Penile implant surgery is an advanced surgical procedure used to treat erectile dysfunction. The surgery is usually performed under general anaesthesia (90%), and rarely under spinal anaesthesia (10%). Pre-operative blood tests, liver and kidney function tests, ECG and echocardiography are performed as needed for patient safety.

The surgical procedure begins with a small (2.5-3 cm) incision in the penis and scrotum area, performed by an experienced urologist. The cavernous tissue in the penis is prepared to the appropriate size (9-14 mm) using special expansion tools for each patient. The average surgery duration is 75 minutes.

There are two main implant options: inflatable (3-piece) and semi-rigid implants. In inflatable systems (AMS 700™ CX or Coloplast Titan® Touch), a fluid reservoir is placed in the abdomen, a control pump in the scrotum, and cylinders in the penis. In semi-rigid implants (AMS Spectra™ or Coloplast Genesis®), silicone-coated prostheses of 9.5-11 mm diameter, customised to the patient, are used.

Postoperatively, intravenous antibiotics are given for the first 24 hours, followed by 10 days of oral antibiotics. Patients can generally return to their daily activities within 4-6 weeks, but full use of the implant is recommended after 8 weeks. Elevating the scrotum and applying ice are suggested to reduce swelling and pain during the healing process.