Penile Implant Surgery FAQ – Most Common Questions

1- Am I a good candidate for penile implant surgery?

Determining if you are a suitable candidate for penile implant surgery primarily depends on your specific medical condition and history. 

Generally, penile implants are considered for men who suffer from erectile dysfunction (ED) that has not responded well to other treatments, such as oral medications, vacuum erection devices, or Non-surgical treatment methods.

Key considerations include

Medical History: 

Patients with certain medical conditions, such as diabetes or a history of pelvic surgery, may be good candidates. However, men with active urinary infections or skin infections in the genital area are typically advised to treat these conditions before undergoing surgery.

Severity of Erectile Dysfunction: 

Penile implants are often recommended for men with severe ED who have found little to no success with other treatments.

Physical and Psychological Health: 

Good overall health and realistic expectations about the outcomes of the surgery are important. A psychological evaluation may sometimes be recommended to ensure that emotional or relationship issues are not the primary cause of ED.

Willingness to Accept Permanent Alteration: 

It’s important to understand that a penile implant is a permanent solution that will physically alter the way an erection is achieved.

Understanding of Risks and Benefits: 

As with any surgery, there are risks involved, including infection, implant problems, and anesthesia risks. 

A thorough discussion with a urologist or a specialist in men’s sexual health at our center is essential to understand these risks and the potential benefits.

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2- Will my penis be the same after the penile implant surgery?

The appearance and function of the penis after penile implant surgery may vary slightly from its pre-surgery state. Here are some key points to consider:

Size: 

Many men are concerned about penile size post-surgery. It’s important to know that a penile implant generally does not increase the size of the penis(unless using the extendable penile implant). In some cases, there might be a slight change in length or girth, but this varies depending on the type of implant and individual anatomy.

Sensation and Ejaculation: 

Sensation and the ability to ejaculate are typically not affected by the implant. The surgery focuses on the ability to achieve an erection and does not interfere with other aspects of sexual function.

Cosmetic Appearance: 

When the implant is not inflated (in the case of inflatable implants), the penis may look natural. The goal of the surgery is to achieve a balance between cosmetic appearance and functional improvement.

Erection Appearance and Feel: 

With an implant, the erection may be firmer than a natural erection. The angle of the erection might also be different from what it was prior to surgery. For partners, the sensation during intercourse is generally not noticeably different.

Recovery and Adaptation: 

Initially, there may be some swelling and bruising, but these typically subside. Over time, you and your partner may need to adjust to the feel and function of the implant during sexual activity.

3- How does the doctor determine which type of penile implant is right for me?

The “best” penile implant varies depending on individual needs, preferences, and medical considerations. There are primarily two types of penile implants: inflatable(Three-pieces) and malleable (or semi-rigid) implants. Here are the key differences to help determine which might be the best fit:

Three-Piece Inflatable Penile Implant: 

These are the most popular types of penile implants. They consist of a pump, cylinders, and a fluid reservoir. Inflatable implants can be further categorized into two-piece or three-piece systems. 

They allow for a more natural-looking erection and flaccidity when not in use. They require manual dexterity to use the pump which is usually placed in the scrotum, and it has an extendable model that can also add extra size (length and girth).

Two-piece inflatable penile implant

This implant is one such option. It includes two inflatable cylinders in the penis and a combined fluid reservoir and pump unit in the scrotum. To achieve an erection, the man squeezes the pump, causing the cylinders to inflate.

The erection is reversed by bending the penis down. This type of implant offers a more natural look and ease of use but may provide less rigidity than three-piece implants.

Malleable (Semi-Rigid) Implants: 

These malleable penile implants are simpler and consist of bendable rods that are inserted into the penis. They are easier to use than inflatable implants, as they don’t require a pump mechanism. 

The penis remains semi-rigid but can be bent into position when needed for sexual intercourse. This type may be preferable for men with limited manual dexterity or those who prefer a simpler solution.

Factors to Consider:

• Lifestyle and Personal Preference: Personal comfort with the device, ease of use, and cosmetic appearance are important considerations.
• Medical History: Conditions like manual dexterity issues, urinary issues, or previous abdominal surgeries might influence the choice.
• Surgeon’s Expertise: The surgeon’s experience with specific types of implants can also play a role in the decision.
• Risks and Benefits: Each type has its own set of potential risks and benefits which should be discussed thoroughly with a healthcare provider.

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4- How long does the operation take?

The duration of penile implant surgery can vary, but typically, the procedure takes about 1 to 2 hours. Several factors can influence the length of the operation:

1. Type of Implant: The complexity of the implant type (inflatable or malleable) can affect the surgery time. In general, inserting an inflatable implant might take slightly longer than a malleable one.
2. Patient’s Health and Anatomy: Individual differences in anatomy and any complicating health factors can impact the duration of the surgery.
3. Surgical Approach: The specific surgical technique used can also influence the time taken.

It’s important to note that while the operation itself may take a couple of hours, preparation before the surgery and recovery time immediately after should also be considered. 

Patients typically spend a few hours in recovery after the surgery before being moved to a hospital room.

Remember, our surgeon will provide more specific information based on your individual case and the type of implant chosen. The goal of the surgery is to ensure the best possible outcome, and the time taken is just one aspect of the procedure.

5- Do I need general anesthesia for penile implant surgery? 

The type of anesthesia used for penile implant surgery depends on several factors, including your personal health, preferences, and our surgeon’s recommendation. The options typically include:

General Anesthesia: 

This is commonly used for penile implant surgeries. Under general anesthesia, you will be unconscious and will not feel pain during the operation. It is often chosen for its effectiveness in ensuring patient comfort and immobility during the procedure.

Spinal or Epidural Anesthesia: 

This type involves numbing the lower part of your body. You’ll be awake but won’t feel any pain from the waist down. This option might be suitable for individuals who have certain medical conditions that make general anesthesia riskier.

Factors to Consider:

• Medical History: Your overall health, history of allergies or reactions to anesthesia, and other medical conditions will be considered.
• Procedure Complexity: The complexity of the specific implant procedure can dictate the most appropriate type of anesthesia.

It is essential to discuss the anesthesia options with our surgeon and anesthesiologist before the surgery. 

They will evaluate your medical history and specific circumstances to recommend the safest and most effective type of anesthesia for your penile implant surgery.

6- How long do I need to stay in the hospital after penile implant surgery?

The length of the hospital stay after penile implant surgery can vary based on several factors, but generally, it is relatively short, 1 or 2 nights. Here are some key considerations:

Type of Surgery and Anesthesia: 

If the surgery is straightforward and there are no complications, many patients can go home the following day or the second day. The type of anesthesia used can also influence the length of stay, as some patients may recover more quickly from certain types of anesthesia.

Individual Recovery:

 Recovery times can vary from person to person. Some may recover more quickly and feel ready to go home sooner.

Post-Operative Complications: 

While complications are rare, they can extend the hospital stay. Monitoring immediately after surgery is essential to ensure there are no immediate postoperative complications like excessive bleeding or reactions to anesthesia.

Patient Comfort and Support at Home: 

The decision may also depend on how comfortable you are with the post-operative care required and the level of support you have at home.

7- I am traveling from abroad – how long do I need to stay for follow-up after my surgery?

For patients traveling from abroad for penile implant surgery, planning for an extended stay post-surgery for follow-up care is essential. Here are the key factors to consider:

Initial Recovery Period: 

Typically, the immediate recovery period after penile implant surgery is around 1 week. During this time, it’s important to be near your surgical team in case of any complications or concerns.

Surgeon’s Recommendation: 

our surgeon will provide specific guidance based on the details of your surgery and your individual health. They might recommend a longer stay if they anticipate a need for closer monitoring or if there are any specific concerns regarding your recovery.

Potential for Complications: 

While complications are not common, the possibility exists. Staying close to your surgical team for an adequate period post-surgery allows for prompt management should any issues arise.

Personal Comfort and Support: 

Being away from home, especially after a surgical procedure, can be challenging. Ensure you have adequate support and accommodations for a comfortable recovery.

Traveling Considerations: 

Long flights or extensive travel can be strenuous after surgery. Discuss with our surgeon the ideal time frame before returning to long-haul travel.

Patients traveling for surgery should consider planning for a stay of at least 1 week to allow for proper post-operative care and follow-up. This timeframe can be adjusted based on our surgeon’s advice and the individual’s recovery process.

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8- What do I need to do to prepare for the operation?

Leading up to the procedure, it’s recommended to maintain a healthy lifestyle, including a balanced diet, regular exercise if possible, and moderating smoking and alcohol intake. This helps with post-surgery recovery. 

You’ll also receive specific instructions about fasting, which you should follow 6 hours before the surgery. 

It’s important to inform our surgeon about any recent illnesses or health concerns, as these may necessitate rescheduling the surgery. Any additional preoperative requirements will be communicated by your doctor during your consultation.

9- What is the cost of the surgical treatment?

The cost of surgical treatment varies based on the nature of the surgery, the kind of penile implant chosen, and the individual patient’s situation. After your consultation, if you are deemed a suitable candidate for surgery, you will be provided with a comprehensive quote. 

This quote includes expenses for medical materials, hospital charges, fees for the anesthetist and surgeon, as well as any subsequent consultations.

As a general guideline, the starting price for Penile Implant surgery for self-funding patients is approximately 50% less than EU and US cost.

10- How experienced are your surgeons?

Our team of surgeons specializes solely in male urogenital surgery and is renowned for their contributions to the field, particularly in the diagnosis and treatment of erectile dysfunction. Our clinic is a globally recognized referral center, attracting patients from all around the world.

Additionally, as part of an international network of andrology practices, we adhere to rigorous and advanced surgical protocols. We hold monthly meetings where our surgeons exchange insights and discuss challenging cases, which aids in the continual enhancement of our surgical techniques.

This collaborative approach has led to our group’s surgeons amassing a collective experience of over 1400 penile implant surgeries, making us among the most seasoned experts worldwide in this domain.

11- What are your success rates?

Like all medical procedures, there is a minor risk of complications with penile implant surgery. The two most significant complications are mechanical failure, which occurs in less than 5% of cases, and infection of the prosthesis, happening in 2-3% of cases. 

Should these complications arise, they can be addressed through revision surgery or prosthesis replacement. The success rate for revision surgeries stands at 93%, contributing to an overall success rate of over 99% for our penile prosthesis surgeries.

A key factor in achieving such high success rates, in addition to the surgical expertise of our doctors, is the careful selection of patients in terms of the surgical technique used. Furthermore, our comprehensive post-surgical follow-up with patients plays a crucial role in ensuring successful outcomes.

12- Do you have any patient testimonials?

Certainly. We have a collection of extensive patient testimonials available, which are published anonymously on our website and our YouTube channel for your review. 

Additionally, if you wish to gain deeper insights into the surgical experience at our clinic, we can facilitate direct communication with individual patients. This can be arranged either through a phone call or via email or even a video call, depending on your preference.

13- What do I need to do after the surgery?

The day following your surgery, you will have a consultation with your surgeon. In this session, the surgeon will offer detailed post-operative guidance, change your medical dressing, and address any questions you might have.

In the period until your next office or online consultation, typically scheduled for 2-4 weeks later, both your surgeon and our patient coordination team will maintain close communication with you. They will request regular updates on your recovery and are available to address any concerns that may arise during this time.

14- How long do I need to take off work in order to have the surgery?

Patients with office-based jobs can typically return to work within 2-5 days following their operation. However, if your job entails heavy physical labor, you might require a slightly longer period off work to fully regain muscle strength and ensure proper recuperation.

15- How long after the surgery can I resume sexual activities?

You can resume sexual activities approximately 4-6 weeks after the surgery, unless your surgeon provides different specific instructions.

16- Will I experience pain after the operation?

It’s normal to experience some mild pain and discomfort following the procedure, but this can usually be managed with over-the-counter oral pain relief medications.

17- What are the potential complications?

Our surgical procedures are minimally invasive, and most complications, if they occur, can be managed conservatively.

It’s common for patients to experience some swelling of the penis, which typically diminishes within the first few days after the operation. 

While rare, there are complications that can arise with any surgery, including bleeding, infection, localized tissue damage (affecting blood vessels, nerves, the glans of the penis, or the urethra), and in very rare instances, mechanical failure of the device.

During your pre-operative consultation, you will receive comprehensive information about the risks associated with the operation. Your surgeon will also be available to answer any questions or address any concerns you may have regarding the procedure.

| Read More: Penile Implants Types Comprehensive Guide 2024

18- Will the implant affect how my penis looks or feels?  Is it uncomfortable?

In the initial days following the surgery, it’s normal to feel discomfort and soreness. However, these sensations will subside as you heal. 

The penile implant is designed to be inconspicuous; it won’t be visible externally, and nobody will be able to discern its presence unless you choose to disclose it, not even your partner. 

Importantly, the implant does not affect the sensation in your penis. You will retain the ability to feel and will still be able to achieve orgasm as before.

19- How about my partner? What will they feel?

A significant benefit of the penile implant is the high level of partner satisfaction it offers. This is because the implant allows for a natural and firm erection that is virtually indistinguishable from a natural erection. 

The implant supports a nearly ‘spontaneous’ erection experience; unlike medications that may require a 30-minute waiting period, the penile implant enables you to achieve an erection within just 30 seconds. 

Moreover, the implant ensures that your erection is maintained even if you reach orgasm prematurely, allowing your partner ample time to be fully satisfied. Essentially, whenever your partner desires sexual intercourse, you will be consistently capable of fulfilling their needs.

20- Can I exercise with it?

In the initial weeks following your surgery, it’s common to experience soreness in your penis and scrotum. During this 4 to 6-week recovery period, it’s advisable to limit physical activities such as exercise and weight-lifting. 

However, after your online post-operative check-up, we will be able to resume exercising without restrictions. Activities like walking, running, weight-lifting, biking, and hiking will all be possible once you have fully recovered from the surgery.

21- Do I need to replace the penile implant? How long does the penile implant last?

After the surgery of a penile implant, there will be a written warranty for a lifetime provided by the manufacturer and signed by the surgeon, this warranty should be able to provide the care after the surgery in most countries around the world as it would cover the penile implant in case of a need for replacement in the future. 

If the surgery would take place in Turkey as we’re the partner who installed it, the full medical service will be provided for free.

Takeaway:

In summary, penile implant surgery offers a viable solution for individuals with erectile dysfunction (ED) who have not responded well to other treatments. The candidacy for this procedure depends on factors such as medical history, the severity of ED, overall health, and the willingness to accept permanent alterations. 

Understanding the potential changes in appearance and function, the selection of the appropriate implant type, and considerations for anesthesia and recovery are crucial aspects for candidates to grasp. 

The success rates of penile implant surgeries, the post-operative care, and the need for follow-up appointments contribute to the comprehensive care provided by experienced surgeons. 

Patients should carefully consider these factors, including potential complications and post-surgery activities, to make informed decisions about undergoing penile implant surgery.