Penile Prosthesis (Implant) Surgery
The Definitive Solution for Severe ED: On-Demand, Reliable Erections.
What is a Penile Implant?
A Penile Implant (or Penile Prosthesis) is a medical device surgically implanted into the penis to allow men with severe Erectile Dysfunction (ED) to achieve a rigid erection suitable for sexual intercourse. It is considered the gold standard treatment for men who do not respond to oral medications or injection therapies, offering a permanent, reliable solution that restores spontaneity and sexual confidence.
Clinical Mechanism
The Clinical Mechanism of Action:
1. Inflatable Penile Implant (3-Piece): This mimics a natural erection most closely. It consists of fluid-filled cylinders in the penis, a pump in the scrotum, and a reservoir in the abdomen. Squeezing the pump transfers saline fluid into the cylinders, creating a rigid erection. Pressing a release valve drains the fluid back, returning the penis to a flaccid state.
2. Malleable (Semi-Rigid) Implant: This device consists of two bendable rods implanted in the penile shaft. The penis remains semi-rigid at all times but can be manually positioned downwards for concealment or upwards for sexual activity. It is simpler to use and has fewer mechanical parts.
Why It Works: Unlike pills that rely on blood flow, implants provide mechanical rigidity, guaranteeing an erection 100% of the time, regardless of vascular or nerve health.
Treatment Procedure
Anesthesia
General or spinal anesthesia. Small incision made (scrotal or infrapubic).
Implantation
Cylinders placed in penile shaft, pump in scrotum, reservoir in abdomen.
Testing
Device tested intraoperatively to ensure proper function.
Recovery
Overnight stay. Activate device after 4-6 weeks of healing.
Safety & Complications
Modern implants have low complication rates (<5%). Risks include infection (1-3%), mechanical failure (rare with current devices), and erosion (very rare). Surgeons with high case volumes have the best outcomes.
Suitable Candidates
- Men with severe ED who have failed all medical therapies.
- Post-prostatectomy patients with irreversible nerve damage.
- Those prioritizing reliability and on-demand performance.
- Men seeking a permanent, one-time solution.
Types of Penile Implants
Inflatable vs. Malleable Devices
| Feature | 3-Piece Inflatable | Malleable (Semi-Rigid) |
|---|---|---|
Natural Appearance | Fully flaccid when deflated | Always semi-rigid |
Rigidity Control | Pump to inflate/deflate on demand | Bend up/down manually |
Partner Satisfaction | Highest (feels most natural) | Good (less natural feel) |
Complexity | More components (pump, reservoir) | Simpler (2 rods only) |
Recovery & Activation
Healing
Initial healing of incisions. Manageable discomfort with medication.
Activation
First in-office training session to learn how to operate the device.
Full Confidence
Complete comfort using the device. Spontaneity restored.
Frequently Asked Questions
QWill it look natural?
Yes. When deflated, 3-piece implants are virtually undetectable. Partners often can't tell.
QCan I still orgasm and ejaculate?
Absolutely. Implants restore rigidity only—sensation, orgasm, and ejaculation are unaffected.
QHow long does it last?
Modern implants typically last 15-20 years. Replacements are possible if needed.
Ready to Start?
Consult with our Board-certified specialists at M-Trust Urology for Penile Implant.
