Penile implant surgery is usually done at a surgery center or hospital. Your doctor might give you medication to make you unconscious during the surgery (general anesthesia) or medication that blocks pain in the lower part of your body (spinal anesthesia).
Your doctor will give you IV antibiotics to help prevent infection. The surgery site will also be shaved immediately before surgery to reduce the risk of infection.
A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen. Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is inside each of the two hollow chambers called the corpora cavernosa.
Your surgeon will choose the correct size implant and place the implant cylinders inside the penis. All sizes are customized to your exact body measurements.
If your doctor is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, your doctor will also implant a fluid reservoir under the abdominal wall through an internal incision.
Once the device is in place, your surgeon will sew the incisions closed. Penile implant surgery usually takes 45 minutes to an hour.
After penile implant surgery, you'll likely need to take medications to ease pain after surgery. Mild pain might persist for several weeks. You might also need to take antibiotics to prevent infection for one week. Your doctor might recommend keeping your penis up on your lower abdomen and pointing toward your bellybutton during the healing process to prevent downward curvature.
Your doctor will provide specific instructions about when you can resume normal activities. Most men can resume strenuous physical activity and sexual activity about four to six weeks after surgery. At this point, your doctor might recommend fully inflating and deflating inflatable penile implants twice a day to give you practice using them and stretch the area surrounding the cylinders.
Sept. 06, 2013
- Montauge DK. Prosthetic surgery for erectile dysfunction. In: Wein AJ, et al. Walsh: Campbell's Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/119551792-3/801941680/1445/26.html#4-u1.0-B978-0-7216-0798-6..50025-X--cesec13_1966. Accessed Dec 23, 2010.
- Eid JF. What is new for inflatable penile prostheses? Current Opinion in Urology. 2009;19:582.
- Erectile dysfunction. Cornell University Sexual Medicine Program. http://www.cornellurology.com/sexualmedicine/ed/implant.shtml. Accessed Dec. 23, 2010.
- Wolter CE (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 18, 2010.