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Last Updated: Jul 28, 2020
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Penile Implant: Should You Go For It?

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Dr. Mahendra Nath TharejaSexologist • 47 Years Exp.MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
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Penile implants are devices placed inside the penis to help men with erectile dysfunction get an erection. Penile implants are usually advised whenever other treatments for Erectile Dysfunction (ED) fail. The two main types of penile implants are semi-rigid and inflatable. They have their own ways of working and their own pros and cons.

Why penile implants?
In most cases, ED can be treated with the help of medications and a penis pump. Doctors may advise penile implants only if you do not get satisfactory results using other methods and medications. Although penile implants help you to get an erection, they don't increase your sexual desire, neither will your penis size increase from what it used to be.

What are the risks involved?
1. Infection: You might be at the risks of severe infection if you have spinal cord injury or diabetes. Men who need revision surgery of their implants are at a higher risk than their first surgery.
2. Implant problems: In rare cases, implants may not work properly. In some semirigid devices, the internal parts might break over time; in inflatable devices, the pump might fail and fluid might leak.
3. Internal erosion: In few cases, the implant might stick to the skin of your penis, or can wear away the skin from inside the penis.


Types of Penile Implants:
1. Inflatable implants - These are the most common types of implants used, which can be inflated for erection, and deflated at other times. Inflatable implants are usually of two types- 'three-piece inflatable implants' and 'two-piece inflatable implants'.

The pros of 'three-piece inflatable implants' are-
a) Provides flaccidity when deflated
b) Gives the most natural, firm erections

The pros of 'two-piece inflatable implants' are-
a) Requires less complicated surgery than the 'three-piece'.
b) Provides flaccidity when deflated

2. Semi-rigid implants
These devices are always firm, resulting in the penis being bent away from the body for sexual activity and towards the body for concealment.

The pros of 'semi-rigid implants' are-
a) Is easy to surgically implant
b) Has a low chance of malfunctioning

If you wish to discuss any specific problem, you can consult a sexologist.

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