Penile Implant: Surgery, Types, Side Effects, Risk, Recovery

Penile Implant

Treatment Duration

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45 Minutes

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60 Minutes

Treatment Cost

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1,20,000

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2,00,000

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Penile Implant

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According to a study by Gupta et al., 2022, in India, 32% men suffer from erectile dysfunction (ED). Given the increasing prevalence of this condition, many men seek effective treatments to improve their quality of life. A penile implant is one such reliable solution known for its safety and high patient satisfaction rates. 

Penile implant surgery is particularly beneficial for individuals who do not experience improvement with other treatments. Want to know more about the procedure, risks, and recovery of penile implants? Continue reading to find out. 

Procedure Name 

Penile Implant 

Alternative Name

Penis implant, Penile prosthesis

Conditions Treated 

Erectile dysfunction 

Benefits of the Procedure 

Durable, high satisfaction rate, natural appearance

Treated By 

Urologist 

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What is a penile implant?

A penile implant is a device placed surgically within the penis and scrotum to help men with erectile dysfunction achieve an erection. It can be of two types: 

  1. Inflatable: The implant consists of two cylinders in the penis, a pump in the scrotum, and a fluid reservoir under the lower abdominal muscles. As an individual presses the pump in the scrotum, it transfers fluid from the reservoir to the cylinder, mimicking an erection. 

  2. Semi-rigid: Also known as a malleable penile implant, it involves implanting two flexible rods into the penis. The implants remain constant in size and rigidity, maintaining a semi-rigid state. However, individuals can adjust the rods to different positions as needed during sexual activity. 

Anatomy and Physiology of the Penis

The penis is a complex organ in males responsible for sexual intercourse and urination. It has three primary parts:

  1. Root: This part of the penis, which is attached to the body, is not externally visible. The urethra, connecting to the bladder, runs through the entire length of the penis.

  2. Body (Shaft): The elongated part of the penis between the root and the glans. It has three cylinders of erectile tissue, which include:

    1. Two Corpora Cavernosa: These are cylindrical structures that run along the length of the penis. They fill will blood to create an erection during arousal. 

    2. One Corpus Spongiosum: It is a spongy tissue that runs along the underside of the penis and surrounds the urethra. It extends beyond the corpora cavernosa to form the glans.  

  3. Glans: It is the rounded tip of the penis, more commonly known as the head. The glans also includes the urethral opening (where the urethra ends). It allows the expulsion of urine and semen. 

Need for a Penile Implant

Doctors recommend getting penile implant surgery when other treatments, like medications and penis pumps, do not provide positive results. These prosthetics are used to treat the following conditions: 

  1. Erectile dysfunction (hard to get and keep an erection).

  2. Peyronie’s disease (buildup of scar tissue inside the penis that causes curved and painful erections).

Contraindications for penile implants may vary depending on the specific patient's circumstances. These are as follows: 

  1. Infections like urinary tract infections or pulmonary infections. 

  2. Poorly controlled diabetes or serious heart disease.

Benefits of Penile Implant

A penile implant offers a reliable solution for ED, enabling men to achieve and maintain an erection suitable for sex. It does not alter the sensation of the penis or affect the ability to orgasm and ejaculate. The primary benefits of the procedure are as follows: 

  1. Outpatient Procedure: People can usually return home on the same day.

  2. Safe: The low risk of complications associated with the implant makes it a compelling choice for those seeking long-term satisfaction.

  3. Longevity: Many penile implants last more than 20 years without needing replacement.

  4. High Satisfaction Rates: According to a study by Wong et al., 2022, the satisfaction rate of penile prostheses is as high as 75% to 98%. The partner satisfaction rate is 85.4%. 

  5. Natural Appearance: When activated, the implant makes the penis stiff and erect, resembling a natural erection in visibility and function.

Expert Doctors

Dr. Anupam Bhargava

Urology

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4.55/5(78 Ratings)
Sector 47, Gurgaon
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Before and on the Day of Penile Implant Surgery

Preparing for a penile implant involves understanding the steps involved both before and on the day of the operation. Individuals must closely adhere to their doctor’s instructions to ensure a successful procedure.

Before Penile Implant Surgery 

Patients will meet their urologist to ask questions and address any concerns. The doctor will discuss the type of implant suiting the individual’s needs and lifestyle. The following is what one can expect during this visit: 

Parameters 

Pre-requisites 

Pre-op Assessment 

  1. Review medical history 

  2. A complete urologic exam 

Risk Evaluation 

  1. Allergies and reactions 

  2. Surgery benefits vs risks 

Restrictions 

Non-steroid anti-inflammatory drugs 10 days before the surgery  

Anaesthesia Selection 

General or spinal 

Fasting 

6-8 hours before the procedure 


On the Day of Penile Implant Surgery 

Patients arrive at the hospital or surgical centre and finalise any necessary paperwork. On the day of the procedure, several key preparations will occur, which include the following: 

Parameters 

Pre-requisites 

Consent 

Mandatory 

Surgical Preparation 

  1. Changing into a hospital gown 

  2. Shaving the surgical site 

Physical Evaluation 

Vitals check-up (breathing, blood pressure, heart rate, etc.)

IV Line 

Yes, for medications and fluids 

Patient Position

Supine in a frog-legged position 

Penile Implant Procedure

The penile implant operation is performed under general anaesthesia (the patient sleeps during surgery) or spinal anaesthesia (blocks pain in the lower part of the body). The complete procedure takes about 45 to 90 minutes and may involve the following steps: 

  1. Catheter: The healthcare team inserts a catheter (tube) into the patient’s bladder through the penis to collect urine. 

  2. Incision: The surgeon makes a small incision either at the base of the penis, in the lower abdomen, or just below the glans. 

  3. Insertion of the Implant: They stretch the spongy tissue in the penis. Next, this tissue is replaced with the cylinders from the penile implant. The pump is implanted into the scrotum, and the reservoir is placed under the lower abdominal wall.

  4. Closing the Incisions: Once the prosthesis is in place, the surgeon closes the incisions with dissolvable sutures.

After Penile Implant Surgery and Recovery

It is normal to experience pain and swelling in the penis and scrotum for about one week after surgery. Tenderness may last for up to six weeks. Patients should follow the doctor’s instructions both in the hospital and at home to ensure a smooth and quick recovery. 

Recovery in Hospital 

After penile implant surgery, most patients can return home the same day. They must arrange for someone to drive them home. During their time in hospital, they can generally expect the following: 

  1. Immediate Post-Op Care: After the surgery, patients are moved to the recovery room, where the anaesthesiologist checks their vital signs, such as breathing and heart rate. 

  2. Pain Management: Individuals are given pain relievers to manage discomfort from the incision and the placement of the implant.

At-home Recovery

Patients can return to work a week after surgery. However, if the job is physically demanding, it can take about two to four weeks to recover and resume work. During this recovery period, it is important to follow the post-operative instructions: 

  1. Take pain relievers to manage discomfort and antibiotics to prevent infections for a week.  

  2. To alleviate pain and swelling, apply an ice pack to the affected area for up to 10 minutes several times throughout the day.

  3. Avoid physical and sexual activity for four to six weeks. 

  4. Position the penis upward toward the belly button to prevent it from curving downward. 

First Follow-up Appointment

The first follow-up appointment after penile implant surgery is scheduled two weeks after the procedure. During this visit, the surgeon will check the surgical site for healing, assess pain levels, and discuss recovery progress. 

The next follow-up session is scheduled six weeks after surgery. The surgeon instructs how to use the penile implant. 

Risks and Complications of Penile Implant


The penile implant procedure is generally safe and effective. However, like all surgeries, it does carry potential risks and complications. Here are some common issues that can occur:

  1. Infection: It usually occurs within the first three months of surgery and requires the removal of the implant.  

  2. Haematoma: Bleeding inside the penis can lead to the formation of a haematoma, requiring additional surgery.

  3. Implant Problems: Mechanical failure can occur over time, leading to a need for surgery to remove or replace the implant (7.14% of cases). The newer models have improved significantly in terms of durability. 

  4. Erosion: The implant may break through the skin of the penis or the urethra. It is rare (0.79%) but requires surgical repair if it occurs.

  5. Changes in Penis: Some men report a decrease in penis sensation (8.73%) or a loss in the size of their penis (18.53%). 

When to call a doctor?

After undergoing penile implant surgery, patients should monitor their recovery and look out for signs of complications. They should seek medical advice if they experience any of the following: 

  1. A fever above 100℉

  2. Infection signs like redness, swelling, or warmth around the surgical site 

  3. Persistent and heavy bleeding from the incision site 

  4. Worsening pain 

Cost of Penile Implants

The penile implant surgery cost in India varies significantly based on multiple factors. The price starts from ₹ 1,20,000 with an average expense of ₹ 1,40,000. The maximum cost can reach ₹ 2,00,000.

Procedure Name 

Estimated Cost Range  

Penile Implant 

₹ 1,20,000 to ₹ 2,00,000

Note: These figures are approximate. Patients considering this procedure should consult HexaHealth experts for accurate costs. 

Factors that affect the penile implant surgery cost are as follows: 

  1. Type of Implant: Different types of penile implants are available, including inflatable and malleable devices. Inflatable implants are generally more expensive due to their complexity and functionality.

  2. Doctor’s Expertise: Highly experienced surgeons charge more for their services. 

  3. Geographic Location: Costs can vary depending on where the surgery is performed. Urban centres or metropolitan cities are expensive due to the higher costs of living. 

  4. Type of Hospital: Private facilities are costlier than public ones. Medical centres equipped with advanced technology may also have higher fees.

  5. Additional Medical Expenses: These include the cost of anaesthesia, pre-surgical tests, post-surgical medications, and any necessary follow-up visits. Each of these components adds to the final bill of the procedure.

Takeaway

Penile implants offer a durable solution for men struggling with erectile dysfunction. It is particularly beneficial for those who have not had success with other treatments. The procedure results in high patient and partner satisfaction due to the restoration of sexual function. 

HexaHealth streamlines the process for patients considering penile implant surgery, from decision-making through recovery. By partnering with leading urologists and reputable clinics, we ensure that each individual receives the highest standard of care. Contact us TODAY! 

Suggested Reads

1. Cyst on Penis

2. Penis Enlargement

Frequently Asked Questions (FAQ)

Penile implant surgery is a procedure to treat erectile dysfunction by inserting a medical device inside the penis. It allows men to achieve and maintain an erection sufficient for sexual intercourse.

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A penile implant is needed to treat conditions like erectile dysfunction and Peyronie’s disease. It is recommended when other treatments like medications or vacuum devices have failed to provide a reliable method to attain an erection. 

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In an inflatable penile implant, a pump is manually activated, transferring fluid from the reservoir to the cylinders. It causes the cylinders to expand and the penis to become erect. In malleable penile implants, a bendable rod is inserted to maintain a semi-rigid state.

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The new penile implants are highly durable. They typically last for 20 years before possibly needing replacement due to normal wear or mechanical failure.

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Penile implant surgery is performed under general or spinal anaesthesia and is completed within 45-90 minutes. It involves the following steps: 

  1. A surgeon makes an incision in the penis or scrotum.

  2. They insert the implant cylinders and connect them to a fluid-filled reservoir and pump.

  3. The incision is closed with stitches once the implant is in place.

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Penile implant procedure is considered safe, and the likelihood of complications is low. However, there are some risks, including: 

  1. Infection 

  2. Implant malfunction 

  3. Erosion through the skin 

  4. A change in penis sensation 

  5. A decrease in penis size

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Recovery after penile implant operation requires following the doctor’s instructions to avoid any postoperative complications. It includes the following steps: 

  1. Taking medications to control pain 

  2. Limited physical activity for 4-6 weeks 

  3. Attending follow-up visits to ensure proper healing

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Yes, a penile implant can significantly improve sexual function by allowing reliable erections on demand. It improves sexual performance and satisfaction for men with erectile dysfunction.

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There are two main types of penile implants. These include: 

  1. Inflatable implants, which can be pumped up to create an erection and deflated afterwards.

  2. Malleable implants, which are semi-rigid rods adjusted manually.

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No, penile implant surgery is permanent and irreversible. This means that the implant cannot be removed if a patient no longer wants it.

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Sexual activity can typically be resumed about 4 to 6 weeks after penile implant surgery. This is done once the surgical site has sufficiently healed and the doctor instructs the patient about how the implant works.

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Penile implants for ED are used when other non-surgical treatments have not worked. These alternatives include: 

  1. Oral medications 

  2. Penis pumps (vacuum erection devices)

  3. Penile injections

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The penile implant surgery cost in India ranges between ₹ 1,20,000 and ₹ 2,00,000, depending on the location, type of implant, surgeon’s fee, etc. However, this price is an estimate. Patients should speak with a HexaHealth consultant for up-to-date expense information.

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A penile implant does not increase penis size. On the contrary, individuals may find that erections are shorter than natural ones because the implant does not harden the head of the penis.

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Patients meet a urologist for a consultation for penile implant surgery. During this visit, they can expect the following: 

  1. A review of their medical history and physical evaluation 

  2. Discussion of various implant options

  3. An assessment of expectations and potential risks of the surgery

  4. Food and medication restrictions

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Penile implants are highly effective in treating erectile dysfunction, offering a reliable, long-term solution for achieving erections. The satisfaction rate after the procedure is 75-98%, and the prosthesis lasts for more than 20 years.

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Penile implant surgery is often covered under insurance when deemed medically necessary. However, coverage can vary. Therefore, individuals should check with HexaHealth experts to understand their policy details.

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References

All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.


  1. Penis anatomy: Functions and common conditions [Internet]. www.medicalnewstoday.com. 2021.link
  2. Penile implant: Surgery, size, and how they work [Internet]. www.medicalnewstoday.com. 2018.link
  3. Penile Implants - Mayo Clinic [Internet]. www.mayoclinic.org. link
  4. Szabo D, Jenkins LC. Preparation and operative setup of penile prosthesis surgery. Journal of Visualized Surgery. 2020 Jan;6:5–5.link
  5. Penile Implants: Treatments, Risks, Recovery [Internet]. Cleveland Clinic. link
  6. Pietrangelo A. What to Expect from a Penile Implant [Internet]. Healthline. Healthline Media; 2017.link
  7. About Penile Implants | Memorial Sloan Kettering Cancer Center [Internet]. www.mskcc.org. [cited 2024 May 1].link
  8. Wong J, Witherspoon L, Flannigan R. Under-recognized factors affecting penile implant satisfaction in patients. Canadian Urological Association Journal. 2022 Mar 11;16(8).link
  9. Jorissen C, De Bruyna H, Baten E, Van Renterghem K. Clinical Outcome: Patient and Partner Satisfaction after Penile Implant Surgery. Current Urology. 2019 Oct;13(2):94–100.link
  10. Mayo Clinic. Erectile dysfunction - Symptoms and causes [Internet]. Mayo Clinic. 2022.link
Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

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Sparshi Srivastava

Sparshi Srivastava

B.Tech Biotechnology (Bansal Institute of Engineering and Technology, Lucknow)

2 Years Experience

An ardent reader, graduated in B.Tech Biotechnology. She was previously associated with medical sciences secondary research and writing. With a keen interest and curiosity-driven approach, she has been able to cont...View More

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