Penile Implant & Revision Surgery for International Patients

Where clinically appropriate and permitted, previous records can form part of initial assessment before travel. Penile implant surgery usually still requires appropriate in-person examination before a definitive surgical plan is confirmed.

A specific operation should not be confirmed solely on the basis of an online enquiry. Your erectile dysfunction, previous treatments, medical history, anatomy and surgical risks need to be appropriately assessed first.

No. Failure of tablet treatment is one factor rather than a diagnosis that automatically leads to surgery. Correct use, underlying cause, severity of erectile dysfunction, other treatment options, contraindications, tolerability and individual priorities should be considered.

Not necessarily. Penile injections are a useful non-surgical treatment for many men, but they may be unsuitable, poorly tolerated or inconsistent with an individual patient’s priorities. The appropriate sequence should be discussed after assessment rather than treated as a mandatory checklist.

Penile implant surgery can be considered in selected men with persistent erectile dysfunction following radical prostatectomy. Previous pelvic surgery is relevant both to the erectile dysfunction assessment and to prosthetic surgical planning.

Yes. Patients can seek assessment after implantation performed elsewhere. Previous operation reports and implant information are useful when available, but absence of every original record does not necessarily prevent assessment.

Not necessarily. The appropriate operation depends on the device, its age, the component involved, the condition of the remaining prosthesis and whether infection or another complication is present.

Established prosthesis infection commonly requires surgical management in addition to appropriate antimicrobial treatment. The exact approach depends on infection severity, tissue condition, erosion, systemic illness and other clinical factors.

Sometimes. Previous infection or explant can result in significant fibrosis and make later implantation more complex. The timing, tissue condition, infection history and individual anatomy need to be assessed.

A penile implant should not be expected to create a predetermined increase in penile length. Erectile dysfunction, Peyronie’s disease, previous infection, previous explant and corporal fibrosis can all affect penile dimensions and the space available for cylinders.

There is no single implant design that is best for every patient. Anatomy, hand function, previous surgery, scarring, medical factors and individual priorities influence the discussion between inflatable and malleable options.

There is no single timeframe for every patient. The appropriate stay depends on whether additional assessment is required, whether surgery is primary or revision, the complexity of the procedure and your postoperative recovery.

Return travel should not be assumed before surgery. The timing depends on the operation, wound condition, mobility, recovery and individual medical circumstances. Discuss your proposed itinerary before booking inflexible flights.

Follow-up planning can include Dr Crozier and an appropriate local urologist or other clinician where required. Patients should have a clear plan for wound concerns, implant activation or cycling and any unexpected postoperative symptoms after returning home.