If non-surgical management is not effective for you, surgical management by implantation of a penile prosthesis can be considered.
What is a penile prosthesis?
Penile prosthetic surgery has been conducted for 30 years and has a very high patient and partner satisfaction rate – more so than other treatments for ED. It is an effective and permanent means of restoring sexual function that allows spontaneous sexual interaction and eliminates performance anxiety.
The implant is a three-piece, fluid-filled inflatable prosthesis that consists of two inflatable cylinders placed in the penis, a pump implanted in the scrotum and a fluid-filled reservoir placed in the lower abdomen.
To create an erection, the pump is manipulated to allow fluid to fill the penile cylinders. This provides rigidity and girth expansion, like a natural erection. When the pump is deflated, pressure in the cylinders is released and the fluid returns to the abdominal reservoir allowing the penis to return to its flaccid state. When deflated, the cylinders are soft and entirely concealed.
View this demonstration video that shows how the prosthesis works.
The implant surgery is performed at the Sydney Adventist Hospital and usually involves a 24 hour hospital stay.
All about the surgery.
A six week recovery period will be required before the device is activated. You will be taught the technique of pump manipulation allowing inflation and deflation of the prosthesis in the rooms after the recovery period.
Frequently asked questions
FAQ on Youtube.
What is the recovery time? How long until I can use the implant?
You can generally expect recovery from the surgery to last 4 – 6 weeks. The implant needs to be deactivated during this time to allow you to heal. At your post-operative appointment the implant will be activated and you can being to use it to restore sexual function.
Will I be able to have spontaneous erections with a penile implant?
No. If you are still able to have erections on your own which are satisfactory for intercourse you should carefully consider whether an implant is right for you. If you cannot have spontaneous erections or they are unsatisfactory for intercourse, the implant will be able to provide you with more “instant” erections compared to other non-surgical treatments for erectile dysfunction.
Can I have an orgasm with a penile implant?
Yes, if you could have one before the procedure you should be able to have an orgasm with a penile prosthesis implanted.
What costs are involved?
The surgery will incur hospital costs, anesthetist fees and Doctor Katelaris’ fee. Most private health insurance will cover or partially cover the cost of the implant. There are Medicare rebates for the surgery and the implant. For a quote, please contact our office.
Will anyone notice that I have an implant?
This system is entirely concealed within the body; it is not visible to the naked eye and no one will know you have an implant unless you tell them.
The device will not be dectable by airport security and it is safe for you to have an MRI.
Are there risks associated with penile implant surgery?
As with any surgery, there are some risks associated with the penile implant including pain, reactions to anesthesia and the risk of repeat surgery due to mechanical problems or infection. These will be discussed in detail prior to surgery.
What are the patient and partner satisfaction rates with penile prosthetic surgery?
Studies show that 9 out of 10 men and their partners were happy with the results of penile prosthetic surgery: 95% of men would undergo the procedure again, 92% would recommend the device to others and 90% of partners would recommend it to other couples.