Dr. Amit Goel

Penile Implants for Erectile Dysfunction

Overview

Penile implant surgery is a highly effective and permanent treatment option for men with erectile dysfunction (ED) who do not respond to medications or non-surgical therapies. It restores the ability to achieve and maintain an erection sufficient for satisfactory sexual intercourse, helping men regain confidence, intimacy, and quality of life.

At our center, penile implant surgery is performed by an experienced urologist using advanced techniques and high-quality prostheses, ensuring safety, discretion, and excellent outcomes.

Erectile Dysfunction is the persistent inability to achieve or maintain an erection adequate for sexual activity. Common causes include:

  • Diabetes mellitus
  • Hypertension and heart disease
  • Nerve injury (post-prostate surgery, spinal injury)
  • Hormonal imbalance
  • Aging
  • Psychological factors
  • Failure of oral ED medications or injections

     

When conservative treatments fail, penile implant surgery becomes the most reliable option.

A penile implant (penile prosthesis) is a medical device surgically placed inside the penis to allow a man to have an erection whenever desired. The implant is completely internal and not visible externally.

Penile implants do not affect sensation, ejaculation, or orgasm.

1. Inflatable Penile Implant (IPP)

The most advanced and commonly used option.

Components:

  • Two inflatable cylinders inside the penis
  • A pump placed in the scrotum
  • A fluid reservoir placed in the lower abdomen

How It Works:

  • The pump is squeezed to transfer fluid into the cylinders, creating an erection
  • Pressing the release valve returns the penis to a flaccid state

Advantages:

  • Most natural-looking erection
  • Flaccid state when not in use
  • High patient satisfaction
  • Excellent cosmetic results

 

2. Malleable (Semi-Rigid) Penile Implant

Description:

  • Bendable rods placed inside the penis

Advantages:

  • Simpler surgery
  • Lower cost
  • Easy to use
  • Suitable for elderly or medically high-risk patients

Limitation:

Penis remains semi-rigid at all times

Penile implant surgery is recommended for men who:

  • Have severe or long-standing ED
  • Do not respond to oral medications (PDE-5 inhibitors)
  • Have failed injection therapy or vacuum devices
  • Have ED after prostate surgery
  • Have diabetes-related ED
  • Have penile fibrosis or Peyronie’s disease with ED
  • Desire a permanent, dependable solution

Before surgery, the urologist will perform:

  • Detailed sexual and medical history
  • Physical examination
  • Blood sugar and cardiac assessment
  • Hormonal evaluation if required
  • Counseling regarding expectations and outcomes
  • Selection of appropriate implant type

If you or a loved one needs a kidney transplant, consult Dr. Amit Goel, a trusted Urologist & Kidney Transplant Specialist, to discuss robotic or open transplant options and donor procedures.

📍 C2/902, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram, Haryana 122003  

📞 +91 84470 18167

Penile Implant Surgery – Step-by-Step Procedure

Step 1: Anesthesia
  • Performed under general or spinal anesthesia

A small incision is made either:

    • At the base of the penis, or
    • In the scrotal region
  • Erectile tissue (corpora cavernosa) is dilated
  • Implant cylinders are placed inside the penis
  • Pump is positioned in the scrotum (for inflatable implants)
  • Reservoir is placed in the lower abdomen (if applicable)
  • Incisions are closed with absorbable sutures
  • Sterile dressing is applied

Duration of Surgery: 60–90 minutes
Hospital Stay: 1–2 days

  • Mild pain and swelling for a few days
  • Antibiotics and pain medications prescribed
  • Scrotal support advised
  • Avoid strenuous activity for 2–3 weeks
  • Sexual activity can be resumed after 4–6 weeks
  • Implant training provided for inflatable devices
  • Reliable, long-term solution for ED
  • High satisfaction rate (over 90%)
  • Spontaneous sexual activity
  • No dependence on medicines
  • Natural appearance and sensation
  • Improved self-confidence and relationships

If you or a loved one needs a kidney transplant, consult Dr. Amit Goel, a trusted Urologist & Kidney Transplant Specialist, to discuss robotic or open transplant options and donor procedures.

📍 C2/902, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram, Haryana 122003  

📞 +91 84470 18167

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