Penile implants
The placement of a penile prosthesis provides a permanent, lifelong solution to impotence. The implant consists of two cylinders that are placed into the corpora cavernosa, providing structural support to the penis for normal sexual function
When is penile prosthesis surgery indicated?
Determining whether a penile implant is necessary cannot be assessed through consultation alone. A detailed examination is mandatory, including:
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Penile Doppler ultrasound to evaluate blood vessel function for erection.
Medical indications for penile implant:
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Peyronie’s Disease – For penile reconstruction when curvature prevents intercourse.
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Post-Prostatectomy Erectile Dysfunction – After radical prostatectomy (removal of the prostate for cancer).
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Vascular Surgery Complications – If erectile dysfunction occurs after abdominal blood vessel surgery.
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Diabetes-Related ED – When nerve/blood vessel damage causes irreversible impotence.
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Failed Clinical Treatments – If medications (PDE5 inhibitors) or injections (Alprostadil) no longer work.
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Patient Preference – If a man cannot or refuses to use erection pills/injections.
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Penile Fibrosis – When scarring causes severe sexual dysfunction.
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Ischemic Priapism Damage – If prolonged erection leads to permanent ED.
Procedure Overview:
The surgery is performed under general anesthesia, but spinal/regional anesthesia is also an option if needed.
Duration ~60 minutes.
Hospital stay 1 day post-op.
Daily check-ups for the first 10 days.
Return to Work after 7–10 days post-op (depending on job type).
Sexual activity is possible after 4–5 weeks.
Recovery & Long-Term Results:
Scars fully heal within 6 weeks, becoming invisible.
Adaptation Period ~8 weeks to fully adjust to the implant.
Natural Feel & Function.
No visible changes – The implant is hidden inside the penis.
Preserved sensitivity – Touch, erotic sensation, orgasm, and ejaculation remain completely normal.
"On-demand" erections – The implant is unnoticeable until needed.
Dr. Nikola Stanojević, urologist, on Post-Prostatectomy Erectile Dysfunction
Key Facts:
50% of men experience impotence after radical prostatectomy (prostate cancer surgery).
If natural erection recovery fails within 6–12 months, the only effective solution is a penile implant.
After implantation, men regain a fully normal sex life.
The implant is a permanent, lifelong fix for erectile dysfunction.
Coloplast TITAN: The Gold Standard in Inflatable Penile Implants
Key Features:
Most Reliable 3-Piece System – Proven long-term durability (15+ years). Natural Erection Cycle – Mimics physiological erect/soft states.
Full Sensation Preserved – No loss of pleasure during sex/orgasm.
How It Works: Two inflatable cylinders inserted into the penis. Control Pump + Valve – implanted in the scrotum (discreet, easy to use). Fluid Reservoir – placed in the abdomen (invisible).
Result
On-demand erections – Pump to inflate, press valve to deflate. Entire system is internal.
No impact on ejaculation/orgasm – Nerves remain intact.
Penile Implant Activation & Recovery Timeline is
1 Month Post-Op (patients begin implant exercises to adapt to the device).
How It Works
To Inflate (Erection) press the scrotal pump (feels like a small button) → Cylinders fill with fluid.
To Deflate (Return to Soft) squeeze the release valve (located near the pump) → Fluid drains back into the reservoir.
Fully internal – no visible or palpable parts after healing. All components are hidden: reservoir (in abdominal cavity), cylinders (inside penis), pump (in scrotum)
Natural Function - erections outmatch pre-surgery quality. No impact on sensation, orgasm, or ejaculation.