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Is Penile Prosthesis Insertion Right for You

August 15, 2025

A man in jeans serves as an illustration for penile prosthesis insertion for men.

If you are experiencing erectile dysfunction (ED) that has not responded to other treatments, you might be exploring alternative solutions.

One such option is the insertion of an inflatable penile prosthesis. This procedure can offer a permanent and effective solution to ED, restoring sexual function and confidence for many men.

Let us discuss what a penile prosthesis is, the types available, the procedure for inserting an inflatable penile prosthesis, and considerations to help you decide if it is right for you.

What Is a Penile Prosthesis

A penile prosthesis is a medical device implanted surgically into the penis to help men achieve an erection suitable for sexual activity. Among the types of penile prostheses, inflatable penile devices are the most commonly used due to their ease of operation and natural appearance.

Types of Penile Prostheses

Common types of penile prostheses are:

 

Inflatable Prostheses

Inflatable penile prostheses consist of three parts:

  • A pair of cylinders implanted in the penis.
  • A reservoir containing fluid placed beneath the abdominal muscles.
  • A pump located inside the scrotum to control the inflation and deflation of the device.

By squeezing the pump, fluid moves from the reservoir to the cylinders, creating an erection. Pressing a release valve deflates the device.

Malleable Prostheses

Malleable devices are semi-rigid rods inserted into the penis. While these do not inflate or deflate, they allow the penis to be positioned as needed for sexual activity. These are less common than inflatable prostheses.

The insertion of an inflatable penile prosthesis is a preferred choice for many due to the ability to closely mimic a natural erection.

Benefits of Inflatable Penile Prostheses

The insertion of an inflatable penile prosthesis offers several advantages:

Effective Solution

Inflatable prostheses provide reliable results for men with severe erection problems who have not responded to medications like sildenafil (Viagra) or tadalafil (Cialis).

Natural Appearance

These medical devices produce an erection that looks and feels natural. When deflated, the penis appears flaccid and unnoticeable.

Control and Flexibility

Men can control when and how long they have an erection, offering flexibility not available with other ED treatments.

Discreet Design

The device is entirely internal, making it undetectable to others. Most men and their partners find this aspect reassuring.

Long-Term Solution

Unlike oral medications or injections, which are temporary fixes, a penile prosthesis provides a long-term solution to ED.

The Procedure for Penile Prosthesis Insertion

The insertion of an inflatable penile prosthesis is a surgical procedure typically performed by a urologist in a hospital or outpatient surgical center.

Pre-Surgery Consultation

Before the procedure, your urologist will review your medical history and perform a physical examination. This step ensures you are a suitable candidate for the surgery.

Surgical Process

During the surgery, you will receive either general or spinal anesthesia. The surgeon will make a small incision, often in the lower abdomen or scrotum, to insert the components of the prosthesis. The procedure of inserting the penile implant typically takes about one to two hours.

Post-Surgery Recovery

After the insertion of an inflatable penile prosthesis, most patients can return home the same day or the following day. Recovery includes avoiding strenuous activities for four to six weeks. Your doctor will provide specific post-operative care instructions to follow diligently.

Device Activation

Your urologist will guide you on how to use the prosthesis once you have healed from surgery. Activation typically occurs six weeks post-surgery.

Are You a Candidate for an Inflatable Penile Prosthesis

The insertion of an inflatable penile prosthesis is not suitable for everyone. Your doctor will evaluate your suitability based on specific factors:

Chronic ED

The device is typically recommended for men with persistent ED who have not found relief from other treatments.

Physical Health

Good general health is necessary to minimize surgical risks. Conditions like uncontrolled diabetes or infections may affect eligibility.

Realistic Expectations

Understanding what the prosthesis can and cannot do is essential. It restores the ability to have penetrative sex but does not increase libido or improve sensation.

Partner Support

Open communication with your partner about the procedure can improve satisfaction and outcomes.

Risks and Considerations

While the insertion of an inflatable penile prosthesis is generally safe, all surgeries come with potential risks:

Infection

Though rare, infections can occur. Antibiotics are typically administered pre- and post-surgery to reduce this risk.

Mechanical Issues

Modern prostheses have a high success rate, but mechanical failure is a potential risk. Devices often come with warranties.

Scarring or Erosion

Over time, scarring or erosion of tissues may occur, which could require additional surgery.

Discuss these risks thoroughly with your healthcare provider to make an informed decision.

Insertion of an Inflatable Penile Prosthesis in Phoenix, AZ

Living with chronic ED can be challenging, but the insertion of an inflatable penile prosthesis offers a definitive solution for many men. Whether you are considering this procedure for yourself or supporting a loved one through the decision, it is crucial to consult with a qualified urologist.

Feel free to book a consultation with our ED specialist, Dr. Desiderio Avila Jr., at Ironwood Urology. Our team is here to answer your questions, discuss your options, and determine if this procedure is the right choice for you.

To learn more or schedule a consultation with our board-certified urologist, call us today at (480) 961-2323 or use our appointment request form.

We look forward to serving you!

Filed Under: General Tagged With: ED Treatments, Erectile dysfunction (ED), Insertion of an Inflatable Penile Prosthesis in Phoenix, insertion of inflatable penile prosthesis, penile implant, physical health, Urologist

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Dr. Avila focuses on all aspects of men's health, including vasectomy, vasectomy reversal, male infertility, low testosterone, erectile dysfunction, penile prosthetic surgery, Peyronie’s disease, prostate health, and robotic urological surgery.