Penile prosthesis surgery: Everything you need to know

Many men are concerned with erectile and sexual function, and if having problems, decide to undergo surgery in order to correct them. We delve into penile prosthesis surgery/penile implant surgery with esteemed consultant urologist and male genito-urethral surgeon Mr Rowland Rees, who explains everything you need to know about the surgery.

What is the purpose of penile prosthesis surgery/ penile implant surgery?

Penile prosthesis surgery, also known as penile implant surgery, is a procedure designed to restore erectile and sexual function. This option is usually considered when other treatments have not been successful or when a more permanent and reliable solution is desired. Penile implants have shown higher satisfaction rates compared to other treatments.

How can you prepare for the surgery?

When preparing for the surgery, there are a few things to keep in mind. While there are no specific requirements, being in good overall health is beneficial. If you have diabetes, it's important to manage your blood sugar levels to lower the risk of complications. Maintaining a healthy weight is also crucial, as it can impact the outcome of the surgery.

What happens during the procedure?

During the penile implant procedure, you'll either be given general anaesthesia or sedation. After being admitted to the hospital, a small incision is made either above or below the penis. The surgeon then inserts cylinders into the penis and a pump into the scrotum. These components are connected, and the device is filled with fluid. In some cases, a small drain is used temporarily after surgery, usually removed within a day or two.

This is typically a day case procedure, taking around an hour. After the procedure, you can go home. A follow-up appointment with the surgeon will be scheduled for one to two weeks after the surgery to ensure everything is progressing well. It may take up to four to six weeks before the device becomes fully operational.

What are the risks associated with penile implant surgery?

As with any surgery, there are risks associated with penile implant surgery, although they are relatively rare. These risks include issues such as swelling, bleeding, and infection around the surgical site. Fortunately, the risk of infection in straightforward cases of this surgery is less than 1%. Over time, the device may need to be replaced, typically after around eight to 10 years due to mechanical breakdown. There's also a rare possibility of needing further surgery for repositioning or other issues.

What is the recovery time after penile implant surgery?

Recovery time after penile implant surgery varies depending on the type of incision used. With the minimally invasive infra-pubic technique, initial healing takes about two weeks, during which it's recommended not to use the device. Full recovery, including the ability to engage in regular activities, usually takes around a month. You can return to work within about a week, either in an office or working from home with a computer. 

Remember, the goal of penile implant surgery is to improve your quality of life and restore sexual function, and the procedure is designed to be as smooth and effective as possible.

If you are considering penile implant surgery and would like to book a consultation with Mr Rees, simply visit his Top Doctors profile today.