 of the devices a year and have demonstrated a high level of expertise.

Schwaller said only 10% of centers nationwide that implant the Titan have received the Center of Excellence designation. UAMS is the second Arkansas provider to receive the designation from Coloplast.

Earlier this year, the UAMS Urology Clinic was honored as the state’s first Center of Excellence in Arkansas for implantation of the AMS 700 penile prosthesis, which is manufactured by Boston Scientific.

Machado said the two brands of prostheses are similar but have differences that may make one more suitable for a patient’s particular situation. The clinic implanted 62 penile prostheses altogether in 2024 and has implanted 74 of them so far this year.

The UAMS Urology Clinic is the largest penile prosthesis implanter in Arkansas and the only center in the state that is a designated Center of Excellence for both brands.

The Titan is implanted through a small incision while the patient is sedated. The patient returns two days later for catheter removal, then again in two weeks to learn how to operate the device. Most patients can resume sexual activity within four to six weeks.

The implantation is considered a permanent solution for ED, Machado said. It is entirely concealed within the body and is easily activated by a squeeze from the patient.

ED is a common condition that affects about half of all men between 40 and 70 years old. It has several physical or psychological causes, including diabetes, high blood pressure and heart disease. It can also be a secondary effect of treatments for prostate cancer, enlarged prostate, colon cancer and spinal surgery.

Machado said the implants are recommended for patients who don’t respond to medication or injections.

To contact the UAMS Urology Clinic for more information about the procedure, call 501-686-6324.