A penis implant usually takes one to two hours to complete. What happens after a penis implant is placed? Review your medical history. Be prepared to answer questions about current and past medical conditions, especially your experience with ED. Talk about medications you take or have taken recently, as well as any surgeries you've had. Inflatable implants consist of two cylinders in the penis and an inflatable pump in the scrotum. As a person squeezes and releases the pump, the cylinders fill with a saline solution, which mimics an erection. A penile prosthesis does not change sensation on the skin of the penis or a man's ability to reach orgasm. Ejaculation is not affected. Once a penile prosthesis is put in, however, it may destroy the natural erection reflex. Men usually cannot get an erection without inflating the implant. If the implant is removed, the man may never again have natural erections. How Effective Are the Implants? The healthcare provider will also give you specific instructions on eating and drinking before your penis implant. You shouldn’t eat or drink anything after midnight the night before your surgery. If you must take medications, you should take them with a small sip of water.

There will be marked swelling on the penis and scrotum for a few days. This may last up to 10 days and will then subside but do not be alarmed because it is expected. What else should I look out for?

A side effect of a penile implant is the shortening of the penis. A person should discuss any concerns over the size of their penis after surgery with their healthcare provider. Are penile implants covered by insurance? It’s important to remember that your body is unique, so healing times vary among people. In general, pain, swelling and discomfort should decrease after a week. You may have tenderness for up to six weeks. New Technique of Total Phalloplasty With Reinnervated Latissimus Dorsi Myocutaneous Free Flap in Female-to-Male Transsexuals by Vesely, Jiri; Hyza, Petr; Ranno, Raul; Cigna, Emanuele; Monni, Nicola; al etc. (Annals of Plastic Surgery, Volume 58 Issue 5, May 2007)

Wang, V. M., et al. (2022). Safety and efficacy of inflatable penile prostheses for the treatment of erectile dysfunction: Evidence to date. While the implants usually bend downward, people can straighten them into an upward position for sexual activity. Elmussareh, Muhammad; Goddard, Jonathan Charles; Summerton, Duncan John; Terry, Timothy Robin (2013). "Minimizing the risk of device infection in penile prosthetic surgery: a UK perspective". Journal of Clinical Urology. 6 (5): 280–288. doi: 10.1177/2051415813488367. S2CID 57282051.Semirigid rods. Semirigid devices are always firm. The penis can be bent away from the body for sexual activity and toward the body for concealment.

Surgeons anchor this implant to the pubic bone. Research suggests that this new implant has a survival of 80% after 9 months. Semi-rigid or malleable rods Penile implants can’t make your penis bigger than it is before surgery. Your erection may even seem shorter than what you remember when you were getting natural erections. Total Phalloplasty Using a Musculocutaneous Latissimus Dorsi Flap by Sava V. Perovic, Rados Djinovic (British Journal of Urology, Reconstructive Urology, Volume 100 Issue 4, Sep 2007)

Results

A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen. Recently, experts have designed a new inflatable implant specifically for those who are transgender. The ZSI-475 FTM implant has a single inflatable pump in the shape of testicles, and a stopper in the shape of a penis glans. If your surgeon is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, he or she will also implant a fluid reservoir above or under the abdominal wall using the initial incision. Sometimes a second incision in the abdomen in used.