When considering a penile implant or prosthesis for erectile dysfunction, it is critical to find the best urologic surgeon. Candidates for a penile implant include patients with problems relating to blood flow to the penis, nerve injuries, and side effects of prostate cancer. Men who did not have a good response to oral medications and/or second line therapies, such as penile injection therapy, vacuum erection device, and other therapies also are good candidates for this procedure.
A penile implant procedure is usually an outpatient procedure where you can go home the same day. During the hour long surgery, the doctor makes an incision in the scrotum, or base of the penis, and measures the appropriate implant length. The urologist then installs the device (usually an inflatable implant) that sits inside the scrotum, plus a reservoir that holds the fluid (salt water solution) in the lower abdomen. The fluid functions like blood flow and will fill the inflatable implant. The man controls it with a pump that’s placed in the scrotum (a button causes the fluid to flow in and out as desired).
Excellent patient satisfaction rates of over 90% are seen with the placement of a penile prosthesis. There is a small but serious risk of an infection associated with the implant procedure. All patients undergoing this procedure are at risk for this, but a “no touch” technique can be employed which lowers the infection risk to about 2% to 3%.
- How long does an erection last? There are no time limits.