Penile prosthetic surgery

If conservative treatments for erectile dysfunction are not successful your consultant may recommend penile prosthetic surgery. A penile prosthetic is an implant that allows men with erectile dysfunction to have an erection. Prosthetics may also be used for patients with Peyronie’s disease.

There are several types of penile implants. Your consultant will assess your own situation and recommend the implant that meets your needs.

What happens during penile prosthesis surgery?

Penile prosthesis surgery is usually performed under general anaesthetic and takes between 40 and 90 minutes. 

Your incision (surgical wound) will depend on the type of implant chosen. Some patients will have just a small cut where the penis joins the scrotum. In some cases an additional incision may be needed in your groin area. After inserting the implant your surgeon will close the wound with stitches.

A catheter (thin tube) may be inserted in your urethra to allow urine to pass from your bladder easily. This will be removed before you go home.

We will give you pain relief medication. Be sure let us know if you are in any pain or discomfort. You may also need to take antibiotics to help prevent infection.

Going home after penile prosthesis surgery

You may need to stay one or two nights in hospital following your procedure. It is normal to experience swelling and bruising. Continue to take any pain medication and antibiotics as prescribed.

Avoid any strenuous activity or heavy lifting until released to do so. Be sure and discuss any return to work with your consultant.

As with any surgical procedure there could be complications including:

• Pain
• Bleeding
• Infection
• Bruising or swelling
  

Specific complications of penile prosthesis surgery may include:

• Problems with the implant – malfunction
• Internal scarring or skin erosion
• Need to replace the implant
• Change in physical appearance