Devices that can be surgically inserted into the penis to improve sexual health for men who suffer from erectile issues.

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.

2 Piece Inflatable Penile Implant

Penile Implants

Penis

Groin

2piece1

- 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

Before Treatment

2piece2

- 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

During Treatment

2piece3

Immediately After Treatment

2piece4

- Bed rest recommended for 2 days
- Walking and moderate activity permitted after 3 days
- Keep penis in upward position to prevent downward curvature

1-3 Days After Treatment

2piece5

- Most patients able to return to work
- Non-dissolvable sutures removed
- Implant should be inflated twice daily to expand tissue around device

1-2 Weeks After Treatment

2piece6

- Resume strenuous exercise as tolerated
- Resume sexual activity as tolerated
- Some patients may experience discomfort for up to 2-3 months

4-6 Weeks After Treatment and Beyond

2piece7

- Results are permanent 
- Procedure does not increase penis size

Result Notes

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.

2 piece

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.

Removes excess skin to shorten the length of the scrotum to a more comfortable, pleasing position.

From labiaplasties and vaginal tightening, to penis implants and fillers, cosmetic enhancements below the waistline are becoming increasingly popular. Scrotal lifts are not only a cosmetic enhancement, but can improve the quality of life for men as well. As with the skin on the rest of the body, the scrotum will lose elasticity during the natural aging process causing elongation of the skin. For others, a lower hanging scrotum is genetic and can cause lifelong discomfort. This elongation can cause chaffing, inability to wear tighter fitting clothes, as well as personal embarrassment. 

A scrotal lift can be performed in several ways depending on the need of the patient. For those who experience elongation due to excess skin, a simple excision of tissue is needed to restore the position of the scrotum while only needing local anesthesia. The groin area will be cleansed and numbed. A portion of skin will be removed on the top portion of the scrotum, beneath the penis shaft. Incisions will be customized to meet the needs of the patient. Other patients may need tightening of the cremaster muscle for increased improvement. Muscle tightening may also be done so results are not comprised in the future by the natural aging process. A tissue graft may also be needed to reinforce stretched and thinned out tissue. Incisions are sutured and dressing will be applied.

Scrotal Lift

Scrotoplasty

scrotum1

- Stop taking blood thinning medications 4 weeks prior
- Stop taking diet diet pills 4 weeks prior
- Do not take diabetic medication the morning of surgery
- No eating or drinking for 8 hours before 

scrotum2

- Local anesthesia with sedation
- Excess skin removed on the top portion of the scrotum, beneath the penis shaft
- Muscle tightening and tissue grafts if needed
- Sutures to close
- Bandage applied

scrotum3

scrotum4

- Swelling and bruising for 1 week
- Avoid sexual activity for 6-8 weeks
- Avoid strenuous exercise for 6 weeks
- Final results determined after 2-3 months


1-6 Weeks After Treatment and Beyond

scrotum5

- Improvement noticeable immediately after surgery
- Final results determined after 2-3 months
- Surgery can affect sperm viability

 A scrotal lift, or scrotoplasty, removes excess skin to shorten the length of the scrotum to a more comfortable, aesthetically pleasing position. Here is a quick guide for what to expect before, during, and after a scrotal lift procedure.

An elongated scrotum can occur genetically or due to the natural aging process. Elongation can cause irritation, discomfort, and for some men, embarrassment. A scrotal lift, or scrotoplasty, removes excess skin to shorten the length of the scrotum to a more comfortable, aesthetically pleasing position.

Increases the flaccid length of the penis without having any effect on the length of an erect penis.

For men who are self conscious about the size of their flaccid penis, ligament transection can increase the length of the penis when it is not erect. This surgery releases the suspensory ligament which anchors the penis to the pubic symphysis. The pubic symphysis is a cartilaginous joint that connects part of the left and right sides of the pubic bone. This ligament between the penis and the pubic symphysis helps to keep a portion of the penis safely within the body while also providing support for the penis when it is erect. It also creates the appearance of an arched angle between the penile base and pubic area. By cutting this ligament, the flaccid penis is effectively lengthened since there is no support to keep the penis inside of the body. The penis will also lay lower against the body at an obtuse angle, giving the perception of lengthening. 

During surgery, the patient will be placed under general anesthesia. The ligament will be accessed through a V shaped incision on the pubic area. Through this incision, the suspensory ligament will be severed and a buffer will be placed between the penis and the pubic symphysis to help prevent reattachment. Buffer materials may include tissue flaps or silicone implants. Complete release from the pubic bone is possible for further lengthening however this is accompanied by more complications including denervation and devascularization of the penis. When the procedure is complete, the V shaped incision will be closed in the shape of a Y for further lengthening on the penis.

Penis Enlargement: Ligament Transection

Penis Enlargement

ligament1

- Stop taking blood thinning medications for 4 weeks
- Stop taking diet pills 1 month before
- Do not take diabetic medication the morning of surgery
- No eating or drinking for 8 hours before the procedure

ligament2

- General anesthesia
- Upside down V-shaped incision made on the pubic area
- Suspensory ligament severed
- Buffer placed between penis and pubic symphysis to help prevent reattachment
- Incision closed in a Y-shape to further lengthen appearance of the penis

ligament3

ligament4

- Avoid excessive walking, prolonged standing, and heavy lifting for at least 1 week
- Bruising and swelling can last for up to 2 weeks
- Light exercise can be gradually resumed after 4 weeks

1-4 Weeks After Treatment

ligament5

- Normal sexual activity is permitted after 4-6 weeks
- Strenuous activity can be resumed as tolerated after 1 month
- Penis stretching exercises begin after 1 month
- Final results after 3-6 months

1-4 Months After Treatment and Beyond

ligament6

- Improvement noticeable immediately after treatmen
- Possibility of reoccurrence of ligament attachment which can cause shortening of the penis
- There is no penis enlargement procedure or technique that is widely recognized as effective with sustained results

Suspensory ligament transection can increase the flaccid length of the penis, though it will have no effect on the length of the erect penis. Here is a quick guide for what to expect before, during, and after a suspensory ligament transection procedure.

Ligament Transection

Suspensory ligament transection can increase the flaccid length of the penis, though it will have no effect on the length of the erect penis. During surgery the suspensory ligament, which connects the base of the penis to the pubic symphysis, is released which allows for increased external projection of the penis.

The most sophisticated and natural appearing devices for patients that give a naturally appearing and feeling erection.

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.

3 Piece Inflatable Penile Implant

3piece2

- 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

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.

3 piece

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.

Overcome the limitations of ED where other treatments have failed, by receving penile implants.

The most invasive solution to ED that provides permanent results, uses a custom-fit device placed into the penis.

Non-Inflatable Penile Implant

Some men choose penile implants to help them overcome the limitations of ED (erectile dysfunction). However, this treatment option is a last resort, reserved for those who have had no luck with other treatments like medications and penis pumps. An implant does not increase sexual desire or heighten sexual sensation. It simply achieves a mechanical erection.

For men who are unable to have an erection, it can be both physically and mentally devastating. Erectile dysfunction can negatively impact relationships, self-worth, and overall confidence. When medications and other therapies are unable to treat ED, a penile implant can allow for reliable and natural feeling erections for both the individual and their partner. There are 2 types of implants: semi-rigid rods and inflatable implants. The semi-rigid rod is used for patients with ED as well as during gender confirmation surgeries. The semi-rigid rod has the advantage of being simple to use and less likely to malfunction than its inflatable counterparts. Semi-rigid rods however, will result in a phallus that will always be slightly rigid, and can be difficult to conceal at times. 

During surgery, the patient will be put under general anesthesia. The groin area will be cleansed and prepped for surgery. Depending on the patient, an incision will be made either within the lower abdomen, at the base of the penis, or at the head of the penis. The surgeon will then choose the correct implant size by stretching the spongy tissue, the corpora cavernosa, that expands with blood during an erection. Once a size has been chosen, they will be implanted inside the penis and incisions will be closed.  This surgery typically takes between 45 minutes to 1 hour to complete. After surgery when the patient would like to use the device, the malleable rods simply need to be positioned outwards to be erect, and downwards when complete.

rigid1

- Stop taking blood thinning medications and diet pills 4 weeks prior
- Stop smoking 4 weeks before and after
- Do not take diabetic medication the morning of surgery
- No eating or drinking for 8 hours before 

rigid2

- General anesthesia
- Incision made either in lower abdomen, at base of penis, or at head of penis
- Implant size determined
- Implant placed within the penis
- Incisions closed

rigid3

rigid4

- Rest for 2 days
- Return to work after 1 week
- Antibiotics may be taken to prevent infection
- Non-dissolvable sutures removed after 2 weeks
- Keep penis in an upward position on the abdomen to avoid downward curvature

rigid5

- Resume exercise after 4-6 weeks
- Sex is typically permitted after 4-6 weeks

rigid6

- Results noticeable immediately after treatment
- Implant is malleable and easy to use
- 10 year survival rate of device is 60-80%

A semi-rigid, or non-inflatable penile implant, is a custom-fit device surgically placed into the penis for a natural-looking and natural-feeling erection. Here is a quick guide for what to expect before, during, and after a penile implant procedure. 

Rigid Penile Implant

Penile implants are used to treat erectile dysfunction (ED) in men who have exhausted all other treatment options for the disorder. Implants are the most invasive solution to ED but can provide permanent results. Penile implants can also be used during FTM gender confirmation surgeries as well. A semi-rigid, or non-inflatable penile implant, is a custom-fit device surgically placed into the penis for a natural-looking and natural-feeling erection.

If you believe your penis is too small, penis enlargement surgery can help increase its length and girth.

Increases the girth of the shaft by collecting and transferring fat from another region of the body.

Penis Enlargement: Fat Transfer

Injections are used to increase the girth of the penis while also increasing the length of the flaccid penis.

Penis Enlargement: Dermal Fillers

Many men believe that their penises are too small, and it often causes anxiety and lack of self-confidence. There are treatment options available for increasing penis size but most have no science backing them. Penis enlargement surgery can help to increase length and girth but is also associated with possible adverse effects.

Tighten excess skin and muscle tissue around the scrotum to increase sexual confidence and decrease physical discomfort.

Scrotoplasty can tighten the excess skin and muscle tissue around the scrotum, and often leads to increased sexual confidence and less physical discomfort in many men. This outpatient surgical procedure is considered safe for good candidates, produces permanent results, and can cost up to $6,000.

For men who feel inadequate because of the size of their penis, there are several procedures available to increase girth and length. Fat grafting is a promising, minimally invasive procedure that transfers purified fat from the patient’s body to the penile shaft. A type of stem cell has  been found in adipose tissue which could also help stimulate blood flow and natural growth, although changes would be subtle and have not been clinically studied. Fat grafting, unlike dermal fillers, also has the advantage of being derived from the patient so there is no chance of substance rejection. 

Before a fat grafting procedure, adipose tissue must be collected and purified. Liposuction will be performed, typically on the stomach or thighs, although fat can be collected from most anywhere on the body with unwanted fatty deposits. Once enough fat is collected the fat will be purified, removing cell debris, blood, and infiltration fluid. A small incision will be made at either the base of the penis or within a previous circumcision scar so that the cannula can be inserted. Fat will then be distributed around the shaft of the penis, between 30-65mL, although amount may be more or less depending on the patient. Once complete, the fat may be manually manipulated to ensure even dispersal of the fat. No stitches are typically necessary unless combined with a more invasive implant procedure. Patient will have to wear loose fitting clothes for 1-2 weeks, can resume penetrative sex after 1-2 weeks, and should refrain from strenuous exercise for 1 month.

penisfat1

- Stop taking blood thinning medications and diet pills for 4 weeks before and after
- Do not take diabetic medication the morning of surgery
- Do not eat or drink at least 8 hours prior  

penisfat2

- Liposuction performed to collect fat
- Collected fat purified for grafting
- Small incision made at base of penis
- Cannula inserted into incision 
- Fat distributed throughout penis shaft
- No stitches typically needed

penisfat3

- Swelling and bruising
- Rest for 24 hours

penisfat4

- Swelling and bruising for up to 2 weeks
- Limit walking, prolonged standing, and heavy lifting for 1 week
- Gradually resume light exercise after 1-2 weeks
- Penetrative sex is permitted after 1-2 weeks

penisfat5

- Gradually resume strenuous exercise
- Slight pain may still be experienced during an erection

4 Weeks After Treatment and Beyond

penisfat6

- Improvement noticeable immediately after treatment
- Most patients will experience some degree of fat reabsorption, up to 100%
- Possibility of fat necrosis and nodule formation
- There is no penis enlargement procedure or technique that is widely recognized as effective with sustained results

Fat grafting to the penis can increase the girth of the shaft. Here is a quick guide for what to expect before, during, and after a penis enlargement procedure with fat grafting.

Penis Fat Transfer

Fat grafting to the penis can increase the girth of the shaft. A liposuction procedure is necessary in order to collect the fat for transfer. The fat will be purified of any cellular debris and then injected beneath the skin of the penis for enhanced size.

The size and length of the penis can greatly affect the confidence and self esteem of a man. For those who desire a minimally invasive method for temporarily increasing the size of the penis, dermal fillers can be injected around the penis shaft to augment girth and length. While there is no method of penis enlargement that is universally recognized as safe or effective, hyaluronic acid fillers can achieve an increase in size while offering temporary and reversible effects if results are unsatisfactory or complications arise. If a more permanent result is desired, a penile implant can be surgically placed to increase size and also help those who suffer from erectile dysfunction. 

Before injection, the groin area will be cleansed and the penis anesthetized with a topical numbing agent. Next, filler will be injected around the penile shaft with either a hyaluronic acid or collagen based filler just beneath the skin. The procedure will take approximately 30 minutes to complete. Most patients will have swelling and bruising in the groin area and may experience bumps, lumps, or skin irregularities where the filler was placed.

penisdermal

No special measures need to be taken before treatment.

penisdermal2

- Groin area will be cleansed
- Penis will be numbed with a topical anesthetic 
- Filler will be injected just beneath the skin 
- Procedure will take approximately 30 minutes

penisdermal3

- Discomfort and swelling
- Minor bruising 

penisdermal4

- Return to normal activity within 1-2 days
- No manual labor or strenuous exercise for 1 week
- No sex for 1 week

1-7 Days After Treatment and Beyond

penisdermal5

- Results are temporary
- Improvement noticeable immediately after treatment 
- There is no penis enlargement procedure or technique that is widely recognized as effective with sustained results

Penis enlargement can be achieved with a minimally invasive injection of dermal fillers. Here is a quick guide for what to expect before, during, and after dermal filler injections to the penis. 

Penis enlargement can be achieved with a minimally invasive injection of dermal fillers. Injections can increase the girth of the penis while also increasing the length of the flaccid penis. Using hyaluronic acid fillers for injection is preferred as the substance can be easily dissolved if needed.

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