• Penile Prosthesis Implantation (Malleable or Inflatable) for the Treatment of Erectile Dysfunction

What Is Erectile Dysfunction?

 

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. It may result from:

  • Diabetes mellitus
  • Cardiovascular disease and hypertension
  • Prostate surgery
  • Neurological causes
  • Failure of oral medications or injection therapy

 

 

When Do We Consider Penile Prosthesis Implantation?

 

Penile prosthesis implantation is recommended in the following cases:

  • Failure of medical therapy or intracavernosal injections
  • Severe or long-standing erectile dysfunction
  • Erectile dysfunction following prostate or pelvic surgery
  • Patient preference for a definitive and effective solution

 

 

What Is a Penile Prosthesis?

 

A penile prosthesis is a medical device surgically implanted inside the penis, providing a strong and reliable erection when needed, without affecting sensation or ejaculation.

 

Types of Penile Prostheses

 

Malleable (Semi-Rigid) Penile Prosthesis

  • Consists of two flexible rods implanted inside the penis
  • Easy to use
  • Suitable for elderly patients or those with chronic medical conditions

 

Advantages:

✔ Less complex

✔ Shorter operative time

✔ Lower cost

✔ Very low mechanical failure rate

 

Inflatable (Hydraulic) Penile Prosthesis

  • Consists of two cylinders, a pump, and a fluid reservoir
  • Provides the most natural appearance and function

 

Advantages:

✔ Natural-looking erection

✔ Full control over timing

✔ Highest patient satisfaction rates

✔ Penis remains flaccid in the normal state

 

 

Benefits of Penile Prosthesis Implantation

 

✔ Permanent and definitive solution for erectile dysfunction

✔ Does not affect sensation or orgasm

✔ No need for medications before intercourse

✔ Very high success and satisfaction rates

✔ Significant improvement in marital and sexual quality of life

 

What to Expect After Surgery

  • Hospital stay usually for one day
  • Mild to moderate pain that resolves within a few days
  • Return to daily activities within one week
  • Sexual intercourse can typically be resumed after 4–6 weeks

 

 

Does the Prosthesis Affect Penile Length or Ejaculation?

  • The prosthesis does not affect ejaculation or penile sensation
  • Penile length depends on the preoperative condition; the goal is to safely restore the best possible length

 

 

Why Choose to Have the Procedure With Us?

  • Extensive experience in andrology and penile implant surgery
  • Use of the latest internationally approved prostheses
  • Strict sterilization protocols to minimize infection risk
  • Careful selection of the most appropriate prosthesis for each patient
  • Close postoperative follow-up to ensure optimal results

 

Frequently Asked Questions (FAQ)

 

Is the procedure painful?

Pain is usually mild to moderate and can be controlled with analgesics.

 

How long does a penile prosthesis last?

Modern prostheses are designed to last many years.

 

Can the prosthesis be removed?

Yes, it can be surgically removed if necessary.

 

Will my partner feel the prosthesis?

No, sexual intercourse feels very natural, especially with the inflatable prosthesis.