A penile implant (also called penile prosthesis) is a medical device surgically implanted into the penis to allow men with erectile dysfunction (ED) to get an erection. Unlike the "penis enlargement" products mentioned above, penile implants are not for enlarging penis size—they are designed to treat certain cases of ED, especially when other treatments (like oral medications or injections) fail.
Below, you'll find evidence about their effectiveness, as well as the risks and potential side effects.
Effectiveness
- High Satisfaction Rates: Most studies show patient and partner satisfaction rates of 75–90% (or even higher) after penile implant surgery.
- Reliable Erections: The implanted devices allow men to achieve an erection sufficient for sexual activity whenever they choose. This is a major advantage for men not helped by other ED therapies.
- Types of Implants:
- Inflatable Implants: Most commonly used; can be inflated for an erection and deflated after. These provide a more natural look and feel.
- Malleable (Semi-rigid) Rods: The penis is always firm but can be positioned as needed.
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Supporting Research
- A 2019 review in Sexual Medicine Reviews reported high satisfaction and excellent long-term device survival, with the majority of implants lasting 10 years or more.
- Partner satisfaction tends to correlate closely with the patient's satisfaction.
- Psychological well-being and quality of life often improve following implant surgery.
Note: Penile implants do not increase penis size. They restore erectile rigidity in men with ED.
Surgical Risks
- Infection: Occurs in 1–3% of primary implant surgeries; higher risk in men with diabetes or spinal cord injuries. Infection may require removal of the implant.
- Mechanical Failure: Modern devices are durable, but mechanical issues (breakage or malfunction) may require replacement. Risk increases over time (about 1-2% per year for inflatable devices).
- Bleeding/Hematoma: Can occur after surgery but is uncommon with proper care.
- Scarring: Internal scarring could shorten or curve the penis in rare cases (more common if repeated surgeries are needed).
- Erosion: Rare, but the implant can erode through the skin or tissue.
- Pain: Some pain is normal after surgery, generally subsides after a few weeks.
- Loss of Sensation: Rare, but possible.
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Sexual Function Risks
- No Further Natural Erections: If a penile implant is placed, natural erections almost always become impossible.
- No Effect on Orgasm or Sensation: Implants do not affect ejaculation, orgasm, or sexual sensation (unless a nerve was damaged in surgery or due to original disease).
- Best for: Men with erectile dysfunction not responsive to other treatments (medications, injections, or vacuum devices).
- Not suitable for: Men seeking penis enlargement who do not have a medical need for ED treatment.
Penile implants are a highly effective and durable solution for men with severe ED when other options have failed. They are not intended for cosmetic enhancement or penis enlargement. Like any surgery, they carry risks—so it's vital to carefully consider and discuss these with a urologist specializing in ED procedures.
If you're experiencing ED, talk to a healthcare provider. If you're seeking a larger penis for cosmetic reasons, penile implants are not recommended or effective.
References:
- 2023 American Urological Association Guidelines on Erectile Dysfunction
- Sexual Medicine Reviews, "Penile Prosthesis as a Treatment for Erectile Dysfunction: Patient and Partner Satisfaction," 2019
- Mayo Clinic, [Penile Implants]