What you can expect

Before the procedure

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.

During surgery

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 your 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 surgery

After penile implant surgery, you'll likely need to take medications to ease pain. Mild pain might persist for several weeks. You might also need to take antibiotics for one week to prevent infection.

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. You'll likely need to return to your doctor to have your stitches removed in about two weeks.

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.

July 13, 2017
References
  1. Trost L, et al. A practical overview of considerations for penile prosthesis placement. Nature Reviews | Urology. 2016;13:33.
  2. AskMayoExpert. Penile prosthesis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  3. Wein AJ, et al., eds. Surgery for erectile dysfunction.. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Oct. 2, 2016.
  4. Levine LA, et al. Penile prosthesis surgery: Current recommendations from the international consultation on sexual medicine. The Journal of Sexual Medicine. 2016;13:489.
  5. Tintinalli JE, et al. Complications of urologic procedures and devices. In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, N.Y.: The McGraw Hill Companies; 2011. http://www.accessmedicine.com. Accessed Oct. 2, 2016.
  6. Lazarou S. Surgical treatment of erectile dysfunction. http://www.uptodate.com/home. Accessed Aug. 23, 2016.
  7. Castle EP (expert opinion). Mayo Clinic, Phoenix, Ariz. Oct. 4, 2016.