When is an implant considered?

An implant may be considered when other suitable treatments have not helped, cannot be used or are unacceptable after counseling. The consultation reviews your health, previous treatment and expectations. [1, 2]

How do the types differ?

An inflatable implant uses a pump inside the scrotum to create firmness and can be deflated afterwards. A malleable implant has bendable rods that stay firm and are positioned by hand. It does not need a pump. [1, 2]

Which is right for me?

Choice depends on your preferences, anatomy, previous surgery and ability to operate the device. Inflatable devices offer a softer resting state; malleable devices are simpler to use but remain firm. [1, 2]

What can it—and cannot it—do?

The implant provides rigidity. It does not increase sexual desire or enlarge the penis. Implant surgery changes the natural erectile mechanism and should be regarded as irreversible. Discuss realistic expectations about length and sexual function. [1, 2]

What should I discuss before surgery?

Risks include infection, bleeding, erosion and device failure; further surgery may be needed. Ask about recovery, device training and when sexual activity can resume. Follow your surgeon’s clearance rather than a fixed online timeline. [1, 2]

Sources & further reading

  1. Mayo Clinic — Penile implants ↗
  2. BAUS — Penile prostheses (PDF) ↗

This guide draws on the sources above and does not replace an individual clinical assessment.

Questions to understand your options

Write down questions about alternatives, risks and expectations to discuss with your own clinician.