Top 10 Questions About Penile Implants

The ideal candidate is a man with erectile dysfunction (ED) who no longer responds to medications like Viagra^® or Cialis^®. A key sign is not experiencing morning erections, which may indicate a vascular issue like veno-occlusive disease. If ED treatments are inconsistent and unreliable, many patients opt for an implant as a 100% effective solution.

No, a penile implant does not impact orgasm or ejaculation. If a patient was able to orgasm before surgery, they will still be able to do so afterward. Some men even find the experience enhanced, as the implant eliminates performance anxiety and ensures a reliable erection.

Modern implants are designed to increase girth and, in some cases, length. However, these changes occur gradually as the implant is used over time. Regular cycling of the device (inflating and deflating it) can maximize results and prevent penile atrophy. Early intervention leads to better outcomes.

Most partners do not notice a penile implant during intimacy. When inflated, it provides a natural-feeling erection. The key is ensuring the partner is also prepared, especially in cases of postmenopausal partners, where vaginal health may need attention.

• Hospital stay: Usually one night
• First few days: Some discomfort, minimal physical activity
• 10 days – 2 weeks: Light activities resume
• 4 weeks: Most patients are comfortable inflating the device
• 6-8 weeks: Can resume sexual activity, per doctor’s approval

Preoperative preparation includes:

• Blood sugar control (important for diabetic patients)
• Stopping blood thinners if necessary
• Pre-surgical hygiene (special antiseptic wash)
• Routine lab tests (blood and urine tests to rule out infections)

• Malleable (semi-rigid) implants – Bendable rods, simple design, good for patients with limited dexterity.
• 2-piece inflatable implants – Provides some flexibility but lacks a separate fluid reservoir.
• 3-piece inflatable implants – The gold standard, offering the most natural erection by using a reservoir, pump, and cylinders.

A dedicated prosthetic center ensures that patients receive the right implant for their needs.

• When inflated, the implant mimics a natural erection.
• The glans (penis head) does not fill with fluid but may engorge during arousal.
• When deflated, the penis does not shrink as much as a natural penis would.
• The pump is discreetly placed in the scrotum and not easily noticeable.

The main risks are:

• 🦠 Infection (minimized with antibiotics and sterile techniques)
• ⚠️ Implant erosion (rare)
• 🔧 Mechanical failure (low risk, but can be replaced if necessary)

Most complications are treatable, and the satisfaction rate is high.

• Avoid infections – No smoking (reduces blood flow), practice good hygiene.
• Regular use – Inflate and deflate the implant regularly to maintain penile size.
• Device longevity – While implants last 10-15 years, they may require replacement eventually.

Penile implants have one of the highest satisfaction rates in urology. When expectations are properly managed and surgery is performed by experienced specialists, patients report life-changing improvements in confidence and intimacy.

“A penile implant is not just a treatment—it’s a restoration of sexual function and quality of life.”