Erectile dysfunction (ED) is a common yet frustrating condition. It can leave a man feeling embarrassed and depressed. There are many treatments for this medical condition. But sometimes, they aren’t enough.
Penile implant surgery is a treatment option for men with ED that hasn’t responded to medication or other therapies.
Also known as penile prosthesis implantation, the procedure involves inserting a device into the penis. The device is manually controlled to help achieve and maintain an erection. It’s typically done when non-surgical treatments don’t provide effective results.
Why is Penile Implant Surgery Needed?
Men may opt for this procedure if they experience ED due to various factors, including:
- Vascular conditions that impact blood flow, such as atherosclerosis
- Diabetes and related nerve damage, which are common contributors to ED
- Peyronie’s disease– a condition where scar tissue causes penile curvature, making erections difficult or painful
For many men, choosing an implant can be life-changing. It can restore their confidence to enjoy intimacy, without the worry of ED. Being able to have an erection again can restore a sense of normalcy. The benefits go beyond just physical changes, as many men also feel a renewed sense of well-being.
Types of Penile Implants
Penile implants generally come in two main types, each with its own benefits:
Inflatable implants
Inflatable penile implants (IPPs) give men control over when and for how long they have an erection using a discreet, three-part system. These devices include:
- Two cylinders inserted into the penis
- A saline reservoir positioned in the abdomen
- A pump placed in the scrotum
To achieve an erection, the pump is squeezed, which transfers saline from the reservoir into the cylinders. This inflates the cylinders, creating a firm, natural-looking erection. Pressing the release valve allows the saline to flow back into the reservoir to return the penis to a flaccid state.
These implants are designed to be undetectable when deflated, providing a natural appearance and feel.
Semi-rigid or malleable rods
Semi-rigid rods provide a dependable option for men wanting an erection without needing adjustments. These bendable rods are placed inside the penis. They make it firm but allow some flexibility for positioning.
Semi-rigid devices don’t require pumping or deflating like inflatable implants. They’re an excellent choice for those with limited hand mobility or who want a low-maintenance option.
The Implant Procedure
Penile implant surgery is an outpatient procedure. A discreetly implanted device designed to help restore erectile function can be implanted in just a couple of hours.
Before the procedure, anesthesia is administered to keep you comfortable and pain-free. Depending on your preferences and health, your surgeon will discuss whether general or local anesthesia is best for you.
Once anesthesia takes effect, your surgeon will make small incisions to insert the implant components.
For inflatable implants
The surgeon first clears the spongy tissue in the penis. This makes room for inflatable cylinders that mimic natural erections. The surgeon then places the saline-filled reservoir under the abdominal muscles and implants the pump in the scrotum. This gives you control over inflation and deflation.
For semi-rigid implants
The surgery for a malleable implant is generally simpler and quicker. It involves inserting bendable rods into the spongy tissue without extra parts. These rods remain firm, allowing the penis to be manually positioned as desired.
Following surgery, your doctor will provide post-operative instructions and any necessary medications to ensure a smooth and comfortable recovery at home.
Post-Implant Care
In the first couple of days after surgery, your doctor will likely give you a local anesthetic to help with any immediate discomfort. This numbing injection can ease pain during the first 48 to 72 hours. You might also be prescribed mild pain relievers to manage any soreness as you return to your daily routine.
Your body needs time to heal, so plan to wait about six weeks before resuming any sexual activity. During recovery, avoid heavy lifting or putting pressure on the surgical area to prevent strain. If you have an inflatable implant, your doctor may suggest gently inflating and deflating it between the third and sixth weeks. This helps you get familiar with the device and allows the surrounding tissues to adjust.
Your doctor will check the implant at follow-up visits to ensure it is working and free of issues, such as infections or mechanical problems.
Talk to a Urologist About Penile Implant Surgery
Choosing penile implant surgery is a big decision and, for many, a life-changing solution to ongoing ED. Get started by talking with an expert urologist to explore all treatment options. They can help you decide if this procedure is best for you.
Don’t continue to live with ED – schedule an appointment to explore penile implant surgery today!