Penile Implant Surgery in Turkey 2024: A Comprehensive Solution for Erectile Dysfunction

At Istanbul Urology Clinic, we specialize in penile implant surgery, offering innovative solutions for erectile dysfunction (ED). Recognized for our expertise in Penile Implants, We provide 3 main types of implants: the Three-piece Penile implant, the Two-pieces Penile implant, and the Malleable Penile implant. 

This article delves into these options and the comprehensive services we offer, particularly catering to our international clientele.

Understanding Penile Implants

A penile implant Also known as a penile prosthesis is an effective and well-known solution to restore sexual power, especially in medium to extreme cases of ED. These devices, surgically placed inside the penis, allow men to achieve and maintain a full erection for as long as desired.

The procedure involves the insertion of either inflatable or flexible rods into the penis. In the case of inflatable rods, they are connected to a device filled with saline liquid and a pump that is discreetly placed within the scrotum. When you press the pump, the saline solution is transferred to the device, causing it to inflate and create an erection. The device can then be deflated after use.

Typically, this surgery is considered for men who have not found success with other ED treatments. It’s a decision often made after exploring and exhausting other available options. The satisfaction rate among men who undergo this procedure is generally high.

For more detailed information about the different types of penile implants, criteria for candidacy, and what to expect in terms of recovery and results after the surgery, continue reading. This further exploration will provide a deeper understanding of the procedure and its implications.

Pros and cons at a glance

When considering a penile implant, it’s important to learn well about the pros and cons to make an informed decision. Here’s a quick overview:

Pros √√:

1. High Effectiveness: Penile implants are known to be highly effective in treating erectile dysfunction (ED).
2. Safe Alternative to Oral Medication: For those who find oral medication for ED ineffective, a penile implant may be a suitable alternative.
3. Lifetime solution: for most men, it’s a one-time surgery in life and it’s unlikely to need another surgery once it’s done.
4. Psychological relief: with the penile implant there’s never an issue about getting an erection for as long as needed, so there will be no worries about any other factors that might interfere with the ability of getting or keeping the erection.
5. The ability to add size: the extendable three-piece penile implant models can add length and girth for up to 25% more after some time of use.

Cons ××:

1. Cost: Penile implants can be expensive, but no worries as here in the Istanbul urology clinic we provide this surgery for less than 50% of the cost in the US, EU, and most other countries around the world
2. Risk of Infection: As with any surgical procedure, there is a risk of infection following a penile implant surgery, which can be treated in a few days after.
3. Recovery Time: Full recovery from the procedure may take several weeks.
4. No turning back: As this surgery will be an artificial way of getting and controlling the erection, there will be no erection without the implant even if we remove it from the body.

Who’s a good candidate for this procedure?

Determining whether you’re a suitable candidate for penile implant surgery involves evaluating several factors:

Possible Good Candidates:

1. Persistent ED Affecting Sex Life: If you experience ongoing erectile dysfunction that negatively impacts your sexual life.
2. Unsuccessful ED Medications: You’ve tried ED medications like sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), or avanafil (Stendra) without success.
3. Ineffectiveness of supporting devices: A penis pump (vacuum constriction device) hasn’t yielded positive results.
4. Unresponsive to Penile Injection Medications: Penile injection therapies like TriMix haven’t been effective.
5. Specific Conditions: Conditions such as Peyronie’s disease, which are unlikely to improve with other treatments in advanced cases.
6. History of Prostate Cancer or Prostatectomy: If you’ve had prostate cancer or undergone a prostatectomy.

Possible less-likely Candidates:

1. Emotional Causes of ED: is primarily rooted in emotional or psychological issues.
2. Lack of Sexual Desire or Sensation: Absence of sexual desire or sensation.
3. Urinary Tract Infections: Current urinary tract infection (UTI).
4. Skin Issues: Presence of inflammation, lesions, or other problems with the skin of the penis or scrotum.

It’s important to have a thorough discussion with us at the Istanbul urology clinic to determine if a penile implant is the right course of action for your specific situation.

|Read More: Top 8 Benefits of Penile Implant Surgery

How to prepare for surgery?

Preparing for penile implant surgery involves several important steps:

1. Physical Examination and Medical History Review: Our doctors will conduct a comprehensive physical examination and review your medical history to assess if a penile implant is suitable for you.
2. Identifying Contraindications: Our doctor might advise against penile implant surgery if you have:
   • An active infection, such as a pulmonary infection or urinary tract infection (UTI).
   • Poorly managed diabetes.
   • Cardiovascular disease.
3. Exploring Other Treatment Options: Most doctors recommend penile implant surgery only after less invasive treatments, like oral medications or a penis pump, have been tried and found ineffective.
4. Discuss Expectations and Concerns: Openly discuss with our doctor what you expect from the surgery and any concerns you have.
5. Choosing the Type of Implant: You’ll need to decide on the type of implant. Ask us about the advantages and disadvantages of each type.
6. Understanding Risks and Follow-Up Care: Be informed about the potential risks associated with penile implant surgery and the steps required for post-operative care.
7. Pre-Surgical Instructions: Our doctor will provide specific instructions regarding fasting before surgery.
8. Post-Surgical Arrangements: Arrange for transportation after the surgery, and keep in touch for possible meetings in a few days after the surgery.

It’s crucial to follow these guidelines closely to ensure the best possible outcome from your surgery.

Types of penile implants:

1. Three Pieces Inflatable Penile Implant

The Three-pieces Penile implant, a type of inflatable prosthesis, is popular It consists of a fluid-filled system with a pump placed in the scrotum. This implant offers men the ability to control their erections more naturally and is preferred for its discreteness and ease of use.

The three-piece implant is a type of inflatable device, which is the most frequently used kind of penile implant mainly because of its natural feel and function and the ability to control the erection. This implant comprises three main components:

1. Fluid Reservoir: Positioned under the abdominal wall, this reservoir holds the fluid necessary to inflate the implant.
2. Pump and Release Valve: These are implanted in the scrotum. The pump inflates the implant, while the release valve deflates it.
3. Two Inflatable Cylinders: These are placed inside the penile tissue. When activated, they inflate to create an erection.

Is it important to know that the cylinders will only be replacing the penile tissue (the part which is responsible for making and keeping the erection) and it will not affect any other functionality

This type of implant is considered the most comprehensive in terms of penile implant surgeries. It offers the benefit of creating the most rigid and natural-feeling erection.

However, due to its complexity and the number of components involved, there is a higher potential for mechanical malfunction compared to simpler implant types. Despite this, many choose the three-piece implant for its effectiveness and the quality of the erection it provides.

2. Two Pieces Penile Implant

The two-piece penile implant offers a slightly simpler design compared to the three-piece version. Key features of the two-piece implant include:

1. Combined Reservoir and Pump: In this design, the fluid reservoir is integrated into the pump mechanism itself, both of which are located in the scrotum. This reduces the number of separate components implanted in the body.
2. Simplified Surgery: Due to its less complex structure, the surgery to implant a two-piece device is somewhat less intricate than that for a three-piece implant.
3. Erection Firmness: While the erection achieved with a two-piece implant is generally effective, it may be a bit less firm compared to the one provided by a three-piece implant.
4. Ease of Use: Although the pump in a two-piece implant might require more effort to operate, it typically demands less manual dexterity. This can make it a more suitable option for individuals with limited hand strength or dexterity.

Overall, the two-piece implant strikes a balance between functionality and simplicity, making it a viable option for those seeking a less complex surgical solution with effective results, but also it might cause a little problem of having full control of when to have or lose the erection.

3. Malleable Penile Implant

The Malleable implant is a type of semi-rigid rod, offering a simpler and more cost-effective solution. Ideal for its simplicity and reliability, this implant involves bendable rods that provide permanent firmness to the penis. It’s a practical choice for many patients, particularly those seeking a straightforward solution.

The Malleable Penile Implant known also as Semirigid implants offers a different approach to penile prosthesis compared to inflatable implants. Here’s an overview:

1. Constant Rigidity: Semi-rigid rods, once implanted, maintain a constant state of firmness. They do not require inflation or deflation.
2. Flexibility for Use: These implants allow you to position your penis against your body for concealment or bend it away from the body for sexual intercourse.
3. Simpler Surgery and Use: The procedure to implant semi-rigid rods is generally less complex than that for inflatable implants. These devices are also easier to use since they don’t involve any pumping mechanism, reducing the likelihood of mechanical failure.
4. Considerations for Concealment: Because they are always firm, semi-rigid rods can exert constant pressure on the penis and might be more challenging to conceal under clothing compared to inflatable implants.

Semi-rigid implants are often chosen for their simplicity, ease of use, and reliability, making them a suitable option for certain individuals, especially those looking for a lower-maintenance solution.

|Read More: Penile Implants Types Comprehensive Guide 2024

What happens during the procedure?

During the penile implant surgery, here’s what typically occurs:

Anesthesia:

The surgery can be performed under spinal anesthesia or general anesthesia, depending on the specifics of the case and patient preference.

Preparation

The surgical area is shaved. A catheter is inserted to collect urine during the procedure, and an intravenous line (IV) is established for administering antibiotics or other necessary medications.

Incision

The surgeon makes an incision either in the lower abdomen, at the base of the penis, or just below the head of the penis, depending on the type of implant and the surgical approach.

Implant Placement

The tissue inside the penis, which normally fills with blood to create an erection, is stretched to make room for the implant. The surgeon then places two cylinders inside the penis (in the place of the penile tissue).

Positioning the Components:

For a two-piece inflatable device, the combined saline reservoir and pump are placed inside the scrotum.
In the case of a three-piece device, the pump is implanted in the scrotum, and the separate saline reservoir is placed under the abdominal wall, it’s important to know that even with a three-piece installation, it will be from the same cut as installed the cylinders.

Closing the Incisions

Once the implant is in place, the surgeon closes the incisions.

Duration and Recovery

Patients may experience some discomfort in the initial hours following the surgical procedure, accompanied by a false transient urge to urinate. However, these sensations typically normalize within a few hours. Within 24 hours post-surgery, patients may be mobile, albeit with some residual discomfort.

A hospital stay of 1 to 2 nights is recommended. By the 72-hour mark, most movements are anticipated to return to normal, and any unusual sensations should have subsided.

It’s important to follow all pre-and post-operative instructions provided by the surgeon to ensure a smooth procedure and recovery.

What’s recovery like?

Recovery after penile implant surgery involves several key steps and considerations:

1. Receiving the Warranty: after the surgery, there will be a written warranty delivered to the patient which is provided by the manufacturer of the implant, therefore it will be accepted all around the world covering any failure that might occur to the implant in a lifetime period.
2. Postoperative Instructions: You’ll receive detailed guidance on caring for the surgical site and instructions on how to operate the pump mechanism of the implant.
3. Pain Management: It’s common to require pain relievers for a few days or possibly weeks following the surgery, depending on the extent of discomfort.
4. Antibiotics: To reduce the risk of infection, your doctor is likely to prescribe a course of antibiotics.
5. Returning to Work: Many patients can return to work within a few days post-surgery, although this can vary based on the nature of your job and your recovery.
6. Full Recovery: The full recovery period can span several weeks. It’s important during this time to follow all medical advice and avoid strenuous activities that might impede healing.
7. Resuming Sexual Activity: Typically, you can expect to resume sexual activities about four to six weeks after the surgery, once healing is sufficiently advanced.

Remember, each person’s recovery process can vary, so it’s crucial to follow your doctor’s specific recommendations and attend all follow-up appointments to ensure a smooth and successful recovery.

How effective is the surgery?

Inflatable penile implant surgeries are generally considered successful, particularly in achieving erections suitable for intercourse. According to a 2022 study, approximately 94% of men who have undergone this surgery report satisfaction with the results.

Key aspects of penile implants include:

• Mimicking Natural Erections: Penile implants are designed to simulate a natural erection, allowing for sexual intercourse.
• No Impact on Penis Head or Sensation: The implant doesn’t facilitate the hardening of the penis head and does not affect sensation or the ability to reach orgasm.

However, as with any surgical procedure, there are associated risks:

• Infection Risk: There’s always a risk of infection following surgery, which can be treated easily.
• Rare Complications: In rare cases, issues such as mechanical failures, erosion, or adhesion of the implant may occur, necessitating further surgery for repair or removal of the implant, which is for sure fully covered with the lifetime warranty which will be received after the surgery.

It’s important for anyone considering this surgery to discuss these risks thoroughly with one of our specialists and weigh them against the potential benefits. Regular follow-ups and adherence to postoperative care instructions are crucial for minimizing risks and ensuring the best possible outcome.

|Read More: Top 5 Reasons to Consider a Penile Implant

Patients review about penile implant

Patient reviews and patient satisfaction rates play a crucial role in understanding the effectiveness and acceptability of penile implants. Researchers often use questionnaires and interviews to gauge the experiences of individuals who have undergone the procedure.

A study conducted in 2019 revealed that one year or more after undergoing penile implant surgery, participants reported a high satisfaction rate of 93.2%. Interestingly, the satisfaction rate reported by their partners was even slightly higher, at 95.4%.

However, it’s important to note that a 2022 study pointed out that these questionnaires could be further refined. The goal of this refinement would be to provide a more nuanced understanding of the exceptionally high satisfaction rates often reported in literature and studies concerning penile implant satisfaction. 

This suggests that while the existing data is overwhelmingly positive, there might be additional factors or considerations that could be captured more effectively in future research to provide a more comprehensive picture of patient and partner experiences with penile implants.

The Surgical Experience at Istanbul Urology Clinic

Undergoing penile implant surgery at our clinic is a streamlined process. The procedure is performed under anesthesia and typically takes around an hour. Recovery is swift, with most patients returning to normal activities within a few weeks. For our international patients, we ensure a comfortable and hassle-free experience:

• Comprehensive Medical Services: We provide all necessary medical services at the hospital.
• Hospital Stay: Patients are accommodated for 1 – 2 nights at the hospital for optimal care.
• Transportation: We arrange all main transportation needs, including airport shuttles.
• Translation Services: To bridge language barriers, we offer translation services for our diverse clientele.

Planning Your Visit

For those traveling to Istanbul for this procedure, a week is typically sufficient for the entire process. We recommend giving us 1 or 2 weeks’ notice at least before your arrival, allowing us to make all necessary arrangements and ensure everything is ready for your comfort and safety.

Cost and Considerations

Choosing the right type of implant is crucial, and our experts at Istanbul Urology Clinic are here to guide you. While cost is a factor, it’s important to consider the long-term benefits and suitability of the implant type.

Our clinic offers competitive pricing and high-quality care, making penile implant surgery in Istanbul a viable option for many. Especially for this kind of surgery it can be very expensive in most countries around the world, here in Istanbul, you can find a high level of quality with 50 to 65% less than most North American and European countries.

|Read More: Erectile Dysfunction Treatment in Turkey

Conclusion

Istanbul Urology Clinic stands at the forefront of treating erectile dysfunction with penile implants. Our clinic’s dedication to providing comprehensive care, combined with our expertise in Three-pieces and Malleable implants, makes us a top choice for patients from around the world.

Most Common FAQs about Penile Implant:

Here are some frequently asked questions about penile implants, with concise answers: