Reconstructive Urology & Men's Health
Penile Implants - What is a penile implant?
There are several types of implants. In each case, the implant goes into the “erection bodies” of the penis and converts the non-functioning penis into a functioning penis.
In this case, flexible (a good analogy is a goose-neck lamp) or semirigid cylinders are placed into the erection bodies. The penis is rigid enough for sex but soft (“flaccid”) enough that it can be concealed in the clothes.
- Benefits: least expensive type of implant, fewer mechanical parts to fail
- Downsides: least natural erection, no antibiotic coating. Worst rigidity, worst flaccidity
- Good for: men with poor hand function (e.g. multiple sclerosis), men with “buried penis” who need a prosthetic to hold on a condom-style catheter
In this case, the cylinders are filled with fluid and there is a pump in the scrotum (totally concealed, like a 3rd small testicle). The man uses the pump to get an erection, and “bends” the penis to move the fluid out and become flaccid again.
- Benefits: excellent rigidity, no need to place any parts in the pelvis/abdomen.
- Downsides: no antibiotic coating, not as good flaccidity. Not good for very thin men, not good for larger penises (because of poor flaccidity)
- Good for: men who have extremely complex pelvic issues that make placement of a “three-piece” (see below) undesirable, e.g. men who have had certain pelvic crush injuries or those with complex vascular reconstruction. Very few men are in this category.
These are by far the most commonly used devices. There are fluid-filled cylinders, a pump in the scrotum (that has parts for both pumping up and deflating the cylinders), and a reservoir in the pelvis/abdomen that holds the fluid when the penis is flaccid.
- Benefits: excellent rigidity and flaccidity, total control over the erection, antibiotic coatings available
- Downsides: need for placement of reservoir
- Good for most men with erectile problems, including those from prostate cancer, diabetes, vascular disease, spinal cord injury, pelvic trauma, transplant patients and others
William O. Brant, M.D., FECSMLocations
|Redstone Health Center||(801) 213-2700|
|South Jordan Health Center|
|University Hospital||(801) 213-2704|
Specialties: Erectile Dysfunction, General Urology, Male Incontinence, Men's Health, Trauma and Reconstructive Urology, Urology, Vasectomy
James M. Hotaling, M.D., FECSMLocations
|Utah Center for Reproductive Medicine||(801) 587-1454|
Specialties: Andrology, General Urology, Men's Health, Reproductive Endocrinology & Infertility, Urology
Jeremy B. Myers, M.D.Locations
|University Hospital||(801) 213-2702|
Specialties: Bladder Augmentation, Complications of Spinal Cord Injury, Complications of Urologic Surgery, Female Incontinence, General Urology, Mesh Erosion, Neurogenic Bladder, Pelvic Fractures and Urethral Injury, Radiation Injuries, Trauma and Reconstructive Urology, Ureteral Stricture, Urethral Stricture, Urinary Diversion, Urinary Strictures and Fistula, Urology, Vesicovaginal Fistula
Kathryn M. Trueheart, PA-C, MPAS
Specialties: Erectile Dysfunction, Men's Health, Physician Assistant, Trauma and Reconstructive Urology, Urology