A penile prosthesis or penile implant is a surgical option for treating erectile dysfunction when other treatments have not worked or are not suitable. Patients considering this option often wonder if it is truly worth it. The answer depends on individual goals, health conditions, and expectations. Understanding how the device works, what the procedure involves, and what to expect during recovery can help patients make an informed decision.
Understanding What a Penile Implant Is
This is a device placed inside the penis through surgery to help patients with erectile dysfunction have an erection. It is usually considered when other treatments, like medication or vacuum pumps, have not worked or are not suitable. There are two main types: inflatable prostheses, which can be filled with fluid and pumped up when needed, and malleable (semi-rigid) prostheses, which stay firm and can be positioned by hand. The choice between these types depends on the patient’s health, personal preferences, and daily activities.
The device stays completely inside the body and cannot be seen from the outside. After healing, patients can control the device to achieve an erection when they choose. It is important to understand that the device does not bring back natural erections or increase feeling—it provides firmness for sexual activity. Learning how the prosthesis works helps patients know what to expect before and after the surgery.
Who Might Be Suitable for the Procedure?
A penile implant may be an option for patients who have not had success with other treatments for erectile dysfunction. This includes patients who cannot take medication, have not responded to injections, or have medical conditions like diabetes or nerve damage after prostate cancer treatment. It may be considered when erectile dysfunction has lasted for a long time and other options have not provided consistent results.
Whether a penile implant is suitable also depends on the patient’s overall health and whether they can safely have surgery. A full medical check-up is important before making a decision. Patients need to be physically ready for the procedure and emotionally prepared for the changes that come with having a device implanted. Deciding to have a penile implant is a personal choice and should be made after discussing the options with Dr Phillip Katelaris and understanding all the information.
Outcomes Achieved by Penile Implant
A penile implant can help patients achieve an erection without needing medications or external devices. Patients with a prosthesis are able to achieve an erection when needed, without using medications or devices. The prosthesis provides firmness for sexual activity and can be used as often as needed once healing is complete.
The prosthesis is built to last and can often function well for many years when cared for properly. However, it is important to remember that the prosthesis does not restore natural erections, sensation, or increase sexual desire. Understanding what to expect after surgery can help patients feel more prepared and comfortable with the changes.
Risks and Considerations Before Surgery
As with any surgery, there are risks involved with penile implant placement. These can include infection, bleeding, injury to surrounding tissues, or pain after surgery. There is also a chance of mechanical problems with the device, which might require repair or replacement in the future. Some patients may notice scarring or a decrease in penile length. In rare cases, the implant can shift or press into nearby tissues, which may need additional surgery to correct.
It is important to know that once a penile implant is placed, natural erections will not return. The decision is permanent, so patients should take time to carefully consider all options before proceeding. Following post-operative care instructions can help reduce some risks, but no procedure is completely free of risk. Understanding both the possible outcomes and the risks can help patients make an informed decision.
Making the Decision: Is It Worth It?
Deciding if a penile implant is the right choice depends on the patient’s goals, expectations, and overall health. For patients who have experienced long-term erectile dysfunction and for whom other treatments have not worked, a prosthesis can provide a consistent option for achieving an erection. The decision should be based on a clear understanding of the procedure, the expected outcomes, and any possible risks or limitations.
It is also important to consider the recovery process and the long-term care required for the implant. Patients are encouraged to discuss their questions and concerns openly with the team at Katelaris Urology in Sydney and North Shore. Taking time to review all information carefully can help patients make an informed decision about whether penile prosthesis surgery is suitable for their situation.
Why Choose Dr Katelaris for Penile Implant Surgery in Sydney and the North Shore
Dr Phillip Katelaris is a urological surgeon with decades of experience treating erectile dysfunction, including penile implant procedures. He operates in Sydney, with clinics in Hornsby, Castle Hill, and St Leonards—providing care across the North Shore. His training in both Australia and Germany, along with his background in robotic techniques, allows for a thorough and considered approach to each procedure.
At Katelaris Urology in Sydney and North Shore, he offers thorough consultations to explain the procedure, the different implant options, and what patients can expect before and after surgery. He reviews each patient’s medical history, overall health, and treatment goals before making any recommendations. Patients are encouraged to ask questions and discuss any concerns during the consultation.
As part of the process, Dr Katelaris helps patients understand the key factors to consider when deciding if a penile prosthesis is suitable for their situation. He discusses possible outcomes, risks, and long-term care so patients can make informed decisions based on their health and personal goals. Throughout the journey, from consultation to recovery, he provides clear information and ongoing support.
