This surgery implants a device into the penis. The device can produce an erection-like state. It enables a man to penetrate his partner.
A penile prosthesis does not directly change the sensation on the skin of the penis or the ability to reach orgasm or ejaculate.
penile prosthesis insertion is for men who want to have an erection, including those who have:
Complications are rare. But, no procedure is completely free of risk. If you are planning to have penile prosthesis insertion, your doctor will review a list of possible complications. These may include:
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure.
Your doctor will:
Leading up to the procedure:
There are 2 types of anesthesia that your doctor may use:
To prevent infection, your genital area will be cleaned. You will be given antibiotics about one hour before surgery. A thin tube called a catheter will be inserted into the penis to make sure that the bladder remains drained of urine.
There are 2 types of implants available:
There are 2 types of inflatable implants: 2 and 3. For both types, the doctor will make a small incision at the top of the scrotum. The incision will be made so that sutures are under the skin and can be absorbed.
With the 2 implant, the cylinders will be inserted into the penis. A pump with fluid will be inserted into the scrotum. This type of implant is simpler to insert. It takes up more space in the penis, leaving less room to expand.
With the 3-piece implant, the cylinder will be inserted into the penis. The pump will be inserted into the scrotum. Lastly, a reservoir containing the fluid that is used for inflation will be inserted into the abdomen.
An incision will be made just behind the head or near the base of the penis. An opening will be made into each of the 2 long tubes of spongy tissue inside the penis. One rod will be inserted into each tube. Lastly, the incisions will be closed so that no sutures will be needed.
You will have pain for about 4 weeks. Ask your doctor about medication for pain.
This procedure is most commonly done in a hospital. You may need to stay 1 night or longer if you have problems. In some cases, it may be possible to leave the hospital on the same day as the procedure. Talk to your doctor to find out if this is an option for you.
While you are recovering at the hospital, your doctor will:
When you return home, do the following to help ensure a smooth recovery:
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
Men's Health Network
Urology Care Foundation
Canadian Diabetes Association
Men's Health Centre
ED: penile prostheses (erectile dysfunction). Urology Care Foundation website. Available at:
http://www.urologyhealth.org/urology/index.cfm?article=11. Accessed June 1, 2016.
Erectile dysfunction. EBSCO DynaMed Plus website. Available at:
http://www.dynamed.com/topics/dmp~AN~T113875/Erectile-dysfunction. Updated February 29, 2016. Accessed October 10, 2016.
Montorsi F, Rigatti P, Carmignani G, et al. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients.
Eur Urol. 2000;37:50-55.
Mulhall JP, Ahmed A, Branch J, Parker M. Serial assessment of efficacy and satisfaction profiles following penile prosthesis insertion.
J Urol. 2001;165:1429-1433.
Last reviewed June 2016 by Adrienne Carmack, MD
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