Frequently Asked Questions About Penile Implant Surgery

A penile prosthesis (implant) is a surgically implanted device that allows men with erectile dysfunction to achieve an erection. The most common type is an inflatable implant with cylinders placed in the penis, a pump in the scrotum, and a reservoir in the abdomen.

Men with erectile dysfunction that hasn't responded to medications (Viagra, Cialis), injections, or vacuum devices are candidates. Common reasons include nerve damage from prostate surgery, severe vascular disease, diabetes, or Peyronie's disease with ED.

Modern penile implants are highly durable, with most lasting 10 years or longer. Mechanical failure rates are low (less than 5% at 10 years). Many men never need revision surgery.

When deflated, inflatable implants appear natural and feel relatively soft. When inflated, the penis appears erect and firm. Partners typically cannot tell you have an implant. Surgical incisions are hidden and heal with minimal scarring.

Most men return to desk work in 1-2 weeks. The implant can typically be used 4 weeks after surgery. Full healing takes 8-12 weeks. Some swelling and bruising are normal during the first few weeks.

Yes. Penile implants do not affect sensation, orgasm, or ejaculation. The nerves responsible for sensation and orgasm are separate from the erectile mechanism. Most men report normal or improved sexual satisfaction.

Penile implant surgery has a very high success rate, with 90-95% of men satisfied with the outcome. Patient and partner satisfaction rates are among the highest of any erectile dysfunction treatment.

Yes. If mechanical failure or infection occurs, the implant can be removed and replaced. Dr. Vanni has extensive experience with revision surgery and complex cases, including replacement after infection or mechanical failure.

Penile implant surgery typically takes about 1 hour and is performed as an outpatient procedure under general anesthesia. The exact duration depends on the type of implant and any additional steps needed.