A penile implant restores your ability to get an erection. There are two types of penile implants: inflatable and non-inflatable. Risks include erosion and mechanical failure. Most people can resume sexual activity six weeks after receiving a penile implant.
Penile Implants: A Comprehensive Guide to Treating Erectile Dysfunction
By Dr. Peter Bay and Dr. Ra BolleCleveland Clinic Glickman Urological Institute
Erectile dysfunction (ED) affects millions of men worldwide, impacting both physical intimacy and emotional well-being. As men's health specialists, we understand the importance of providing comprehensive treatment options that address each patient's unique needs and preferences.
Understanding Erectile Dysfunction Treatment Options
When men experience difficulty getting or maintaining an erection, the first line of treatment typically involves oral medications. Most patients begin with phosphodiesterase-5 (PDE5) inhibitors such as:- Sildenafil (generic Viagra)
- Tadalafil (generic Cialis)
Alternative Treatment Methods
When oral medications aren't the ideal solution, three primary alternatives exist:1. Vacuum Erection Devices
This external device slides over the penis and uses suction to draw blood into the organ. A constriction ring is then placed at the base of the penis to maintain the erection.2. Penile Injections
Specially compounded medications are injected directly into the penis approximately 10 minutes before sexual activity using a needle and syringe.3. Penile Implants
A minimally invasive surgical solution that provides a permanent, on-demand treatment option.The Drawbacks of Non-Surgical Options
Both vacuum devices and penile injections present certain limitations:- Reduced spontaneity in sexual encounters
- Patient reluctance to use injection therapy
- Mechanical preparation required before intimacy
Penile Implants: A Permanent Solution
What Is a Penile Implant?
A penile implant (also called a penile prosthesis) is a minimally invasive surgical procedure designed to restore erectile function on demand. This completely internal device allows men to achieve an erection whenever desired and maintain it for as long as needed.How the Procedure Works
The outpatient procedure is performed under anesthesia and typically takes 30 to 60 minutes. During surgery:- A small incision is made either one inch above the penis or on the front of the scrotum
- A concealed device is placed inside the penis
- The system includes cylinders, a pump, and a reservoir
Operating the Device
The implant functions through a simple mechanism:- Activation: Squeeze a small pump hidden between the testicles beneath the skin
- Erection: Two cylinders inside the penis fill with fluid, similar to an inner tube filling with air
- Maintenance: The erection can be maintained indefinitely without concern about losing it
- Deflation: Squeeze a release valve above the pump to deflate the device
- Storage: Fluid returns to a balloon reservoir hidden behind the abdominal muscles
Recovery and Outcomes
Timeline
- Same-day discharge in most cases
- Return to sexual activity in approximately 4 weeks
Success Rates
- 25,000 men undergo this procedure annually in the United States
- Over 90% satisfaction rate among both patients and their partners
Insurance Coverage
The procedure offers excellent insurance coverage, including:- Medicare coverage
- Most Medicaid plans
- Private insurance plans
What Remains Unchanged
It's crucial to understand that penile implants do not affect:- Penile sensation
- Orgasm ability
- Ejaculation
- Urination function
Ideal Candidates
The best candidates for penile implants are men who:- Cannot achieve adequately firm erections
- Lose erections too quickly before reaching climax
- Desire the ability to get an erection on demand
- Want a permanent solution to ED
Risks and Considerations
While penile implants are minimally invasive, like any surgical procedure, they carry certain risks:Infection Risk
- General population: Approximately 2% risk
- High-risk patients (diabetics, immunocompromised): Approximately 5% risk
- Prevention: Antibiotics are administered before, during, and after surgery
Device Longevity
- Average lifespan: 20 years before replacement may be needed
- Replaceability: Devices can be replaced with newer models if necessary
Taking the Next Step
Erectile dysfunction is a treatable condition, and penile implants represent a highly effective, permanent solution for many men. If you're considering this treatment option, we encourage you to take charge of your health and consult with a qualified urologist specializing in men's health.At Cleveland Clinic, our experienced team of men's health specialists is dedicated to helping you restore confidence and intimacy in your life. Schedule an appointment today to discuss whether a penile implant is right for you.
Dr. Peter Bay is the Director of Men's Health at the Cleveland Clinic Glickman Urological Institute. Dr. Ra Bolle is a urologist and fellowship-trained men's health specialist at the Cleveland Clinic.
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