Penile Implants

What is a penile implant?

A penile implant (penile prosthesis) is a surgically implanted medical device used to treat erectile dysfunction (ED)when other treatments (tablets, injections, vacuum devices) are ineffective or unsuitable. Implants are placed entirely inside the body and allow a man to have a reliable erection for sexual activity.

There are two main types of penile implants:

• Malleable (semi-rigid) implant

• Three-piece inflatable implant

Types of penile implant:

Three-Piece Inflatable Penile Implant

What is it?

A three-piece implant consists of:

• Two inflatable cylinders in the penis

• A fluid reservoir placed in the lower abdomen

• A pump placed in the scrotum

Squeezing the pump transfers fluid into the cylinders to create an erection. Pressing the release valve returns the penis to a flaccid state.

Advantages (Pros)

• Most natural look and feel

• Penis is soft when deflated, firm when inflated

• Best cosmetic and functional result

• High patient and partner satisfaction rates

• Easier to conceal under clothing

Disadvantages (Cons)

• More complex surgery

• Slightly higher risk of mechanical failure over time

• Requires good hand function to operate the pump

• Higher cost than malleable implants