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Choosing Between the Types of Penile Implants for ED

March 7, 2025

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Erectile dysfunction (ED) can significantly impact a man’s quality of life, relationships, and self-confidence. When traditional treatments such as oral medications, vacuum devices, or lifestyle changes do not provide relief, a penile implant can be an effective and long-term solution.

But what are the different types of penile implants, and how do you decide which one is right for you?

This blog will break down the options for penile implants, explain key considerations, and help you better understand how they work.

What Are Penile Implants

A penile implant, also called a penile prosthesis, is a medical device surgically placed inside the penis to help men achieve and maintain an erection. These implants are designed for men with ED who have not responded to other treatments and are a safe and effective option for restoring sexual function.

Types of Penile Implants

There are two primary types of penile implants to consider—inflatable implants and malleable implants.

Inflatable Penile Implants

An inflatable penile implant is a device that allows you to control when and how long you have an erection. This type of implant consists of cylinders placed in the penis, a fluid-filled reservoir in the abdomen, and a pump in the scrotum.

Inflatable Penile Prosthesis: How It Works

When you want an erection, you squeeze the pump in your scrotum. The pump moves fluid from the reservoir into the cylinders, inflating them to create a natural-feeling erection.

Afterwards, the device can be deflated by releasing the fluid back into the reservoir.

Types of Inflatable Penile Implant

Inflatable penile implants are further divided into two types:

  • Two-Piece Penile Implants have inflatable cylinders and a pump in the scrotum, offering simplicity without a separate fluid reservoir, though with slightly less rigidity than three-piece systems.
  • Three-Piece Implants include a reservoir in the abdomen for greater firmness and control, but they are more complex to implant.

Key Benefits

Here are the key benefits of inflatable penile implants.

  • Provides a natural appearance and feel during an erection.
  • Allows control over when and how long an erection lasts.
  • Can be completely deflated, making it discreet.

Malleable Penile Implants

A malleable implant, also known as a semi-rigid implant, consists of bendable rods placed inside the penis. These implants stay firm but pliable, enabling you to position your penis as needed for sexual activity.

How It Works

Unlike inflatable implants, malleable implants do not have pumps or reservoirs. You simply adjust the position of the penis manually.

Key Benefits

The following are the key benefits of malleable penile implants.

  • Simple to use with no mechanical parts.
  • Reliable, as fewer components mean less risk of malfunction.
  • Easier to implant than inflatable devices.

While malleable implants are generally suitable for men with limited hand strength or dexterity, they may not look or feel as natural as inflatable implants.

Factors to Consider When Choosing Between Types of Penile Implants

Choosing the right type of penile implant is a personal decision that should be made with guidance from an expert in ED treatment. Here are key points to consider when weighing the options of types of penile implants:

Lifestyle

If spontaneity is crucial to you, an inflatable implant may better align with your needs. Malleable implants are better suited for men who prefer a simpler solution.

Ease of Use

Inflatable implants require more dexterity due to the pump mechanism, while malleable implants are straightforward to use.

Maintenance and Longevity

Inflatable implants may require occasional servicing; however, both implant types are durable and designed to last for years.

Health Conditions

Patients with manual dexterity issues or advanced medical conditions may find malleable implants easier to manage.

The Procedure for Penile Implant Surgery

The insertion of inflatable penile prostheses and malleable implants typically requires outpatient surgery under anesthesia. The procedure begins with small incisions where the surgeon carefully places the implant. The process does not affect orgasm sensation or ejaculation.

Recovery usually takes a few weeks, during which patients will need to avoid strenuous activity and follow their ED specialist’s advice.

Penile Implants in Phoenix, AZ

If you are seeking Phoenix treatment for ED, consulting an ED specialist should be your next step.

At Ironwood Urology in Phoenix, Arizona, our board-certified Dr. Desiderio Avila provides compassionate care and advanced solutions such as penile implants. Our urologists will evaluate your specific condition, explain the risks and benefits, and guide you toward an informed decision that meets your goals.

For more information or to schedule a consultation, call Ironwood Urology at (480) 961-2323 or fill out our appointment request form. We look forward to serving you!

 

 

 

Filed Under: Erectile Dysfunction Tagged With: best urologist in Phoenix AZ, ED treatment, Erectile Dysfunction, Penile implants, Penile Implants for ED, Penile Implants in Phoenix, Types of Penile Implants

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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.