Penile Implant Surgery

What is a Penile Implant?

A penile implant, also known as a penile prosthesis, is a medical device surgically placed inside the penis to help men with severe erectile dysfunction (ED) achieve and maintain an erection. It is a long-term, reliable solution for men who do not respond to medication, injections, or other non-surgical treatments.

The implant is fully concealed within the body, providing a discreet and natural appearance when not in use.

Types of Penile Implants

  1. Inflatable Penile Implant (Most Common)
    • Two inflatable cylinders are inserted into the penis, with a pump placed in the scrotum and a fluid reservoir in the abdomen.
    • The pump is squeezed to create an erection; a release valve deflates the implant after intercourse.
  2. Malleable (Semi-Rigid) Implant
    • Flexible rods are inserted into the penis, allowing it to be manually positioned.
    • This design is simpler, easier to use, and often chosen by men with limited hand dexterity or certain medical conditions.

Who is a Candidate for Penile Implants?

Penile implants are suitable for men with:

  • Severe ED not responding to oral medication or injections
  • ED caused by diabetes, spinal cord injury, or other chronic health conditions
  • Peyronie’s disease with curvature and ED
  • Erectile dysfunction following prostate surgery or pelvic trauma
  • Penile scarring or fibrosis from prior treatments

Surgical Procedure

  • Duration: 45–60 minutes
  • Anaesthesia: General or spinal
  • Incision: Small incision at the base of the penis or scrotum
  • Placement: Implant is inserted into the erectile chambers of the penis
  • Hospital Stay: Same-day discharge or overnight stay

Recovery and Aftercare

  • Mild swelling or discomfort for 1–2 weeks is expected
  • Antibiotics and pain relief are prescribed to support healing
  • Avoid sexual activity and heavy exercise for 4–6 weeks
  • Most men can use the implant 6 weeks after surgery
  • Implants have high satisfaction rates, providing a discreet and dependable solution for men with longstanding ED

Why Choose the Urology Institute?

At the Urology Institute, Dr. Avikar Singh, a fellowship-trained urologist with expertise in minimally invasive and reconstructive urology, performs penile implant surgery at both Busamed Gateway Private Hospital and Life Westville Hospital.

He provides advanced surgical care to men across Durban, helping restore confidence, intimacy, and quality of life.

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