Understanding ED
Understanding Your ED Treatment Options
Finding the right treatment for erectile dysfunction starts with understanding all your choices. From lifestyle adjustments to advanced surgical solutions, there is a path forward for everyone. Explore the options below to see how they compare and discuss them with your doctor to find the best fit for you.
On this page
The ED Treatment Pathway
Treatment for ED typically follows a step-by-step approach, starting with the least invasive options. If first-line treatments are not effective, your doctor may recommend moving to the next level.
Lifestyle Changes
For some men, improving diet, increasing exercise, quitting smoking, and reducing alcohol intake can significantly improve erectile function. This is often the first step.
Oral Medications (PDE5s)
PDE5 inhibitors (such as sildenafil or tadalafil) are a common second step. They work by increasing blood flow to the penis but require sexual stimulation to be effective.
Devices & Injections
If pills are not effective, options like vacuum erection devices (VEDs) or self-administered penile injections (ICI) can create an erection on demand.
Penile Implants
When other treatments fail or are not preferred, a penile implant offers a permanent, long-term solution. It is a concealed device that provides a reliable, on-demand erection.
Learn MoreA Closer Look at Penile Implants
Penile implants, also known as penile prostheses, are medical devices surgically placed within the penis to provide the rigidity needed for sexual intercourse. They are a highly effective and satisfying solution for men with ED. Rigicon offers a range of advanced implants to suit different patient needs and anatomies.
Dynamic Inflatable Penile Prosthesis
The most advanced type of implant, providing a natural-feeling erection and a soft, flaccid state. The three-piece system is fully concealed and offers excellent rigidity and girth expansion.
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Two-Piece Inflatable Penile Prosthesis
A simplified inflatable option that combines the reservoir and pump. It offers the benefits of an inflatable device with a less complex surgical procedure.
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Malleable Penile Prosthesis
A simple and highly durable solution. The semi-rigid rods provide constant firmness and are manually positioned for intercourse and concealment. It is easy to use and has no mechanical parts.
Learn moreCould a Penile Implant Be Your Solution?
Consider whether a penile implant might be suitable for you based on these criteria:
Previous Treatments Were Unsuccessful
You have already explored conventional options such as oral medications, injection therapy, or vacuum pumps, and found them ineffective or experienced intolerable side effects.
You Desire a Lasting, On-Demand Solution
You prefer a definitive treatment that eliminates the need for advance preparation or taking pills before intimacy. An implant provides reliable erections at any moment you choose.
You Are Open to Surgical Treatment
You recognize this involves a surgical procedure and are willing to have an in-depth conversation with a specialist to reach a well-informed, collaborative decision about your care.
Frequently Asked Questions About ED Treatment
What is the first treatment I should try for ED?
Treatment typically starts with the least invasive options. For many men, lifestyle changes such as improving diet, increasing exercise, quitting smoking, and reducing alcohol can make a significant difference. If these don't fully resolve the issue, oral medications (PDE5 inhibitors such as sildenafil or tadalafil) are usually the next step. Your doctor will help determine the best starting point based on your health.
How do I know if oral medications will work for me?
Oral ED medications are effective for many men, but they may not work for everyone—especially those with certain health conditions like diabetes, heart disease, or those who have had prostate cancer treatment. These medications require sexual stimulation to work and may have side effects. Your doctor can assess your medical history to determine if pills are a suitable option for you.
What if pills don't work for my ED?
If oral medications aren't effective or cause unwanted side effects, your doctor may recommend other options. These include vacuum erection devices (VEDs), which use a pump to draw blood into the penis, or penile injections (ICI) that deliver medication directly. If these also don't work, a penile implant offers a permanent, reliable solution.
What is a penile implant and how does it work?
A penile implant (or penile prosthesis) is a medical device surgically placed inside the penis to provide the rigidity needed for sexual intercourse. There are two main types: inflatable implants, which use a pump to create an erection and allow for a natural flaccid state, and malleable (bendable) implants, which provide constant firmness and are manually positioned. Both are fully concealed inside your body.
Will a penile implant feel natural to my partner?
Yes. Most partners report that sex feels natural with a penile implant. The device provides firmness for intercourse while preserving sensation, orgasm, and ejaculation. Inflatable implants also allow for a soft, natural-feeling flaccid state when not in use, so it's almost completely discreet.
How long does a penile implant last?
Modern penile implants are designed for long-term use. Studies show mechanical survival rates of approximately 87-93% at 5 years, with median device survival time of approximately 20 years.[5] The Rigicon Infla10® has demonstrated a 95.6% freedom from revision or removal at 21 months in clinical studies.[6] While some may eventually require revision surgery, a penile implant is considered a permanent solution that restores the ability to have spontaneous erections on demand.
Ready to take the next step?
Speak privately with a Patient Counselor
Get personalized information about inflatable penile prostheses in a confidential consultation. Our patient counselors understand the sensitive nature of ED and provide judgment-free support.
What you'll discuss:
- Your specific ED history and concerns
- How inflatable prostheses work
- Recovery expectations and timeline
- Finding the right surgeon for you
Private referral to a Rigicon Global Reference Center
Connect with experienced urologists in your area who specialize in penile prosthesis surgery. Our surgeon directory includes qualified professionals familiar with Infla10® Pulse™ products.
Search by:
- Geographic location
- Penile prosthesis experience
- Insurance acceptance
- Patient reviews and outcomes
Your privacy is our priority: Your enquiry is confidential. We never sell personal data.
Rigicon® Talks Videos
Rigicon Talks brings together doctors from around the world to share knowledge, helping patients better understand their treatment options.
Top 10 Questions Answered About Penile Prosthesis
| Time | Question | Play |
|---|---|---|
| 01:24 | Are you a candidate for a penile implant? | |
| 03:03 | Will the penile implant affect ejaculation or orgasm? | |
| 04:11 | Will the penile implant affect the length and girth of the penis? | |
| 05:09 | Will my partner notice the implant? | |
| 07:07 | How long is the recovery period after penile implant surgery? | |
| 08:24 | How to prepare for penile implant surgery? | |
| 09:33 | Can I choose the type of the penile implant I receive? | |
| 11:50 | How does the penile implant affect the appearance and feel of the penis? | |
| 14:30 | Will the penile implant interfere with urination? | |
| 15:46 | What is the lifetime of a penile implant and what is the likelihood of needing a revision? |
The Patient and Nurse Perspective in Prosthetic Urology
| Time | Question | Play |
|---|---|---|
| 00:40 | What is the nurse's role in prosthetic urology surgeries, and how do nurses help patients prepare for the procedure? | |
| 02:23 | How can nurses help patients manage their expectations and concerns before surgery? | |
| 03:26 | What does the typical recovery process look like after surgery? | |
| 05:19 | How does teamwork between nurses and surgeons impact patient care and outcomes in prosthetic urology surgeries? | |
| 06:06 | What advice would you give to patients considering an implant? |
Discover More
Patient Education Resources
Prosthetic Urology FAQs
Evidence-based FAQs on artificial urinary sphincters, penile and testicular prostheses—grounded in peer-reviewed research and international guidelines
Prosthetic Urology Glossary
Evidence-based glossary covering penile implants, AUS, ED treatments, and surgical terms in prosthetic urology
Specialized Treatment Information
Penile Implant Revision Options
Comprehensive solutions for revision surgeries and complex cases requiring specialized approaches
Solutions After Prostate Cancer Treatment
Specialized ED treatment options for patients following prostatectomy and other prostate cancer treatments
Solutions for Prostate Surgery & Diabetes ED
Specialized treatments for erectile dysfunction related to prostate surgery and diabetes complications
When Oral ED Medications No Longer Work
Advanced treatment options for patients who no longer respond to oral ED medications
Urinary Sphincter Solutions After Prostate Cancer
Artificial urinary sphincter options for managing incontinence after prostate cancer treatment
Rigicon Talks
Listen to expert discussions, patient stories, and educational content about prosthetic urology on your favorite platform.
Disclaimer
Important Notice:
This website provides educational information only and does not constitute medical advice. Product availability varies by country. Always consult with qualified healthcare professionals for medical decisions.
Regulatory Information:
Rigicon products are medical devices that require prescription and surgical implantation by qualified urologists. Individual results may vary.
Lifetime Warranty Availability & Terms:
A Product Replacement Lifetime Warranty is available for the Rigicon Infla10® Pulse™ family of inflatable penile prostheses and Rigi10™ family of malleable penile prostheses in countries/regions where the products are sold, subject to the Rigicon Limited Warranty and applicable local laws. Availability and terms vary by country/region; void where prohibited by law. Coverage is limited to device replacement for defects in materials or workmanship as determined by Rigicon; applies to the original patient only, is non-transferable, and requires replacement with a Rigicon device. The warranty does not cover surgical, hospital, or physician fees; removal/re-implantation costs; or damage from misuse, trauma, or off-label use. This warranty does not guarantee clinical outcomes. For complete terms and claim instructions, please refer to the Rigicon Limited Warranty.
References:
[1] Infla10® Pulse™ Series, ContiReflex®, ContiClassic® and Testi10™ products are not available for sale within the United States.[2] Rigicon® Infla10® Inflatable Penile Prosthesis Data on file.
[3] Salonia, A., et al. (2024). EAU Guidelines on Sexual and Reproductive Health. European Association of Urology.
[4] Hatzimouratidis, K., et al. (2010). Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Urology, 57(5), 804-814.
[5] Miller, L.E., et al. (2022). Long-Term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis. Urology, 166, 31-39.
[6] Wilson, S.K., et al. (2023). Initial safety outcomes for the Rigicon Infla10® inflatable penile prosthesis. BJU International, 131(6), 729-733.