What Is a Penile Implant?

A penile implant, also known as a penile prosthesis, is a surgical treatment option for men with erectile dysfunction (ED) who have not had success with or cannot use other treatments like oral medications or injections. It is designed to allow an erection sufficient for sexual activity and restore confidence and sexual satisfaction.

There are two main types of penile implants: inflatable and malleable (semi-rigid). Inflatable implants, typically the most popular, consist of cylinders placed in the penis, a fluid reservoir, and a pump located in the scrotum. When the man squeezes the pump, fluid moves into the cylinders to create an erection. These implants provide a more natural appearance and allow the penis to remain flaccid when not in use. Malleable implants, on the other hand, consist of bendable rods that can be manually adjusted for intercourse. They are easier to use but result in a penis that is always somewhat firm.

Surgery typically takes about an hour and is performed under general or spinal anesthesia. Most patients can return home the same day or after an overnight hospital stay. Recovery involves avoiding strenuous activities and sexual intercourse for 4 to 6 weeks, depending on individual healing and the type of implant used.

Penile implants have high satisfaction rates, with studies reporting over 90% satisfaction among patients and their partners. They do not affect sensation, ejaculation, or the ability to orgasm. Additionally, implants are not visible from the outside, and modern designs are highly discreet.

The most common risks include infection (2-3% in primary surgeries) and mechanical failure over time. However, advanced surgical techniques and antibiotic-coated implants have significantly reduced these complications. The devices typically last 10-15 years, with some functioning well beyond that time frame.

Men considering a penile implant should consult a urologist experienced in prosthetic surgery to discuss expectations, device options, and the surgical process. Psychological counseling may also enhance outcomes by addressing concerns about sexual performance and relationship dynamics.