There are several types of penile implants available for men with erectile dysfunction (ED). When medication or other treatments are not effective, a penile prosthesis can be a reliable solution. A urologist, a doctor specializing in the urinary tract and male reproductive system, can help you decide which implant is the best fit for you.
This decision depends on many factors, including your health, lifestyle, and what you hope to achieve with the implant.
Urologists determine the best types of penile implants by considering your medical history, personal needs, and physical anatomy. Here, you will learn more about this, including:
- Inflatable implants. These are the most common choice, offering a more natural erection.
- Malleable implants. These devices are simpler, with fewer parts that could potentially malfunction.
- Personal consultation. Your urologist will discuss your lifestyle, health, and expectations to recommend the best option.
What Are the Main Types of Penile Implants?
There are two primary types of penile implants a urologist might recommend: inflatable implants and semi-rigid (or malleable) implants. Each has its own design and works differently. Your doctor will explain the pros and cons of each to help you make an informed choice.
Inflatable Penile Prosthesis
Inflatable devices are the most frequently used types of penile implants. They can produce a more natural erection than semi-rigid rods. They consist of several components that are placed entirely inside the body during the insertion of inflatable penile prosthesis.
These components include:
- A pair of cylinders implanted in the penis.
- A fluid-filled reservoir placed under the abdominal wall.
- A pump and release valve placed inside the scrotum.
To get an erection, you squeeze the pump in your scrotum. This action moves fluid from the reservoir into the cylinders, causing them to inflate and create a firm erection. When you are finished, you press the release valve on the pump to drain the fluid back into the reservoir, returning the penis to a soft state.
There are two main kinds of inflatable implants: three-piece and two-piece systems. The three-piece system, with its separate reservoir, provides the most rigid erection. The two-piece system combines the fluid reservoir with the pump, making the surgery slightly simpler but resulting in a less firm erection.
Semi-Rigid or Malleable Penile Implants
Semi-rigid implants, also known as malleable implants, are a simpler type of penile prosthesis. These devices consist of a pair of bendable rods placed inside the penis. They do not have a pump or reservoir.
With a malleable implant, the penis is always semi-firm. You can manually bend it upward for sexual activity or downward and against your body for concealment.
These implants are less complex than inflatable ones, which means there are fewer parts that could break. The surgical procedure for malleable rods is often shorter and less complicated.
How Does a Urologist Choose the Right Implant?
A urologist’s recommendation is based on a thorough evaluation of your individual circumstances. The goal is to find the penile prosthesis that works best for your body and your life.
Medical History and Physical Examination
Your overall health is a major factor. Your urologist will review any medical conditions you have, such as diabetes or heart disease. They will also consider any previous surgeries in your pelvic area, as scar tissue can sometimes make the insertion of an inflatable penile prosthesis more challenging.
A physical examination helps the doctor assess your anatomy. The size and shape of your penis and scrotum can influence which implant will fit best.
Lifestyle and Partner Considerations
Your lifestyle and personal preferences play a crucial role. Your urologist will ask about your sexual activity and what you and your partner expect from the implant. For example, the concealability of an inflatable implant may be important to you.
The opinion of your partner can also be a factor. It is often helpful to include your partner in the discussion with your urologist. Understanding how the different types of penile implants work can help you both feel more comfortable with the decision.
Understanding How a Penile Prosthesis Works
Your urologist will spend time explaining how each type of penile prosthesis works. They may use models or diagrams to show you the components and how to operate them. Knowing the details helps you set realistic expectations for the outcome.
Patient satisfaction rates for penile implants are very high. Studies have shown that both patients and their partners report high levels of satisfaction after the procedure. This is because implants provide a reliable and spontaneous solution for ED.
Learn More About the Different Types of Penile Implants Available at Ironwood Urology in Phoenix, AZ
Choosing from the different types of penile implants is a significant decision that can greatly improve your quality of life. A detailed conversation with an experienced urologist is the best way to determine which option is right for you. By carefully considering your medical condition, personal needs, and lifestyle, your doctor can guide you toward the most suitable solution.
If you are experiencing erectile dysfunction and want to explore your treatment options, the team at Ironwood Urology is here to help. Our urologist, Dr. Avila, has extensive experience with all types of penile implants and can provide the expert guidance you need.
Contact us today at (480) 961-2323 or request an appointment online to schedule a confidential consultation. We look forward to serving you!
