Rigi10™ Malleable Penile Prosthesis
Welcome to Rigicon Talks – Session 5, where we explore everything you need to know about penile implants. In this expert-led discussion, internationally renowned specialists Prof. Nuno Tomada and Dr. Gabriele Antonini share their vast experience in penile prosthetic surgery.
If you’re considering a penile implant as a solution for erectile dysfunction (ED) or are a healthcare professional seeking expert insights, this discussion provides critical information on candidacy, functionality, post-surgical expectations, and patient satisfaction.
Frequently Asked Questions About Penile Implants
1. Who is an ideal candidate for a penile implant?
The ideal candidate for a penile implant is a motivated patient who is experiencing severe ED that does not respond to traditional treatments like oral medications, injections, or vacuum therapy.
Historically, penile implants were considered a last-resort solution, but today, we have shifted our approach. Patients now have multiple options from the beginning, including pills, creams, injections, and implants. A penile implant is the most definitive and long-term solution, offering a high satisfaction rate for both the patient and their partner.
Key candidates include:
- Men with severe ED unresponsive to medication
- Patients with contraindications to traditional ED treatments
- Those seeking a permanent solution to restore their sexual health
2. Do penile implants affect orgasm or ejaculation?
No, penile implants do not affect orgasm or ejaculation in most cases. If a patient was able to achieve orgasm before the surgery, they will retain this ability afterward.
However, some factors influence ejaculation:
- Patients who have undergone a radical prostatectomy will not experience ejaculation due to the removal of prostate-related structures.
- Diabetic patients may experience neurogenic issues, affecting ejaculation, but this is not directly linked to the penile implant itself.
The primary focus of a penile implant is to restore a firm erection. With proper education and counseling, patients understand that their sexual function will remain satisfying, provided they maintain a strong relationship with their partner.
3. How should patients prepare for penile implant surgery?
Preoperative preparation is crucial for optimal outcomes. We emphasize comprehensive patient education, ensuring both the patient and their partner understand the procedure, expected results, and recovery process.
Key pre-surgical recommendations include:
- Blood sugar control (important for diabetic patients)
- Stopping blood thinners if necessary
- Pre-surgical hygiene with antiseptic washes
- Routine lab tests to rule out infections
- Detailed discussions about penile length, sensation, and function
Setting realistic expectations before surgery ensures higher patient satisfaction postoperatively.
4. What types of penile implants are available?
Penile implants come in different types, and choosing the right one depends on patient needs and lifestyle:
- Malleable (Semi-Rigid) Implants – Simple design, bendable rods. Suitable for patients with limited dexterity. Always firm, requiring manual adjustment.
- 3-Piece Inflatable Implants (Gold Standard) – Provides the most natural erection. Consists of cylinders, a pump, and a fluid reservoir. Allows inflation and deflation for a more realistic experience.
Experienced surgeons guide patients to the best choice based on their age, medical history, and personal preferences.
5. What is the recovery process like after penile implant surgery?
Recovery is relatively smooth, but proper postoperative care is essential.
Typical Recovery Timeline:
- 🩺 Hospital Stay – Usually one night
- 📆 First 1-2 Weeks – Some discomfort and swelling, light activities only
- 🚶♂️ 4 Weeks – Most patients can comfortably inflate the device
- ❤️ 6-8 Weeks – Sexual activity can resume (per doctor’s approval)
Patients are advised to follow post-surgical instructions, avoid strenuous activities, and regularly cycle the implant to prevent scar tissue formation.
6. Can a partner notice a penile implant?
No, most partners do not notice a penile implant during intimacy. When inflated, the device provides a firm, natural-feeling erection.
7. What are the risks and complications of penile implants?
Although penile implants are highly successful, complications can occur, including:
- ⚠️ Infection – Minimized with antibiotics and sterile surgical techniques
- ⚙ Mechanical failure – Modern implants last 10-15 years, but replacements may be needed
- 🔧 Implant erosion – Rare but possible if the device shifts
Most complications are manageable, and satisfaction rates remain exceptionally high.
Final Thoughts: Why Choose a Penile Implant?
Penile implants are an effective, long-term solution for men struggling with erectile dysfunction. With proper patient selection, education, and expert surgical care, satisfaction rates remain above 90%.
“A penile implant is not just about restoring erections—it’s about giving men their confidence and intimate relationships back.”
If you’re considering a penile implant, consult with an expert to explore your options and regain control over your sexual health and confidence.
All trademarks, registered marks (® and ™), and product names mentioned in this article are the property of their respective owners. The use of such marks does not imply any affiliation with or endorsement by them. This content is for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider before making any decisions regarding your health.
