For men with erectile dysfunction (ED) who don’t respond to medications or other treatments, penile implants can be an effective solution. Also called penile prostheses, these surgically implanted devices help men get and maintain firm erections for sexual intercourse. But like any procedure, penile implants have both advantages and disadvantages to weigh.
The biggest pro of a penile implant is that it provides reliable erections on demand for men with even severe ED. Unlike pills, injections or vacuum pumps, an implant produces an erection any time the man wants one. The erection feels natural and allows for spontaneity. Implants have a high satisfaction rate and can restore sexual intimacy for couples. Models like the multicomponent inflatable devices create flaccid and erect states that closely mimic normal function.
Penile implants also have the benefit of being a permanent solution for ED. They require no ongoing medication or external devices. Once fully healed from the one-time surgery, usually after 4-6 weeks, the man can achieve an erection whenever desired. Some newer implants may last 15 years or more before replacement is needed. So for men with chronic ED, an implant can offer long-term results.
However, penile implants do carry risks of surgical complications, including infection, bleeding and device malfunction which may require revision surgery. Choosing an experienced surgeon like doctors specialising in penis implants improves outcomes, but problems can still occur. Full recovery also takes several weeks, and strenuous activity is restricted during healing. Some men experience pain, swelling or numbness that resolves slowly.
There are also tradeoffs in sensation and performance. Although orgasm can still be achieved, penile implants generally reduce the sensation experienced during sex. Some models produce a permanent erection that must be manually deflated. Automated inflation models provide more natural function but have higher mechanical failure rates. Visible implant parts can be unsightly to some patients.
In most cases, a penile implant means the penis cannot gain natural erections in response to arousal. However, some men maintain reflex erections that allow further sexual activity after activating the implant. An implant combined with other ED treatments may offer more possibilities.
For the right candidate, penile implants can successfully restore sexual function and satisfaction. Candidates should have severe ED with failure of more conservative therapies and be willing to accept some risk of complications. Having realistic expectations about the pros and cons allows men to make an informed decision after weighing implant benefits against limitations and alternatives. Expert advice from doctors specialising in penis implants helps ensure the best outcome.