Erectile dysfunction (ED) is a challenging condition that affects countless men globally. The inflatable Penile Implant emerges as a revolutionary solution, offering a lifelike experience and a one-time, lifelong remedy. 

It’s a sophisticated medical device designed to mimic natural erectile function closely. This article delves into the intricate workings of the inflatable Penile Implant, including its advanced model, the extendable three-pieces implant, which not only addresses ED but also enhances penile length and girth.

Understanding the inflatable Penile Implant

The Three-Pieces Penile Implant is an inflatable, hydraulic system composed of three key components: a fluid reservoir, a pump, and a pair of cylinders. These components work in unison to replicate the natural process of achieving and maintaining an erection.

The Components and Their Functions

  • Cylinders: Implanted in the penis, these cylinders are the focal point of the device. During an erection, they fill with fluid to give a feeling of the natural hardness and shape of an engorged penis.
  • Pump: Positioned within the scrotum, the pump is easily accessible and discreet. It’s used to transfer fluid from the reservoir to the cylinders, initiating the erection.
  • Fluid Reservoir: Typically placed in the lower abdomen, this reservoir holds the fluid that is pumped into the cylinders to achieve an erection.

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How It Works

The inflatable Penile Implant offers a highly intuitive and user-friendly experience. By squeezing the pump in the scrotum, fluid is transferred from the reservoir to the cylinders, causing an erection. 

The erection is maintained as long as desired and is easily reversed by releasing a valve on the pump, allowing the fluid to flow back into the reservoir, returning the penis to a flaccid state.

What are the reasons for considering an inflatable penile prosthesis?

This procedure is typically recommended for individuals who have exhausted all other alternatives (refer to ‘What are the alternative options?’) to restore erectile function but have found these methods ineffective or unsatisfactory.

It is also applicable for those suffering from conditions like Peyronie’s disease, priapism, and incontinence. An inflatable penile prosthesis offers the opportunity for patients to achieve a rigid erection, enabling them to maintain an active sexual life.

The Natural Feeling and Control

What sets the inflatable Penile Implant apart is its ability to provide a natural-feeling erection. The hydraulic mechanism closely mimics the physiological process of an erection, both in firmness and appearance. 

This feature is particularly important for men seeking an authentic sexual experience, as it allows for spontaneity and control akin to natural function.

The Extendable inflatable Penile Implant

Advancing the technology further, the extendable inflatable Penile implant offers additional benefits. This innovative model not only resolves ED but can also increase the penis’s length and girth. 

This enhancement aspect is a significant breakthrough, addressing both functional and aesthetic concerns in one comprehensive solution.

A One-Time, Lifetime Solution

Opting for a Three-Pieces Penile Implant is a long-term decision as it’s guaranteed for lifetime. It’s designed to be a permanent solution, offering a lifetime of reliable functionality. 

The durability and high success rate of these implants make them a preferred choice for many men seeking a definitive answer to ED.

Surgical Procedure and Recovery

The implantation surgery is performed under anesthesia and typically takes about 1-2 hours. Recovery time varies, but most men can resume complete normal activities within 4 weeks. The success of the surgery hinges on the expertise of the surgeon and the quality of post-operative care.

| Read More: Penile Implant Surgery FAQ – Most Common Questions

What are the potential complications associated with the insertion of an inflatable penile prosthesis?

While the majority of patients do not experience any problems post-surgery, there are potential risks involved, including:

  • Infection: There’s about a 1% chance of infection, which increases in certain conditions like diabetes or during a prosthesis replacement (up to 10%). An infected prosthesis must be removed.
  • Bleeding/Bruising: This typically resolves over time.
  • Altered Sensation in the Glans: Changes in sensation at the penis head may occur, sometimes permanently.
  • Cosmetic Concerns: In some cases, especially in thinner individuals or those with a tight scrotum, the tubing may be visible or the reservoir felt. The edges of the inflatable cylinders might also be felt or visible, particularly if they bend.
  • Device Malfunction: About 5% of patients might face a malfunction within 10 years, such as auto-inflation of the cylinders, necessitating surgical correction.
  • Erosion: This occurs in about 2-5% of cases where the prosthesis becomes visible, requiring its removal.
  • Glans Droop or Floppy Glans: Occurring in 2-10% of cases, this leads to the penis head pointing downwards.
  • Injury to Urethra, Bowel, or Bladder: In 2-20% of cases, these injuries can prevent prosthesis placement during surgery.
  • Anesthetic Complications: These rare complications (2-20% chance) include chest infections, pulmonary embolism, stroke, deep vein thrombosis, and heart attacks.

Instructions for Penile Implant Surgery Preparation

Arrangements Prior to inflatable Penile Implant Surgery

Prior to your surgery, you are required to attend appointments with your surgeon, an anesthesiologist, and possibly have a pre-admission meeting at the hospital if needed. For more comprehensive information on these meetings, often termed the Pre-Operative Work-Up, please click here.

Health Changes Notification

Should there be any notable changes in your health, such as the onset of a cold, flu, bladder infection, diarrhea, or any other infection, inform your surgeon immediately before the scheduled surgery.

Guidance on Medications Before Penile Implant Surgery

Follow these instructions regarding your medication before surgery, unless you receive different directions from your surgeon or anesthesiologist:

One Week Before Surgery:

  • DISCONTINUE all aspirin and aspirin-based medications (like Anacin, Excedrin, Pepto-Bismol). Ensure that your cold or pain relief medications do not contain aspirin. Refer to the Blood Thinners list for more information.

Two Days Before Surgery:

  • HALT the use of all non-steroidal anti-inflammatory drugs (such as etodolac [Lodine], fenoprofen [Nalfon], ibuprofen [Advil, Motrin, Nuprin], ketorolac [Toradol], naproxen [Aleve], and others listed).

The Day Before Your Surgery:

  • Begin the prescribed pre-operative Bowel Prep (cleansing method) for your surgery.

On the Morning of Your Penile Implant Surgery:

  • AVOID taking digitalis medications (like Crystodigin, Digoxin, Lanoxin).
  • AVOID oral anti-diabetes drugs (for example, chlorpropamide [Diabinese], glyburide [DiaBeta, Glynase, Micronase], glipizide [Glucotrol], and others).
  • DO NOT take your full morning insulin dose if you have a long drive on the morning of your surgery or if your surgery is scheduled for the afternoon.
  • CONTINUE taking all other usual morning medications with a small sip of water. Use your asthma inhalers and bring them to the hospital.

Dietary Guidelines Before Surgery

Unless directed differently by your surgeon or anesthesiologist, these dietary restrictions are mandatory for patients of all ages before surgery:

Eight Hours Before Your Surgery Is Scheduled Start:

  • AVOID all solid food items, including juices with pulp (like orange juice and nectars), lozenges, candies, chewing gum, and mints. AVOID full liquids such as milk, cream, and jello. You may drink up to eight ounces of clear liquids up to SIX hours before your surgery. Clear liquids include water, clear juices (such as apple and grape), black tea, and black coffee.

Six Hours Before Your Surgery Is Scheduled Start:

  • DO NOT consume anything orally except your regular medications, in accordance with the above preoperative medication guidelines.

Special Exceptions:

  • DO NOT consume anything orally for eight hours before your surgery, except for your regular medications, if you are pregnant, severely obese, have diabetes, renal failure, or suffer from stomach acid reflux with heartburn.

Patients scheduled for operative or diagnostic procedures that involve sedation must abstain from eating, drinking, or taking anything orally for a specified duration before their surgery or procedure. 

This precaution is to avert complications like nausea or vomiting while under anesthesia. Vomiting during unconsciousness can lead to severe complications, such as pneumonia, by causing vomit to enter the lungs. 

These complications could prolong your hospital stay post-surgery. Hence, patients are commonly advised to refrain from oral intake after midnight the night before their surgery, unless otherwise specified by an anesthesiologist.

Instructions for Pre-Operative Cleansing (Bathing and Showering)

To minimize bacterial presence on your skin before surgery, the following bathing and showering instructions must be followed:

Shower Schedule:

  • Take a shower both the night before and the morning of your surgery, just before you come to the hospital.

Shower Requirements for Adults:

  • Adults must shower using Betadine or Hibiclens Surgical Scrub antibacterial soap. This is to eliminate as much skin bacteria as possible before surgery. If you have allergies to these products, please inform your physician or nurse.
  • During the shower, thoroughly lather and scrub your entire body, paying extra attention to the area where the surgical incision will be made. Rinse off thoroughly.

Post-Shower Guidelines:

  • After your morning shower, avoid applying any creams, body oils, lotions, perfumes, deodorants, makeup, lipstick, nail polish, or other cosmetic products on your skin or nails.
  • Do not use Hibiclens on your face. Instead, use any other antibacterial soap for facial cleansing.

Day of Surgery Instructions

Please follow these guidelines on the day of your surgery:

  • Medication: Take your medications as previously instructed.
  • Oral Hygiene: You may brush your teeth and rinse your mouth, but ensure you do not swallow the water.
  • Jewelry and Valuables: Leave all jewelry, including wedding and other rings, at home along with valuables like money and credit cards.
  • Contact Lenses, Glasses, and Hearing Aids: If you use contact lenses, glasses, or hearing aids, bring a protective case or container for them, and contact lens solution if needed.
  • Medical Information: Bring a copy of your current list of medical issues from your primary care physician (family medicine/internist).
  • Minors: Anyone under 18 years old must be accompanied by a parent or legal guardian to provide consent for the operation.
  • Anesthesiologist Consultation: The anesthesiologist will discuss with you the most suitable anesthesia for your medical condition and specific procedure before the surgery.
  • Post-Surgery: After surgery, a responsible adult must escort or drive you home. You may use a taxi or shuttle service provided you are accompanied by a responsible adult who will remain with you after the ride.
  • Arrival Time for Surgery: During your Pre-Admission Interview, a member of our clinic will inform you of the exact time you should arrive for check-in before your surgery.

Considering the Right Choice

Penile implant in Turkey

Choosing the right treatment for ED is a very important step before making the decision as there are other treatments to consider before the penile implant under what we call “Non-Surgical treatment methods”.

The Three-Pieces Penile Implant, with its natural feel and the added benefit of the extendable model, offers a comprehensive solution. However, it’s essential to consider individual needs, lifestyle, and medical history when making this choice.

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The Three-Pieces Penile Implant, especially its extendable variant, stands as a testament to medical innovation in treating ED. Offering a natural experience, enhanced control, and the potential for physical augmentation, it presents a holistic solution. 

At our clinic, we pride ourselves on providing personalized care, ensuring that each patient receives the implant that best suits their needs and goals.


If you are exploring options to overcome erectile dysfunction, the Three-Pieces Penile Implant might be the solution you are looking for. 

We invite you to consult with our specialists to understand how this Penile implant can transform your life. Embrace the possibility of a renewed, confident, and fulfilling sexual experience with a solution designed to last a lifetime.

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