Penis Implant

Penis Implant




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Erectile dysfunction





Erectile dysfunction: Nonoral treatments





Peyronie's disease





Priapism





Semirigid penile implant





Three-piece penile implant





Two-piece penile implant





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Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail.
There are two main types of penile implants, semirigid and inflatable. Each type of penile implant works differently and has various pros and cons.
The placement of penile implants requires surgery. Before choosing penile implants, make sure you understand what surgery involves, including possible risks, complications and follow-up care.
For most men, erectile dysfunction can be successfully treated with medications or use of a penis pump (vacuum constriction device). You might consider penile implants if you aren't a candidate for other treatments or you can't get an erection sufficient for sexual activity by using other methods.
Penile implants can also be used to treat severe cases of a condition that causes scarring inside the penis, leading to curved, painful erections (Peyronie's disease).
Penile implants aren't for everyone. Your doctor might caution against penile implants if you have:
Keep in mind that while penile implants allow men to get an erection, they don't increase sexual desire or sensation. Most penile implants also won't make your penis any larger than it naturally is at the time of surgery. In fact, your erect penis might be slightly shorter than it used to be.
Risks of penile implant surgery include:
Infections after penile implant surgery typically occur in the first few weeks or possibly years later. Early infections can cause swelling of the scrotum, pus buildup and fever. Later infections might involve persistent or recurrent long-term pain.
Surgery to remove the implant is likely necessary to treat an infection. Replacing a penile implant can be complicated and can lead to a buildup of scar tissue and a decrease in penis length.
Initially, you'll talk to your doctor or a urologist about penile implants. During your visit, your doctor will likely:
Do a physical exam. To make sure penile implants are the best options for you, your doctor will do a physical exam, including a complete urologic exam. Your doctor will confirm the presence and nature of ED, and make sure that your ED can't be treated in another way.
He or she will also try to determine whether there's any reason that penile implant surgery is likely to cause complications. Your doctor will also examine your ability to use your hands, since some penile implants require greater manual dexterity than others.
Discuss your expectations. Make sure you understand what the procedure involves and the type of penile implant that suits you best. It's also important to know that the procedure is considered permanent and irreversible.

Your doctor will also explain the benefits and risks, including potential complications. Ideally, you'll include your partner in the discussion with your doctor.
There are two main types of penile implants:
Inflatable implants. Inflatable devices, the most common type of penile implant used, can be inflated to create an erection and deflated at other times. Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis.
To achieve an erection, you pump the fluid from the reservoir into the cylinders. Afterward, you release the valve inside the scrotum to drain the fluid back into the reservoir. The two-piece model works in a similar way, but the fluid reservoir is part of the pump implanted in the scrotum.
Semirigid rods. Semirigid devices are always firm. The penis can be bent away from the body for sexual activity and toward the body for concealment.
A positionable penile implant is a semirigid device with a central series of segments held together with a spring on each end. It can maintain upward and downward positions better than other semirigid rods can.
Other special designs can fit a shortened penis, or one that's larger than average. Some inflatable penile implants are also available with antibiotic coatings, which might help reduce the risk of infection.
When choosing which type of penile implant is right for you, consider your personal preference and your medical history. Your doctor might suggest one type of design over another based on your age, risk of infection, and health conditions, injuries or medical treatments you've had in the past.
Before penile implant surgery you might also need to:
Penile implant surgery is usually done at a surgery center or hospital. Your doctor might give you medication to make you unconscious during the surgery (general anesthesia) or medication that blocks pain in the lower part of your body (spinal anesthesia).
Your doctor will give you IV antibiotics to help prevent infection. The surgery site will also be shaved immediately before surgery to reduce the risk of infection.
A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen.
Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is inside each of the two hollow chambers called the corpora cavernosa.
Your surgeon will choose the correct size implant and place the implant cylinders inside your penis. All sizes are customized to your exact body measurements.
If your doctor is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, your doctor will also implant a fluid reservoir under the abdominal wall through an internal incision.
Once the device is in place, your surgeon will sew the incisions closed. Penile implant surgery usually takes 45 minutes to an hour.
After penile implant surgery, you'll likely need to take medications to ease pain. Mild pain might persist for several weeks. You might also need to take antibiotics for one week to prevent infection.
Your doctor might recommend keeping your penis up on your lower abdomen and pointing toward your bellybutton during the healing process to prevent downward curvature.
Your doctor will provide specific instructions about when you can resume normal activities. Most men can resume strenuous physical activity and sexual activity about four to six weeks after surgery. You'll likely need to return to your doctor to have your stitches removed in about two weeks.
At this point, your doctor might recommend fully inflating and deflating inflatable penile implants twice a day to give you practice using them and stretch the area surrounding the cylinders.
Although penile implants are the most invasive and least often chosen treatment for erectile dysfunction, most men and their partners report satisfaction with the devices. The 10-year device survival is between 60 and 80 percent.

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Creates the most natural, rigid erection
Provides flaccidity when deflated




Has more parts that could malfunction than does any other implant
Requires a reservoir inside the abdomen




Is mechanically more complicated than is a semirigid implant
Provides less firm erections than does a three-piece implant




Has a low chance of malfunction due to the small number of parts
Is easy to use for those with limited mental or manual dexterity




Results in a penis that is always slightly rigid
Puts constant pressure on the inside of the penis, which can cause injury
Can be difficult to conceal under clothing



I'm a candidate Provider login I'm a provider List your practice
Are of stable mind and in good physical health
Have chronic erectile dysfunction that detracts from a quality sex life
Have tried using a vacuum constriction device (penis pump) with little success
Have realistic expectations about the risks and possible benefits of the procedure
Have Peyronie’s disease or another medical condition that is not likely to be treated successfully with other treatment options
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© 2021 AEDIT, LLC. All rights reserved.
Some men choose penile implants to help them overcome the limitations of ED (erectile dysfunction). However, this treatment option is a last resort, reserved for those who have had no luck with other treatments like medications and penis pumps. An implant does not increase sexual desire or heighten sexual sensation. It simply achieves a mechanical erection.
A penile implant is a mechanical device that can be used to achieve an erection in a patient with otherwise untreatable ED (erectile dysfunction). This article is a guide to help you understand the different types of penile implants, some details of penile prosthesis surgery, and the risks and possible side effects. It also reviews who are good candidates for these devices, the pros, and cons of each type of implant, and some before and aftercare instructions that patients typically receive from their doctors.
To understand how penile implants work, it is important to know the meaning of the term “corpus cavernosum”.
The majority of the penis is formed by two separate corpus cavernosum regions. Together, these sponge-like masses of erectile tissue form the bulk of the penis shaft. In men with normal sexual function, these cavernous bodies are flooded with blood to cause natural erections.
The goal of penile implant surgery is to allow a man with ED to achieve an erection that is sufficient for sexual intercourse. The procedure is usually recommended for men who have had no luck with other ED treatment options like medications or vacuum constriction devices (penis pumps). Penile prosthetics may also be used to treat a condition marked by curved, painful erections called Peyronie’s disease.
Note that penile implants do not increase libido, cause the head of the penis to become erect, improve sexual performance or stamina, increase sensation, or affect orgasm. A penile implant simply mimics a natural erection, allowing the shaft of the penis to become rigid enough to facilitate intercourse.
A penile prosthesis will not make the penis longer or larger than it is naturally. Since the implant does not make the head of the penis hard, many men find that their erections are somewhat shorter than they were naturally. However, most men who have the surgery, and their sexual partners, report high satisfaction rates.
Following are some of the pros and cons associated with each type of penile implant:
Semi-rigid Non-Inflatable Penile Implant
These are the least complex type of implant. Having fewer parts means a simpler surgery and less chance for a mechanical malfunction. They are also the least expensive option and the easiest to operate, even for those with limited physical dexterity due to arthritis or other medical conditions.
On the downside, non-inflatable penile implants are always semirigid, making them difficult to conceal underneath clothing. Further, having a permanent erection can be uncomfortable and otherwise bothersome. Because of this, they are the least popular implant type.
2-Piece Inflatable Penile Implants
The main advantage of this type of implant relative to a semi-rigid implant is that it includes a release valve. When the valve is opened, the saline solution is allowed to return to the fluid reservoir (inside the pump), causing the erection to subside. This allows the patient to achieve an erection when desired, and not have to have it constantly.
The cons of this type of implant include that it appears abnormal to others even when deflated, has a small pump that is difficult for those with limited dexterity to operate, and creates a less firm erection than a 3-piece device does.
3-Piece Inflatable Penile Implant
This type of implant looks and feels more natural than the others. When deflated, the penis appears completely flaccid with no rigidity as with the other two types. Its pump is larger and easier to operate than that of a 2-piece device. It also produces the firmest erections, is the most expensive, and the most popular.
The downside of this type of implant is that it has a higher risk for mechanical failure simply because it contains more components than the other types.
Discuss the best type of device for you with a board-certified plastic surgeon or licensed urologist who specializes in penile implant surgery.
Penile implants are used for ED treatment but not as a first option. Up to 70% of men with erectile dysfunction are able to achieve erections sufficient for sexual intercourse by using PDE5 inhibitor drugs like Viagra® (sildenafil), Cialis® (tadalafil), Levitra (vardenafil), and Stendra (avanafil), and therefore have no need for a penile prosthesis implant.
Good candidates for penile implant surgery:
Penile implant devices are not well-suited for all men equally. Your surgeon or urologist might recommend against this treatment if your ED symptoms are situational or reversible, if you have a pulmonary infection or urinary tract infection (UTI), or if you have diabetes that is not well managed.
Penile implants may also not be recommended for men who lack sexual desire, cannot feel sexual sensations, have skin lesions on the penis or scrotum, and/or have ED caused by emotional/psychological issues.
All surgeries have risks for the formation of scar tissue, bleeding, swelling, pain, and infection. Penile implant surgery also has risks for mechanical malfunction and/or internal erosion or adhesion. Any subsequent surgeries needed to repair or replace defective or broken components could cause increased scar tissue formation and/or decreased penis length.
Like choosing the surgeon you feel comfortable working with, choosing between the three primary types of penile implants is an important decision that you should take your time making. Your doctor can help you choose the best type for you based on your ED symptoms, medical history, age, and various other personal factors.
Non-Inflatable Penile Implant
This type of semirigid penile implant consists of two malleable rods placed into the corpus cavernosa. There is no pump or liquid reservoir. The implant allows the penis to be used during intercourse but it always remains semirigid, even when not in use.
2 Piece Inflatable Penile Implant
A two-piece penile implant is made up of a pump and two flexible rods that create rigidity. A saline solution is housed either in the pump or the rods, which is forced by pressure to achieve penile rigidity at the owner’s discretion. The pump and expanding rods are surgically placed into the scrotum and the corpus cavernosum shafts, respectively.
3 Piece Inflatable Penile Implant
Instead of reserving the solution in the pump or the inflatable cylinders like a two-piece device, a three-piece penile implant surgery places the liquid reservoir in the patient’s abdominal cavity. The pump is placed inside the scrotum, and two inflatable tubes are placed into the corpus cavernosum shafts of
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