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Penile Implant: Types, Surgery, Recovery and Results

6 days ago
4 min read

Updated: 2 days ago

Written and medically reviewed by Dr. Baraa Alnahhal, MD · Last reviewed: November 2026 · How we review

Quick Answer

A penile implant (penile prosthesis) is a device placed by surgery that lets you get an erection. It's usually used for erectile dysfunction that hasn't improved with other treatments. The two types are inflatable implants and non-inflatable rods. Over 90% of people are happy with the results, and implants last about 20 years on average.

What the research says

  • Most men were satisfied: a meta-analysis of 83 studies with 12,132 men followed for about 4 years found 83% were satisfied with their penile implant, with higher satisfaction for three-piece inflatable devices and long-term complications of 3% to 4.6% (Corona G et al., Andrology, 2025) [2]

  • Coated implants cut infections: pooling 14 studies with 9,910 first-time implants, infections occurred in 0.89% with antibiotic- or water-coated inflatable implants versus 2.32% with uncoated devices (Mandava SH et al., Journal of Urology, 2012) [3]

Key takeaways

  • A penile implant lets you get an erection on demand.

  • It's used for ED that hasn't improved with other treatments.

  • Types are inflatable and non-inflatable.

  • Most people go home the same day after surgery.

  • Over 90% of people are happy with the results.

What is a penile implant?

A penile implant is placed inside the penis to make it firm enough for sex. Over 63,000 implants were performed worldwide from 2005 to 2012, about 86% in the United States. Sensation, orgasm and ejaculation don't change. Sources: [1]

Who it's for

Who may need a penile implant: erectile dysfunction that hasn't improved with medicines or a vacuum device, Peyronie's disease, and after penile construction surgery such as phalloplasty or metoidioplasty

An implant is usually considered after other treatments.

Types of penile implants

Types of penile implants: inflatable implants with two cylinders, a fluid reservoir in the lower belly and a pump in the scrotum; non-inflatable implants with two bendable silicone rods that stay semi-firm

Inflatable implants aren't noticeable when deflated.

;; Inflatable

Non-inflatable

Parts

Two cylinders, a fluid reservoir and a pump in the scrotum

Two bendable silicone rods

How it works

Press the pump to inflate; release a valve to deflate

Bend the penis into position

Appearance

Not noticeable

Always semi-erect, harder to hide

Sources: [1, 2]

How to prepare

  • Tell your provider about all medicines and supplements; some raise bleeding risk, but don't stop them without asking.

  • Share any allergies, including to latex, iodine or antibiotics.

  • Don't eat or drink after midnight; take needed medicines with a small sip of water.

  • Wash your belly and groin the day before and the morning of surgery, but don't shave.

  • Report any skin or urinary infection. Sources: [1]

What happens during surgery

Penile implant surgery steps: general anesthesia, an incision in the genital area, the implant is placed in the penis, for inflatable types the reservoir goes in the belly and the pump in the scrotum, dissolvable stitches and a bandage

Surgery usually takes one to two hours.

  1. You get general anesthesia, and a catheter may be placed.

  2. The urologist makes a cut in the genital area.

  3. The implant is placed inside the penis; for inflatable types, the reservoir goes in the belly and the pump in the scrotum.

  4. The cut is closed with dissolvable stitches, and drains may be placed. Sources: [1]

Risks

Risk

Notes

Infection

May require removing the implant

Bleeding

May need more surgery

Urethral damage

Repaired; may delay the implant

Erosion or part movement

Possible

Mechanical failure

Possible

Shorter-feeling penis

Erections may seem shorter

Complications are uncommon. Sources: [1, 2, 3]

Recovery

  • Most people go home the same day; you'll need a driver and help for a day or two.

  • Pain and swelling ease after a week; tenderness can last up to six weeks.

  • Use an ice pack up to 10 minutes at a time and keep the area clean and dry.

  • Avoid heavy lifting and hard exercise.

  • No sex or masturbation for at least four weeks; most resume sex at six weeks.

  • Take at least a week off for a desk job and two to four weeks for a physical job. Sources: [1]

Results

An implant gives firm erections on demand. Over 90% of people are happy with the results, and most say sex feels the same or better. Natural erections with medication aren't possible afterward, and an implant can't make your penis bigger than before. Implants last 20 years on average. Sources: [1, 2]

When to call your provider

  • Heavy bleeding from the incision.

  • A fever of 100.4°F (38°C) or higher.

  • Signs of incision infection.

  • Increasing pain. Sources: [1]

Conclusion

A penile implant is a reliable, long-lasting option for ED when other treatments haven't worked, with very high satisfaction. Following recovery instructions closely helps lower the risk of infection.

Keep learning: read about erectile dysfunction and Peyronie's disease.

Frequently asked questions

What is a penile implant?

A surgically placed device that lets you get an erection.

Who needs a penile implant?

People with ED that hasn't improved with other treatments.

What types of penile implants are there?

Inflatable and non-inflatable (bendable).

How long does surgery take?

About one to two hours.

When can I have sex after surgery?

After at least four weeks; most resume at six weeks.

Will sensation change?

No. Sensation, orgasm and ejaculation stay the same.

Can others tell I have an implant?

Inflatable implants usually aren't noticeable.

How long does a penile implant last?

About 20 years on average.

Are people happy with penile implants?

Yes. Over 90% are happy with the results.

Is it covered by insurance?

It's often covered for diagnosed ED.

Related Reading

Penectomy: Types, Surgery and Recovery explains penectomy for penile cancer.

Erectile Dysfunction: Symptoms, Causes, and Treatment the main reason for a penile implant.

Alprostadil for Erectile Dysfunction an injection treatment for ED.

Prostatectomy: Types, Surgery, Risks and Recovery prostate surgery that can cause ED.

References

  1. Cleveland Clinic. Penile Implant: Purpose, Procedure, Risks & Recovery. Cleveland Clinic. Last updated November 11, 2022. https://my.clevelandclinic.org/health/treatments/10054-surgical-penile-implants

  2. Corona G, Santi D, Cocci A, et al. Long-term penile prosthesis couple's satisfaction: a systematic review and meta-analysis. Andrology. 2025;13(3):610-623. PMID 39010798. https://doi.org/10.1111/andr.13696

  3. Mandava SH, Serefoglu EC, Freier MT, et al. Infection retardant coated inflatable penile prostheses decrease the incidence of infection: a systematic review and meta-analysis. J Urol. 2012;188(5):1855-1860. PMID 22999690. https://doi.org/10.1016/j.juro.2012.07.022

Medical disclaimer

This article is for general education only and does not replace advice from a qualified healthcare professional. Talk to your doctor about your own diagnosis and treatment, and seek emergency care right away for severe or sudden symptoms.

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