Implantation of a penile prosthesis

In order to be able to implant a penile prosthesis a special training needs to be conducted. Urologists who specialize in genital surgery will usually know how to perform such a complex procedure. The operation lasts 1-2 hours. After 4-6 weeks of recovery you will be able to enjoy sexuality again.

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Implantation of a penile prosthesis

For implantation of a penile prosthesis you will need a physician who specializes in male genital surgery. The surgery will be done within 1-2 hours. The penile tissue will recover within 4-6 weeks, after which you will be ready to fully live and enjoy sexuality and intimacy.

What happens during the implantation procedure?

During the procedure of implanting a three-piece hydraulic prosthesis, the so-called reservoir is placed behind the abdominal wall. The reservoir resembles a small balloon, which is filled with a saline solution. This solution is needed to fill the cylinders which then produce the erection. Through a small pump inside the scrotal sac, you will be able to pump the solution into the cylinders. Following intercourse, you can return the penis to its flaccid state by pressing on a deflation valve at the base of the pump.
All three components (the reservoir, the pump in the scrotum and the cylinders) are connected by thin and discrete tubes.
For implanting a semi-rigid penile prosthesis, the rigid silicon rods are placed inside the corporal bodies. No other surgical steps are necessary.

Overview of a penile implant procedure:

Form of anesthesia General anesthesia
Duration of the surgery 60-120 minutes
Stationary stay? Ambulatory treatment possible
Fit for work 2 days after surgery
Intensity of pain low (pain is subjective)
Risk profile Low – you will receive an in-depth consultation prior to surgery
Sexual intercourse After 4-6 weeks possible
SportRefrain from sport activities for 1 week
Final result You can fully use your penis 4-6 weeks after surgery

How long does penile implant surgery take?

Surgery (including the time for the anesthetist to prepare your anesthesia) generally takes between 60 and 120 minutes. Correct placement and connection of all components is first priority.

What are the risks with penile implant surgery?

As with every surgical procedure, there are potential risks and side effects. You will have an in-depth consultation with Dr. Kuehhas prior to the procedure, in which all the theoretical adverse events will be mentioned and put into context.
Potential risks include mechanical failure or infection of the prosthesis. Risk for mechanical failure is less than 5%, as listed in the literature. Thanks to the newest models of penile prostheses with antibiotic coating, the risk of infection is approx. 1-3%.

How long do I have to wait before having sex again?

Following the implantation of a penile prosthesis, you can resume sex after 4-6 weeks. It’s important to let the tissue heal properly during the weeks after surgery. Afterwards, your penis will be as reliable and ready for action as it used to be.

I think I need a penile prosthesis, what should I do next?

Don’t hesitate to ask for professional help. Dr. Kuehhas will answer all your questions confidentially. Following a private examination, we will be able to ascertain if a penile prosthesis is appropriate in your individual case, and if so – which one.
We care about your concerns and would like to find the best solution for your problem!