Penile Implant Explained: Expert Advice from Top Urologist

Dr. Anne
Dr. Anne

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I'm Dr. Anne Truong, MD

Dr. Anne Truong is a highly respected physician, best-selling author and internationally sought-after speaker on the topics of regenerative cell medicine, pain management, and applications for aesthetics and sexuality.

Struggling with erectile dysfunction that just won’t quit? When pills and other treatments fail, penile implant offers a life-changing solution. But how do they work, who are they for, and what are the risks?

In this episode, we dive deep with renowned urologist Dr. Mohit Khera to uncover the truth about penile implant and how it can restore your sexual function. If you think you know all your options for ED, think again. This episode is packed with eye-opening insights that could revolutionize your sex life.

Tune in now and take control of your sexual health!

Episode Video


The Comprehensive Approach to Erectile Dysfunction and Penile Implant Treatment

When a man visits Dr. Khera’s office with concerns about erectile dysfunction, the approach is holistic and thorough. The first step involves assessing lifestyle factors such as diet, exercise, sleep, and stress, all of which play a crucial role in erectile health. Hormonal imbalances and medications that may contribute to ED are also evaluated.

Unlike older treatment models that followed a stepwise approach (starting with pills and moving up to more invasive options), current American Urological Association (AUA) guidelines emphasize shared decision-making. This means that patients are informed about all treatment options—including medications, injections, vacuum devices, and penile implant—allowing them to choose what best fits their needs.


Penile Implant and How It Work

Penile implant offers a surgical solution for severe erectile dysfunction. This method has greatly improved how doctors treat this condition. Developed in 1973, these devices have gotten better over time and offer high satisfaction for both men and their partners.

A penile implant has three parts. First, cylinders are placed inside the penis. These take the place of the tissue that normally causes an erection. Second, a pump sits in the scrotum. This pump lets the man create an erection himself. Third, a reservoir holds a salt water solution. This solution fills the cylinders when the pump is used.

When the man activates the pump, the implant creates an erection that looks and feels natural. Also, after sex, the fluid goes back into the reservoir, and the penis returns to normal. The implant is entirely inside the body and cannot be seen from the outside, making it a private and successful treatment for ED.

Who Is a Candidate for Penile Implant?

Penile implant can be a great option for men with erectile dysfunction, but it’s not right for everyone. Good candidates often have severe ED that hasn’t improved with medicine or other treatments. They might also want a lasting solution instead of using pills or shots. It’s important that they are healthy enough for surgery.

Some men might not be good candidates. This includes men with high surgical risks, like serious heart problems, or those who can’t handle anesthesia. Also, men who have trouble using their hands might find it hard to operate the implant’s pump. For them, other ED treatments might be a better fit.


Penile Implant Surgery – What to Expect

Penile Implants - What to Expect

Penile implant surgery is a fast procedure, usually taking less than an hour. Most men go home the same day. However, they need to wait six weeks before using the implant. Dr. Khera understands that surgery can be scary. He also says that most men who get a penile implant are glad they did it. The implant helps men regain confidence and have a better sex life, which greatly improves their overall well-being.

Potential Complications and Risks of Penile Implant

Penile implant surgery is generally safe, though like any procedure, it has some possible risks. Infection is uncommon, happening in less than 2% of cases. If an infection does occur, the implant needs to be removed.

Implants usually last for more than ten years, but sometimes parts may need to be replaced. Some men feel their penis is shorter after surgery. This is often because of natural changes from long-term erectile dysfunction, not the implant itself.

Even with these possible issues, most men are happy with their penile implant. Satisfaction rates are high, between 86 and 92%, making it a very effective treatment for erectile dysfunction.


Partner Satisfaction and Psychological Benefits of Penile Implant

Penile implant can greatly improve the lives of both the man and his partner. Studies show that partners are generally very happy with the results. Many men feel more confident and report better intimacy and relationships after getting a penile implant. Women often like that their partner can have an erection whenever they want, without needing pills. Also, because the implant doesn’t affect ejaculation or orgasm, sex feels more natural.


Lifestyle Tips to Prevent or Manage Erectile Dysfunction

For men who are not yet ready for surgical options like a penile implant, Dr. Khera shares practical lifestyle changes that can help maintain or improve erectile function:

  1. Follow an Anti-Inflammatory Diet – Diets low in processed foods and high in antioxidants (such as the Mediterranean diet) can improve vascular health and erectile function.
  2. Exercise Regularly – Just 40 minutes of exercise, four times per week has been shown to significantly improve erectile function.
  3. Prioritize Sleep – Testosterone production occurs during sleep. Aim for at least seven to eight hours per night for optimal sexual health.
  4. Manage Stress – Chronic stress can negatively impact erectile function. Practices like meditation, mindfulness, and relaxation techniques can help reduce stress levels.

About Dr. Mohit Khera

Dr. Mohit Khera

Dr. Mohit Khera is a world-renowned urologist, researcher, and educator specializing in men’s health, sexual medicine, and hormone replacement therapy. A Professor in the Scott Department of Urology at Baylor College of Medicine, Dr. Khera holds the prestigious F. Brantley Scott Chair in Urology and serves as President of the Sexual Medicine Society of North America. With over 120 published articles, 250 international lectures, and groundbreaking clinical trials, Dr. Khera is a leader in advancing care for erectile dysfunction and other sexual health conditions. Known for his passion for education, he frequently shares his expertise on television, in academic settings, and through public outreach.


Final Thoughts

Erectile dysfunction can be a tough issue, but many treatments are available, including penile implant. Whether you try medicine, change your habits, or consider a penile implant, it’s important to take charge of your sexual health. Dr. Khera says it’s best not to wait until ED gets really bad before getting help. The sooner you talk to a doctor, the more choices you’ll have for a good sex life. If you have ED and want to know more about penile implant or other treatments, talk to a doctor to find the best choice for you.


Additional Resources

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