3 Piece Inflatable Penile Implant
3-piece inflatable penile implants are the most sophisticated and natural appearing devices available for patients. These implants give patients a natural appearing and feeling erection as well as a discreet implant when flaccid. Penile implants are commonly used to treat men with erectile dysfunction as well as patients who are undergoing gender confirmation surgery.
3 Piece Inflatable Penile Implant
- avg. recovery
About the Procedure
Penile implants are typically the last course of action available for patients who have exhausted all other options to treat erectile dysfunction (ED). ED not only affects the physical and sexual health of a patient, but the mental well-being too. Addressing complications associated with ED can greatly improve the quality of life for patients. Individuals who are undergoing gender confirmation surgeries can also benefit from the realistic results achieved by a penile implant. There are 2 different kinds of implant devices: semi-rigid and inflatable. Semi-rigid implants have the advantage of being simple to use and is a fairly simple procedure. Inflatable implants, while more surgically involved, offer patients an easier to conceal implant and more natural results than their non-inflatable counterpart. Inflatable implant devices are comprised or either 2 or 3 pieces. 2-piece implants insert rods within the penis shaft and a pump inside of the scrotum. Saline fluid is contained within the rods and becomes stiff when the pump is squeezed. 3-piece implants contain saline fluid within a separate reservoir that is implanted within the abdominal cavity. When the pump is squeezed, fluid infiltrates the rods and allows for an erection. While a 2-piece device is a less complicated surgery, a 3-piece device allows for the best concealment of the implant when flaccid. Each implant has its advantages and disadvantages. Speak to a licensed urologist and plastic surgeon to determine the best treatment for your individual needs. During surgery, the patient will be placed under general anesthesia. An incision will typically be made either at the base of the penis of the lower abdomen. Implant size will be determined by stretching the spongy tissue within the penis. The implant rods are customized for each patient to ensure best results. The inflatable rod implants are inserted within the corpora cavernosa inside of the penis shaft. A pump will be placed within the scrotum as well as fluid reservoir beneath the abdominal wall. Once securely in place, incisions will be closed. Penile implant surgery usually takes 45 minutes to an hour.
The goal of this procedure is to increase penile length and girth while also addressing erectile dysfunction.
What to Expect
3-piece inflatable penile implants are the most sophisticated and natural appearing devices available for patients with erectile dysfunction as well as patients who are undergoing gender confirmation surgery. 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
- Fluid reservoir implanted beneath abdominal wall
- Incisions closed
- Surgery completed in 45-60 minutes
Patients will be advised to rest for the first 2 days after the procedure. Walking and moderate activity is encouraged 2-3 days after the procedure with most patients returning to work after 1 week. Strenuous exercise and penetrative sex can be resumed as tolerated 4-6 weeks after surgery.
Candidates for penile implant surgery have been unresponsive to other ED treatment options. Patients undergoing gender confirmation surgery are also good candidates for penile implant surgery.
Not Recommended For
Penile implant surgery is not recommended for patients with ED who have not exhausted all other treatment options. Implant surgery is not recommended for those who desire an increase in penis size as that is no the purpose of the procedure.
Side effects from a penis implant may include bleeding, movement of the implant, temporary severe pain in the penis, and persistent chronic pain for up to 2-3 months. Other more serious problems can occur such as erosion of the implant, skin, and urethra if the device becomes infected or the wrong size is implanted.