Can you get an erection with a penile implant?

Yes, you can get an erection with a penile implant. Penile implants are medical devices surgically inserted into the penis to help men achieve an erection when other treatments for erectile dysfunction (ED) are ineffective or unsuitable. They are a reliable and effective long-term solution for men with severe ED.

There are two main types of penile implants: inflatable implants and non-inflatable (malleable) implants. Inflatable implants are the most commonly used and offer the most natural-feeling erection. The three-piece inflatable implant includes cylinders in the penis, a fluid reservoir placed in the lower abdomen, and a pump located in the scrotum. When the user squeezes the pump, fluid is transferred into the cylinders, creating a firm erection. Pressing the deflation mechanism returns the penis to a flaccid state.

The two-piece inflatable implant functions similarly but combines the pump and fluid reservoir in one unit within the scrotum. This version may be chosen in patients where abdominal access is limited, although it may not provide the same level of rigidity as the three-piece version.

Non-inflatable (malleable or semi-rigid) implants consist of bendable rods inserted into the penis. These allow the penis to be positioned manually for sexual activity. Although always somewhat firm, they offer a simpler surgical technique and are easy to use, particularly for men with limited manual dexterity. However, they may be less discreet due to the constant rigidity.

Both implant types enable penetration and satisfy the criteria for a functional erection. According to current urological guidelines, the satisfaction rate for patients and their partners is over 85%, and device survival rates exceed 90% at 5 years for inflatable models.

While any surgery carries risks—such as infection, mechanical failure, or erosion—these risks are relatively low with modern implants. Choosing the right type of implant depends on the patient’s anatomy, preferences, and medical history, all of which should be discussed thoroughly with a urologist.