Penile implant surgery is a popular treatment option for men experiencing persistent erectile dysfunction (ED). Also, for patients who have not responded to other treatments such as oral medications, vacuum devices, or injections. 

This is a surgical procedure in which a medical device inside the penis is placed surgically. This is done to help achieve and maintain an erection suitable for sexual intercourse.

There is no doubt that this procedure can significantly improve sexual function and confidence. However, it is essential to remember that penile implant surgery is still a medical procedure that requires careful preparation, realistic expectations, and proper aftercare. 

If you or someone you know is planning to undergo this procedure, knowing what to expect before and after the treatment can help reduce anxiety, improve recovery, and maximise results.

In this blog, we will look into everything you need to know. 

Understanding Penile Implant Surgery

Penile implant surgery is a specialised treatment option for men with persistent erectile dysfunction (ED). The procedure typically involves surgically inserting a medical device inside the penis. It is done to enable a firm, controllable erection suitable for sexual intercourse.

There are two main types of penile implants:

• Inflatable implants: These have fluid-filled cylinders connected to a pump (usually placed in the scrotum). By pressing the pump, fluid moves into the cylinders. This is what creates an erection; pressing the release valve returns the penis to a flaccid state.
• Malleable or semi-rigid rods: These are bendable rods inserted into the penis. This allows it to be positioned as needed for sexual activity.

What to Expect Before Penile Implant Treatment

Here is what you can expect before the treatment. 

Initial Consultation

This process begins with a detailed consultation with a urologist. During your first visit, the doctor will review your medical history. He will try to focus on identifying the causes of erectile dysfunction and any other health issues that may affect the surgery. During this time, your doctor will also discuss the different types of implants and find the option that best suits your needs, lifestyle, and medical condition. 

Pre-Surgical Tests and Evaluation

You may need to undergo a comprehensive medical evaluation before the surgery. This is essential to ensure that you are fit for surgery. These most often include a physical examination, blood tests, and a urinalysis to rule out any infections. In some cases, your doctor may also recommend a cardiac evaluation. 

Lifestyle and Medication Adjustments

Your doctor may suggest stopping certain medications, especially blood thinners like aspirin or warfarin, to reduce bleeding risks during surgery. If you already have chronic conditions such as diabetes and hypertension, your doctor will recommend to well-controlled before the procedure. Moreover, you will be asked to avoid smoking and alcohol consumption for a few weeks before surgery. 

Mental Preparation

Mental readiness is just as important as physical preparation. Your doctor will help you set realistic expectations about the results to help reduce anxiety and improve satisfaction with the surgery. It is vital to remember that the goal of a penile implant is to restore the ability to have penetrative intercourse, and not a way to increase sexual desire or sensation. 

What to Expect Immediately After Surgery?

Here is what you can expect immediately after surgery. 

Hospital Stay and Recovery Timeline

After penile implant surgery, most patients may need to stay in the hospital for 24–48 hours. The total duration often depends on overall health and the complexity of the procedure. It is expected to have mild to moderate pain, swelling, and bruising in the genital area during the initial hours. It usually subsides within a week or two. Your doctor may keep a urinary catheter in place for a short period to help drain urine and avoid strain on the surgical site. After discharge, your first follow-up visit is generally scheduled within 1–2 weeks. 

Pain Management

Mild to moderate pain is common to experience. However, to ensure comfort during the recovery phase, prescribed pain-relieving medications will be prescribed to help you. These may include oral painkillers, anti-inflammatory drugs, or antibiotics to prevent infection.
Moreover, you may also be advised to apply cold packs intermittently during the first 48 hours to reduce swelling. If there is any sudden or intense pain, immediately seek medical help. 

Caring for the Surgical Site

A proper wound care is essential for healing and infection prevention. Your surgeon will instruct you on how to clean and dress the surgical site. It may involve using mild antiseptic solutions and keeping the area dry. You will be asked to avoid soaking in baths or swimming until fully healed. It is always good to inspect the incision daily to look for signs of infection, like redness, excessive swelling, warmth, pus, or foul odour. 

Long-Term Recovery and Results

Here is what the long-term recovery and results after penile implant surgery look like:

Returning to Normal Activities

• Within a week, most patients begin light walking to encourage circulation and healing. 
• Driving is advised to be safe after 7 days that especially when you are not taking strong pain medication. 
• Most patients can resume desk work or light duties in 1–2 weeks. However, if you work in a more physically demanding job, then start after 4 weeks. 

Moreover, it is essential to avoid heavy lifting, strenuous exercise, or sexual activity for at least 4–6 weeks. It can help you prevent strain on the surgical site and allow proper healing.

Resuming Sexual Activity

Patients with inflatable implants will be guided by the surgeon on when to activate the device. It is usually recommended around 4–6 weeks post-surgery. This first activation often happens during a follow-up appointment. Here, you will learn how to inflate and deflate the implant properly. Having an open and honest communication with your partner is key during this phase. It will help you set realistic expectations and rebuild intimacy gradually. 

Possible Side Effects or Complications

While penile implant surgery has a high satisfaction rate, there are potential complications and risks:

• Infection may occur in 1–3% of cases. It may require implant removal if severe.
• The implant malfunction, though rare, can happen over time. It can also necessitate repair or replacement. 
• Scarring around the implant may affect comfort or function (this is uncommon) 

You may need prompt medical attention for unusual pain, swelling, or difficulty operating the device. It can help resolve issues early and protect long-term results.

Summing Up

Undeniably, penile implant surgery is a safe and effective solution for restoring sexual function, especially when other treatments fail. Most men experience improved confidence and satisfaction with proper preparation, care, and follow-up. Moreover, understanding the process and recovery helps ensure the best possible results and a smooth return to normal activities.