Your Frequently Asked Questions About Penile Implants…Answered



Frequently Asked Questions About Penile Implant Surgery


Q: Am I a candidate for penile implant surgery?

A: When other treatment options for erectile dysfunction such as oral medication (e.g. Viagra, Cialis, Levitra, Stendra), penile injections, a vacuum pump, urethral suppositories (e.g. Muse), or shock wave therapy, have failed then a penile implant may be right for you. In fact, penile implants are quickly becoming an option of choice for men living with the effects of erectile dysfunction (ED). What was once considered a “last resort,” is now a mainstream treatment option for men with ED with excellent outcomes.

Q: What are the different types of implants?

A: Penile implants are either inflatable or semi-rigid.

    1. A Semi-Rigid implant is a pliable rod, which remains firm at all times. The patient uses the device by bending the penis away from the body to create an erection and bending it back toward the body to conceal.
    2. Three-Piece Inflatable implant has a pump that is inserted into the scrotum, a reservoir which is inserted in the pelvis/abdominal area, and two inflatable cylinders placed into the shaft of the penis. The patient uses the pump to transfer a saline solution from the reservoir to the inflatable cylinders in order to create an erection. The same pump is used to deflate the implant. Two- and three-piece inflatable penile implants are the most common types.

Q: Will I lose sensation if I have a penile implant? Will I still be able to orgasm?

A: Penile implants do not interfere with a man’s orgasm or ejaculation. You will still have the same sensation and a natural, rigid erection whenever you want one, without waiting for medications to kick in. Most men report that a penile implant restores their sexual satisfaction for themselves and their partners.

Q: What is the recovery like after the penile implant surgery?

A: Our patients are usually back to work within one-week post-surgery, can exercise after two weeks, and resume sexual activity about four weeks post-surgery. Our patients do remarkedly well in their recovery and report that their confidence and sexual vitality is back and even better than before.

Q: Do I need a follow-up visit after surgery?

A: You will schedule a post-operative follow-up with your surgeon at a Chesapeake Urology office location convenient to you four to six weeks after your surgery. We also offer telehealth appointments for your follow-up and to address any issues or concerns you may have during your recovery period.

Q: Is penile implant surgery an outpatient procedure?

A: Yes. Penile implant surgery is a same-day, outpatient procedure performed in one of Chesapeake Urology’s Summit Ambulatory Surgery Centers throughout the greater Baltimore and Washington, D.C. regions. For out-of-state patients, we offer a variety of places to stay in the area. It is recommended that out-of-town patients remain in the area at least two to three days post-surgery to ensure optimal recovery.

Q: How long do penile implants last?

A: While the life expectancy of an implant is as unique as the man himself, in general, penile implants last 10 to 15 years. Some men will require a replacement sooner while others can go close to 20 years before a prosthetic replacement is needed.

Q: Can the implant be removed?

A: Yes, a penile implant can be removed if an infection occurs or if the implant fails. Our surgeons are experienced in performing penile implant revision surgeries. Thanks to advances in the mechanics of the implants and surgical techniques, penile implants are more effective than ever before and infection rates have dramatically increased.

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