2 Piece Inflatable Penile Implant
Penile implants are devices that can be surgically inserted into the penis to improve sexual health. Implants can be used for men who are suffering from erectile dysfunction (ED) or for FTM gender confirmation surgeries. 2 piece inflatable implants are more sophisticated implants that provide patients with a natural feeling and natural looking erection.
2 Piece Inflatable Penile Implant
- avg. recovery
- pain factor
About the Procedure
For men who suffer from ED that has been unresponsive to medication and other therapies, penile implants may be a good option to help correct the condition. Individuals who are undergoing gender confirmation surgeries also benefit from the results achieved with penile implants. Several options exist for penile implants, with the most popular either being semi-rigid rods or inflatable implants. The 2-piece inflatable implant is a simple device that offers patients reliable results with the advantage of being easily concealed when not in use. Non-inflatable implants, while being the easiest to use, are not as discreet and will always retain a feeling rigidity. 2- and 3-piece inflatable implants consist of expanding rods and a pump, so that an erection can be easily achieved whenever the patient desires. The difference between 2- and 3-piece implants is where the saline solution that is used to inflate the rods is kept. 2-piece implants contain fluid within the implanted rods, while 3-piece implants retain the fluid in a separate reservoir that is placed within the abdominal cavity. Since the fluid is kept within the rods implanted directly in the penis, patients with a 2-piece implant will have a slightly more noticeable device when the penis is flaccid as opposed to a 3-piece implant. While each implant has both its advantages and disadvantages, it is best to have a consultation with a licensed urologist and plastic surgeon to determine the best treatment plan for your individual needs. During surgery, the patient will be placed under general anesthesia. An incision is typically made at the base of the penis or in the lower abdomen for implant insertion. The surgeon will determine the best implant size for the patient, customize the tubing for the device, and implant the cylinders inside the penis shaft, within each corpora cavernous. The pump for the implant will be placed within the scrotum. No tissue is removed during the procedure. Once the device is secure within the penis, incisions will be closed. This procedure typically takes between 45 minutes to 1 hour to complete.
The goal of a penile implant procedure is to address erectile dysfunction or create a functioning penis during a gender confirmation surgery.
What to Expect
2 piece inflatable implants can be surgically inserted into the penis to improve sexual health and provide patients with a natural feeling and natural looking erection. Here is a quick guide for what to expect before, during, and after a penile implant procedure.
- Stop taking blood thinning medications for 4 weeks
- Stop taking diet pills for 4 weeks before
- Stop smoking 4 weeks prior
- Do not take diabetic medication the morning of surgery
- No eating or drinking 8 hours before surgery
- General anesthesia
- Incision made at the base of the penis or in the lower abdomen
- Implant size determined and customized for each patient
- Implant cylinders placed within penis shaft
- Implant pump inserted within scrotum
- Incisions closed
- Surgery completed in 45-60 minutes
Immediately after surgery, patients should be on bed rest for 48 hours. After 2 days, activity should be kept to a minimum although it is recommended to take at least three 15 minutes walks daily to help prevent blood clots. Moderate activity is permitted after 3 days. Most patients are able to return to work after 1 week. Strenuous exercise and sexual activity can be gradually resumed as tolerated 4-6 weeks postoperatively.
Candidates for penile implant surgery suffer from erectile dysfunction that has been unresponsive to other treatments. Individuals undergoing gender confirmation surgery are also candidates for penile implants.
Not Recommended For
Penile implant surgery is not recommended for patients who have not exhausted other options to treat ED. Penile implants are not recommended for patients who desire a longer penis as this procedure will not improve penis size, just erection quality.
Side effects from a penis implant may include bleeding, implant shifting, temporary severe pain in the penis, and rarely, persistent chronic pain for 2-3 months in non infected implants. Serious side effects such as implant, skin, and urethra erosion due to implant infection can occur or if incorrect implant size is placed.