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Penile Prothesis

Restoring Confidence, Function, and Intimacy

What Is a Penile Prosthesis?

A penile prosthesis (PP) is an internal medical device designed to restore dependable erectile function for patients whose condition cannot be adequately treated with medications or less invasive therapies. While commonly used for severe or treatment-resistant erectile dysfunction (ED), penile prostheses are also an effective solution for other conditions that impair erectile function, including Peyronie’s disease, nerve injury, pelvic or prostate surgery, vascular disease, and penile trauma. These conditions can significantly affect intimacy, confidence, and overall quality of life. A penile prosthesis offers a long-term, reliable option to help patients regain both function and confidence.

There are two primary types of penile prostheses: inflatable and malleable. Inflatable devices are the most commonly used and offer the most natural appearance and function. They allow the penis to remain fully flaccid when not in use and provide rigidity only when desired. The inflatable system consists of three components: cylinders placed within the penis, a fluid reservoir positioned in the lower abdomen, and a pump discreetly located in the scrotum. When activated, the pump transfers fluid into the cylinders to create an erection; pressing the release valve returns the penis to a flaccid state.

Malleable prostheses consist of two bendable cylinders that remain semi-rigid at all times. The penis can be manually positioned upward for intercourse and downward for daily activities. While simpler in design, this option may be appropriate for select patients based on anatomy, medical history, or personal preference.

At The Institute, penile prosthesis placement is performed using advanced, nerve-preserving surgical techniques focused on comfort, durability, and a natural appearance. Each procedure is tailored to the patient’s underlying condition and goals, ensuring a thoughtful, individualized approach to long-term results.

Is a Penile Prosthesis Right for Me?

PP placement may be recommended if you have:

Severe ED that hasn't responded to or has stopped responding to oral medications or injections
Nerve damage from prostatectomy, pelvic trauma, or radiation
Peyronie’s disease or structural deformity causing erectile difficulties
Recurrent mechanical failure or complications from previous prostheses
A desire for a long-term, natural-feeling solution

Many patients come to The Institute after years of frustration and failed therapies, seeking the expertise needed to achieve lasting improvement.

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How a Penile Prosthesis Works

The surgery is performed under anesthesia, typically on an outpatient basis or with an overnight stay.

For Inflatable Prostheses: The surgeon creates a small incision and places the cylinders within the penis, the reservoir in the abdomen, and the pump in the scrotum. The components are connected and tested for proper function. When activated by the patient, the pump transfers fluid into the cylinders to create an erection; pressing the release valve returns the penis to a flaccid state.
For Malleable Prostheses: The surgeon places two bendable cylinders inside the penis through a small incision. These rods can be positioned upward for intercourse and downward for daily activities.
Recovery Timeline: Most men resume normal activities within one week. For inflatable devices, the prosthesis is activated after 4–6 weeks of healing, and patients receive guidance on its use. Sexual activity can typically resume after clearance from the surgeon.

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Our Expertise in Penile Prosthesis Placement

The Institute’s reconstructive urologists are global leaders in penile prosthesis and nerve reconstruction surgery, known for achieving exceptional results in the most complex cases.

Why Patients Choose The Institute

Advanced expertise in nerve-related and revision ED cases
Surgical precision for natural results and reduced recovery time
Nerve-sparing and reconstructive approaches to preserve sensitivity
Proven success rates and published research in urologic restoration
Compassionate, confidential, and patient-focused care

What to Expect After Surgery

Hospital Stay: Same-day or overnight discharge
Recovery: Return to light activity in 3–5 days; device activated in 4–6 weeks
Results: Most men achieve spontaneous, reliable erections and natural sensation
Durability: Modern implants typically last 10–15 years with minimal maintenance

Our team provides individualized support from consultation through recovery, ensuring optimal comfort and long-term satisfaction.

Meet the Team

Our reconstructive urology specialists are experienced in restoring both function and form for patients with complex scrotal conditions. Every procedure is approached with precision, empathy, and long-term outcomes in mind.

Physician

Alex Xu

Frequently Asked Questions About Penile Prosthesis

Is a penile prosthesis noticeable?

No. The device is completely internal and invisible to others.

Does the implant affect sensation or orgasm?

No. Sensation and orgasm are typically unchanged, and satisfaction often improves due to restored confidence and intimacy.

Can I still urinate normally?

Yes. The prosthesis does not interfere with urination or ejaculation.

Is the procedure painful?

Most men experience mild discomfort for a few days, easily managed with medication.

Is this covered by insurance?

Yes. PP placement is considered medically necessary for men with ED unresponsive to other treatments.

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