Penile Prosthesis – A Definitive Solution for Severe Erectile Dysfunction
What is a penile prosthesis?
A penile prosthesis is a medical device that is surgically implanted inside the penis to allow the user to achieve and maintain an erection in cases of severe erectile dysfunction that do not respond to other treatments. Completely invisible externally, the prosthesis offers a discreet and functional solution, naturally mimicking penile rigidity. It’s an ideal option for those seeking to effectively and durably regain their sexual life. This type of intervention does not affect sensitivity or orgasm and is usually recommended as a final step when other options have failed.
When is a penile prosthesis recommended?
A penile implant is an excellent alternative in the following situations:
- Severe erectile dysfunction resistant to oral treatments like sildenafil (Viagra®) or tadalafil.
- Side effects or discomfort with intracavernous injections or vacuum devices.
- Patients seeking a permanent, effective, and discreet solution.
- Advanced Peyronie’s disease with significant curvature or penile shortening.
Yes, while devices may require replacement after many years, most men enjoy full sexual function for a long time with a single procedure.
Types of penile prostheses
There are different types of penile prostheses, and the choice of the most suitable model depends on several factors: the patient’s preferences, overall health, and functional expectations.
At Andrología Málaga, Dr. Rodrigo España often recommends, in most cases, the three-piece hydraulic prosthesis, as it offers the most natural result in terms of both appearance and function.
However, other implant types may be useful in specific situations.
Malleable or Semi-Rigid Penile Prostheses
This device consists of two flexible rods that allow the penis to be manually positioned as desired. It remains semi-rigid at all times and is indicated for cases with mobility issues or for those who prefer a simpler option.
Advantages
- Easier to implant
- No need for a pump or mechanical components
- Lower cost
Hydraulic (Three-Piece) Penile Prostheses
An advanced and very natural option. It allows control of the erection through a pump located in the scrotum. The penis stays flaccid at rest and becomes rigid only when activated, ideal for those wanting a discreet, functional result with a natural appearance.
Advantages
- Very similar feel and appearance to a natural erection
- Discreet: the entire system is hidden under the skin
- Greater control and comfort for the patient
Frequently asked questions about penile prostheses
The scrotal pump is manually squeezed to transfer fluid into the penile implant, producing an erection. To return to the flaccid state, the fluid is released through a mechanism that deflates the implant.
It’s indicated for men with severe erectile dysfunction who have not responded to conventional treatments like oral medication or injections and who are looking for a definitive and discreet solution.
The surgery is performed under anesthesia. While there may be discomfort afterward, most patients experience manageable pain with medication. Recovery is usually gradual and without major complications.
No. The prosthesis is designed so that the penis appears flaccid and natural at rest. The scrotal pump is small and barely noticeable, making the result very discreet.
Yes. The prosthesis with a scrotal pump allows total control, as the erection only occurs when you activate the pump manually.
No. The prosthesis does not affect sensitivity or the ability to reach orgasm, as it does not interfere with nerves or hormonal functions.
More information about penile prostheses
If you want more information about penile prostheses in Málaga, consult our team of urologists who specialize in this treatment.
We are here to answer all your questions and provide the best solution tailored to your needs.