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Introduction: What Is a Penile Prosthesis?
A penile prosthesis, or penile implant, is a surgically implanted device that helps men achieve an erection when other erectile dysfunction (ED) treatments fail. It’s a discreet, long-term solution for men who want to regain control of their sexual health and confidence.
The most advanced and natural-feeling option is the inflatable penile prosthesis (IPP), which mimics a natural erection and flaccidity with the push of a concealed pump.
Types of Penile Implants
Penile implants come in two main forms:
- Inflatable implants: Provide a firm erection when activated and a natural flaccid state when deflated.
- Malleable (semi-rigid) implants: Stay firm but can be bent into position manually.
While both are effective, inflatable implants are often preferred for their discreet, functional results.
Why Choose an Inflatable Penile Prosthesis?
Inflatable implants offer several advantages:
- Natural look and feel
- Erections on demand
- Discreet deflation and concealment
- High patient and partner satisfaction
- Durability—lasting over a decade
This type of prosthesis gives patients complete control over their erections without the need for medication.
Who Is a Candidate for This Procedure?
An inflatable penile prosthesis is suitable for men who:
- Have chronic ED unresponsive to medication or injections
- Experience ED due to diabetes, pelvic surgery, or Peyronie’s disease
- Want a permanent, mechanical solution to ED
- Are in good general health and have realistic expectations
How Does an Inflatable Penile Implant Work?
The 3-piece system includes:
- Two inflatable cylinders placed inside the penis
- A fluid reservoir implanted in the abdomen
- A manual pump hidden in the scrotum
To achieve an erection, the patient squeezes the pump to transfer fluid into the cylinders. To return to a flaccid state, pressing the deflation button reverses the process.
The Surgical Procedure
The operation typically lasts 60–90 minutes under general or spinal anaesthesia. It involves:
- A small incision at the penis base or lower abdomen
- Insertion of cylinders, reservoir, and pump
- Internal connection and testing
- Closure of the incision with absorbable sutures
Most patients are discharged the same day or after a short hospital stay.
Recovery and Post-Operative Care
Initial recovery takes about 1–2 weeks, during which:
- Swelling and bruising gradually subside
- Pain is controlled with prescribed medications
- Sexual activity should be avoided for 6–8 weeks
- The device is activated during a follow-up visit and the patient is trained to use it
Risks and Complications
While generally safe, potential complications may include:
- Infection (especially in diabetic patients)
- Mechanical malfunction over time
- Erosion or device migration
- Temporary discomfort
Choosing an experienced urologist and following post-op instructions significantly reduce risks.
Satisfaction and Long-Term Results
Inflatable penile prostheses have among the highest satisfaction rates of all ED treatments:
- Over 85–90% of men report restored confidence
- Partners report increased relationship satisfaction
- The average implant lasts 10–15 years or more
With proper use and hygiene, complications are rare and manageable.
Cost and Medical Aid Coverage
The cost of a penile implant procedure varies depending on:
- Implant type and brand
- Hospital and surgical facility
- Whether your medical aid covers the device
Dr Avikar Singh’s practice will provide a detailed estimate, and patients can liaise with their scheme to understand co-payments or authorisation requirements.
Life After a Penile Implant
After healing, patients report:
- Reliable erections when desired
- Natural appearance when not in use
- No effect on orgasm, ejaculation, or sensation
- Freedom from pills, injections, or planning
The prosthesis enables a return to spontaneous and satisfying intimacy.
Alternatives to Penile Implants
Other ED treatments include:
| Treatment | Pros | Cons |
| Oral Medications | Non-invasive, easy to use | Not always effective, side effects |
| Penile Injections | Effective, fast acting | Pain, risk of scarring |
| Vacuum Devices | Safe, non-surgical | Clumsy, less natural feel |
| Shockwave Therapy | Non-invasive, newer technology | May require multiple sessions |
| P-Shot (PRP) | Uses your body’s platelets | Variable success rates |
If these treatments fail or aren’t preferred, an implant may be the best option.
Frequently Asked Questions (FAQs)
Q: Will anyone be able to tell I have an implant?
No. When deflated, the penis looks and feels natural.
Q: Can I still feel sensation and reach orgasm?
Yes. The device does not affect sensitivity or ejaculation.
Q: How long before I can have sex again?
Usually 6–8 weeks post-surgery, after the implant has healed and been activated.
Q: Is the surgery reversible?
Implantation is permanent. Removing it will likely cause permanent loss of natural erectile function.
Q: Will it affect urination?
No. The implant does not interfere with urination.
Dr Avikar Singh Offers Penile Implant Surgery
Dr Avikar Singh, urological surgeon at The Urology Institute, offers inflatable penile prosthesis implantation for eligible patients experiencing erectile dysfunction.
With specialised expertise in men’s health and sexual function, Dr Singh ensures:
- Compassionate, confidential care
- Thorough pre-operative evaluation
- High-quality surgical technique
- Long-term follow-up and patient support
Book a Consultation Today
📍 The Urology Institute – Life Westville Hospital
Suite 100B, Level 1, 7 Harry Gwala Road, Westville, 3630
📞 +27 69 128 2468
✉️ dravikarsinghurology@gmail.com
🌐 www.westvilleurology.co.za