Op. Dr. Nureddin Çelik - Penil Protez

Penile Prosthesis

A penile prosthesis is a further treatment preference for men with erectile dysfunction. These devices are either malleable (bendable) or inflatable. The simplest kind of prosthesis consists of a pair of malleable rods surgically implanted within the erection chambers of the penis. With this kind of implant the penis is at all times semi-rigid and merely requirements to be lifted or adjusted into the erect position to start sex. This kind of implant is a wise pick for men with spinal cord injuries and/or limited hand strength. Today, numerous men choose a hydraulic, inflatable prosthesis, which allows them to have an erection when they choose, and it’s easier to conceal. Besides, it is more natural.

A penile implant is generally used when there is a clear medical cause for ED and when the trouble is not likely to resolve or improve naturally or with other medical treatments. Every now and then a penile prosthesis is implanted during surgery to reconstruct the penis when scarring has caused erections to curve (Peyronie’s disease) or to heal stern cases of recurrent prolonged erections (priapism).

Penile implant surgeries take about an hour and are in general done in an outpatient center. A man can start again sexual intercourse by 6 weeks after surgery.

How Does the Penile Prosthesis Work?

The inflatable penile prosthesis consists of two attached cylinders — a reservoir and a pump — which are positioned surgically in the body. The two cylinders are inserted in the penis and attached by tubing to a separate reservoir of saline. The reservoir is implanted under the rectus muscles in the lower abdomen. A pump is also connected to the system and sits under the loose skin of the scrotal sac, between the testicles.

This penile prosthesis is referred to as a 3-piece inflatable penile prosthesis, due to the three different apparatus. A 2-piece inflatable penile prosthesis consists of only two apparatus: the attached cylinders and the combined reservoir and pump unit. In place of the reservoir being placed behind the groin, it is combined with the pump into one housing unit that fits at ease within the scrotum. The benefit of a 2-piece prosthesis in that the surgery is shorter and less complex and there is no device parts in the abdomen. The inconvenience of the 2-piece prosthesis is that the smaller reservoir may not result in sufficient erections in some men.

To inflate the prosthesis, the man presses on the pump. The pump transfers saline from the reservoir to the cylinders in the penis, inflating them and causing an erection. Pressing on a deflation valve at the base of the pump proceeds the fluid to the reservoir, deflating the penis and returning it to the normal flaccid state.

Is the Prosthesis Noticeable?

While men who have had the prosthesis surgery can witness the tiny surgical scar where the bottom of the penis meets the scrotal sac, or in the lower abdomen just above the penis, other people most likely will be unable to see that a man has an inflatable penile prosthesis. Most men would not be humiliated in a locker room or public lavatory, for instance.

What Is Sex Like With the Prosthesis?

When the penis is inflated, the prosthesis makes the penis hard and thick, similar to a usual erection. Most men rate the erection as shorter than their natural erection; however, newer models have cylinders that may boost the length, thickness, and hardness of the penis.

A penile prosthesis does not adjust feeling on the skin of the penis or a man’s capability to reach climax. Ejaculation is not affected. Once a penile prosthesis is put i, it in fact may obliterate the natural erection reflex. Men frequently cannot get an erection without inflating the implant. If the implant is detached, the man may never again have natural erections.

How Effective Are the Implants?

About 90%-95% of inflatable prosthesis implants produce erections appropriate for sexual intercourse. Pleasure rates with the prosthesis are very high, and typically 80%-90% of men are pleased with the consequences and say they would choose the surgery again.

Is the Implant Safe?

No surgery is totally free of possible complications. Complications associated with penile implants include:

Uncontrolled flow of blood after the surgery probably leading to re-operation


Scar tissue formation

Erosion (tissue around the implant may break down) requiring removal

Mechanical failure leading to re-operation and removal

I’ve started working as a doctor since I attended Uludağ University Faculty of Medicine. I stopped working in the hospitals in 2020 with the thought of opening my own medical clinic. At the beginning of 2022, I opened my office in Karşıyaka Mavişehir Park Yaşam Ofisleri. In our urology clinic, I deal with my patients along with my team.


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