Rigi10™ Malleable Penile Prosthesis
Detailed Answer
Penile prostheses are primarily used as a surgical treatment for erectile dysfunction (ED) when less invasive treatments—such as medications or vacuum devices—are ineffective or unsuitable. These devices enable men to achieve a functional erection for sexual activity, but they are not designed to increase penis length or girth. In fact, some patients may experience a perceived decrease in penile length following implantation.
According to the 2025 EAU Guidelines on Sexual and Reproductive Health, penile prosthesis implantation is considered a third-line treatment for erectile dysfunction, recommended when other treatments have failed or based on patient preference. The guidelines specifically caution that patients should be fully informed about both the benefits and potential complications associated with the procedure.
From the Guidelines
"Implant a penile prosthesis if other treatments fail or depending upon patient preference. Patients should be fully informed of the benefits and harms associated with the procedure... Do not recommend penile prosthesis implantation, penile disassembly or sliding technique to patients seeking penile lengthening options." The guidelines explicitly advise against recommending penile prosthesis implantation to patients whose primary goal is penile lengthening. This recommendation is based on evidence that penile implants are not effective for increasing penile dimensions and should only be used for their intended purpose of treating erectile dysfunction.