Penile Implants

Penile Implants, also known as penile prostheses, are advanced medical devices used in the surgical treatment of Peyronie's disease. This condition is characterised by the development of fibrous plaques within the penis, causing penile curvature and often leading to erectile dysfunction. Penile implants offer a reliable and effective solution to restore erectile function, correct penile curvature, and improve sexual satisfaction for individuals affected by Peyronie's disease.

Procedure and Types of Penile Implants:

The surgical procedure for penile implantation involves the placement of a prosthetic device within the penis. There are two main types of penile implants:

• Inflatable Implants: These implants consist of two inflatable cylinders that are surgically inserted into the penis, along with a fluid-filled reservoir that is placed in the abdomen or scrotum. By squeezing a pump located in the scrotum, the cylinders fill with fluid, creating an erection. To deflate the device, the pump is pressed again. This type of implant allows for a more natural erection and offers greater flexibility in terms of rigidity control.
• Malleable Implants: Malleable implants are semi-rigid rods that are surgically inserted into the penis. They can be easily bent into a functional position for sexual activity and maintain a constant level of rigidity. Malleable implants are simpler in design and do not require any pumping mechanism.

The surgical procedure for penile implantation for Peyronie's disease involves several key steps. It is performed under anaesthesia to ensure the comfort of the patient throughout the procedure. The first step is to make a small incision in the lower abdomen, scrotum, or the base of the penis, depending on the type of penile implant being used. This incision allows the surgeon access to the penile area for the insertion of the implant. Next, the surgeon creates a space within the penis to accommodate the penile implant. In the case of inflatable implants, two cylinders are inserted into the corpora cavernosa, which are the erectile chambers of the penis. These cylinders can be filled with fluid from a reservoir, which is typically placed in the abdomen or scrotum. This allows for the inflation and deflation of the implant to achieve an erection when desired. On the other hand, malleable implants consist of bendable rods that are inserted into the penis, providing a semi-rigid state. Once the implant is in place, the incision is meticulously closed using sutures, and a sterile dressing is applied to protect the surgical site and promote proper healing.

The decision to undergo penile implant surgery for Peyronie's disease is typically made after exploring non-surgical treatment options or when the condition significantly impacts sexual function and quality of life. 
Penile implants offer numerous benefits for individuals with Peyronie's disease. They restore sexual function by providing a reliable method to achieve and maintain an erection, allowing individuals to engage in satisfying sexual intercourse. Additionally, penile implants effectively correct penile curvature caused by Peyronie's disease, improving the aesthetic appearance of the penis and facilitating the comfortable and pleasurable sexual activity. This correction of curvature can greatly enhance sexual satisfaction for both individuals and their partners, leading to a more fulfilling intimate relationship.
Modern penile implants are designed to closely resemble a natural erection in terms of appearance, texture, and rigidity, providing a natural look and feel. They are discreet and not visually apparent, promoting confidence and a sense of normalcy during intimate moments. Penile implants are durable and long-lasting, offering a reliable solution for erectile function that can provide years of satisfactory sexual activity.

The decision to undergo penile implant surgery for Peyronie's disease is typically made after other non-surgical treatments have been explored or if the condition significantly affects sexual function and quality of life. It is important to consult with a qualified andrologist at MASSH who can evaluate your specific condition, discuss the potential benefits and risks of penile implants, and guide you in making an informed decision.