Why would I need penile surgery?
The use of penile surgery or penile prosthetic surgery can help in the treatment of a variety of conditions, including erectile dysfunction and Peyronie’s disease. These surgeries include using penile implants, both inflatable and non-inflatable, to help patients achieve and maintain an erection. On average, a penile implant lasts around 20 years.
What are the different types of penile surgeries?
The specific type of surgery depends on the underlying condition or desired outcome. Here are some common reasons and types of penile surgery:
Inflatable penile implant
An inflatable penile implant is an inflatable device that is placed in your penis during a surgical procedure and includes two cylinders, a reservoir, and a pump. This device is completely concealed and makes it possible for you to have a straight erection without the use of medications. It is typically the best surgical approach for you if your body does not respond to medications and there is a significant curve in your penis, making intercourse uncomfortable and/or difficult.
During the surgery, the urologist will place the cylinders in your penis and connect the cylinders to the reservoir in your lower abdominal muscles, which will contain fluid.. The pump will be placed in your scrotum.
To achieve an erection, you will press on the pump in your scrotum, which will pump the fluid from the reservoir into the cylinders in your penis, making it erect. The erection will be maintained until you release the valve on the pump and the fluid returns to the reservoir.
For most people, an inflatable penile implant isn’t noticeable.
Non-inflatable penile implant
A non-inflatable penile implant is made up of two silicone rods and does not use a pump. To place the rods, an outpatient surgery under general anesthesia is required.
The rods used in a non-inflatable penile implant are firm but flexible and at the time that erection is desired, you can extend the rods to erect your penis. When you are done using the implant, you can simply press on your penis to push the rods back down.
Non-inflatable penile implants do require the penis to remain semi-erect at all times.
What are the risks associated with a penile implant?
Typically the risks for a penile implant are minimal. However, some risks can include:
- Scar tissue
- Mechanical failure
- Infection
- Damage to the urethra
- Uncontrolled bleeding
Our providers will go over all of the risks and benefits with you prior to surgery to address any concerns you may have and to ensure it is the right fit for you and your lifestyle.
How long does it take to recover from a penile implant?
Due to the minimally invasive procedure, recovery time for a penile implant is typically around one week. After a week, the pain and swelling following the procedure should have decreased and overall tenderness should be minimal after six weeks.
Heavy lifting, strenuous activities and sexual activity must be avoided for the first four weeks following surgery. Your provider will let you know when these activities can be resumed, based on how quickly your body is healing.
To further discuss your options, please call The Iowa Clinic Urology Department at 515.875.9000.