A penile implant surgery is a very well-known and effective solution to restore sexual power in medium to extreme cases.
After years of using pills and other erectile enhancement methods, the efficiency becomes less and less with time, basically because of losing the cells inside the cavernous tissue. This can be normal with aging, but chemical pills would make it go faster than usual.
It’s a device placed inside the penis to allow men with ED to get an erection.
There are two main types of penile implants, malleable and 3-piece implants; some other kinds might be there as well, which are hybrids between the two main types.
The most common hybrid is the 3-piece implant with no pump. It’s usually a bit cheaper than the full 3-piece implant, but it’s difficult to keep an erection, which makes the whole idea of getting the implant less efficient.
Read More: Stem Cell For Erectile Dysfunction
Contents
- 1 Malleable Penile Implant:
- 2 3-piece Penile Implant:
- 3 Penile Implant Brands: AMS, Coloplast, and Rigicon
- 4 The procedure:
- 5 Best penile implant option for you!
- 6 Does the penile implant affect sex?
- 7 Penile Implant Surgery in Turkey:
- 8 Penile Implant Brief History
- 9 FAQ’s related to Penile Implant Surgery:
- 10 📩 Contact Us
Malleable Penile Implant:
It consists of two pieces made of medical silicone rubber reinforced with metal cores on the inside. This structure provides rigidity while maintaining the necessary softness to bend the rods downward when sexual intercourse is not desired, and upward when it is.
The malleable penile implant is placed inside the penis in place of the cavernous tissue. It allows the patient to have a permanently erect penis, unlike the inflatable penile implant, which lets you control when to achieve an erection.
This option might seem simpler, easier, and even more affordable. However, since this implant remains rigid at all times, it can sometimes be embarrassing or at least uncomfortable, as the penis stays in an erect position permanently.
This type is recommended for patients with neurological diseases, paraplegia, or total paralysis who cannot use their hands with sufficient strength. It is also suitable for patients over 70 years old who may not have the physical ability to operate an inflatable implant, or for patients with a penis size of less than 7 cm. These are the only cases for which we recommend a flexible (malleable) implant.
Otherwise, for patients who do not suffer from any neurological diseases and have sufficient hand strength and appropriate penis size, there is no need to consider implanting a malleable penile implant. We do not recommend this type for such cases.
3-piece Penile Implant:
The three-piece inflatable penile implant is the most commonly used worldwide. There are two main versions: the first increases the penis width only, while the newer version increases both the width and length with repeated use during sexual intercourse.
Three-piece inflatable penile implants consist of a fluid-filled reservoir implanted under the abdominal wall, a pump and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis.
To achieve an erection, you pump the fluid (salt water) from the reservoir into the cylinders. Afterwards, you release the valve inside the scrotum to drain the fluid back into the reservoir.
One of the main advantages of the three-piece inflatable penile implant is the ability to control erections. Since an erection is not always needed, it’s much better to have a discreet tool that allows you to achieve it only when desired. This positively impacts both the patient and their partner, which is why 90% of the patients who come to us in Turkey choose this type of implant.
As mentioned earlier, some inflatable penile implants are designed not only to restore erectile function but also to increase both the length and the girth of the penis over time.
These represent the latest generation of implants and have become the most commonly chosen option for patients who suffer from erectile dysfunction and, at the same time, wish to enhance their penis size.
The two implants with this feature are the Rigicon Infla10 AX and the AMS 700 LGX. Both are equipped with length-expanding cylinders that allow gradual lengthening during regular sexual activity, in addition to immediate girth expansion after activation.
With these implants, the penile width can increase by up to 30%, and this difference is usually noticeable from the very first use. Regarding length, patients can achieve up to 2 cm of natural increase over a period of 6 to 12 months through regular sexual activity, as the cylinders gently expand over time inside the penile tissue.
Here’s the comparison table in English between Malleable (semi-rigid) and Inflatable penile implants:
| Feature | Malleable Implant | Inflatable Implant |
|---|---|---|
| Penis appearance after surgery | Always semi-erect, can be bent down | Natural flaccid look, erection only when activated |
| Erection control | ❌ No control – permanently firm | ✅ Full control over timing and duration of erection |
| Daily comfort | Less comfortable – may cause embarrassment under clothes | Very comfortable – penis looks and feels natural in a flaccid state |
| Aesthetic look | Can be visible under clothing | Natural and discreet |
| Ease of use | ✅ Very easy – no pumping required | Requires manual dexterity to operate the pump |
| Best suited for | Elderly patients, those with neurological conditions, or very small penis (<7 cm) | Patients able to use the pump, seeking a natural look and function |
| Surgical procedure | Simpler and shorter | More complex but safe and routine with experienced surgeons |
| Maintenance / risk of malfunction | Almost none – very low risk of mechanical issues | May require maintenance or device replacement over time |
| Cost | 💰 Lower cost | 💰 Higher cost due to advanced technology |
| Patient satisfaction | Good for appropriate cases | Very high, especially for sexually active men |
| Global prevalence | Common in neurological cases or elderly patients | The most commonly used worldwide for organic erectile dysfunction |
Penile Implant Brands: AMS, Coloplast, and Rigicon
When choosing a penile implant, the brand and manufacturer play a key role in determining the device’s durability, performance, and warranty coverage. Globally, three major brands dominate the market: AMS (Boston Scientific), Coloplast, and Rigicon. Each company offers unique technologies and advantages, and the choice often depends on the patient’s anatomy, medical history, and personal goals.
AMS (Boston Scientific) 🇺🇸
AMS is one of the oldest and most established brands in the field. Its most popular models are the AMS 700 penile implant series, including the CX (standard) and LGX, which is known for its unique length-expanding cylinders.
AMS implants are widely trusted in the USA and internationally, offering reliable performance and smooth pumping mechanisms.
Coloplast 🇩🇰
Coloplast is a Danish company known for its innovative medical devices. Its flagship models are the Titan inflatable implant, which provides excellent rigidity and a natural feel, and the Genesis malleable implant, known for its simplicity and durability.
Coloplast offers a lifetime warranty on the device itself, meaning that if the implant fails, the company will replace the device free of charge. However, the warranty does not cover surgical, hospital, or surgeon fees.
Rigicon 🇺🇸
Rigicon is a high-quality American manufacturer that has become a strong competitor to AMS in both the US and international markets.
Its Infla10 AX model combines advanced girth and length expansion capabilities, making it a top choice for patients who want both functionality and enhancement.
Rigicon stands out for its excellent device quality, competitive pricing, and strong lifetime warranty, as well as one of the fastest warranty response processes in the industry.
The procedure:
Before going into the surgery, we prefer that patients visit the surgeon’s office at the Istanbul Urology Clinic. This allows us to check everything and request any necessary tests in advance.
This visit is important so the doctor can have a clear idea of how things will proceed during surgery and avoid any surprises. It’s also essential to make sure that other non-surgical ED treatments are not viable options for the patient.
Steps of Penile Implant Surgery in Turkey
We will now explain the three stages of penile implant surgery for the treatment of erectile dysfunction:
1 – Before the operation
The patient is advised to control diabetes and ensure that the HbA1c (cumulative sugar test) result is not more than 10 before coming to Turkey. It is also important to inform us of any health conditions, such as heart, kidney, or other diseases. We may ask for additional tests beforehand to ensure the patient is fit for surgery.
Stop taking blood thinners such as aspirin and Plavix at least 5 days before the operation.
Do not shave the pubic hair; a specialized staff member at the hospital will take care of this to avoid any accidental cuts or wounds.
Two days before the operation, the patient should keep the pubic area clean using a specialized antiseptic soap to reduce bacteria before surgery.
2 – During the procedure
Penile implant surgery in Turkey for the treatment of erectile dysfunction is performed in a specialized operating room, the first of its kind in the country, designed to meet the highest sterilization standards used in organ transplantation procedures.
The patient receives either local or spinal anesthesia, depending on the anesthesiologist’s decision, along with intravenous antibiotics. The skin is then sterilized with special antiseptic solutions and carefully isolated with sterile drapes to minimize the risk of infection.
The implant can be inserted using two main surgical approaches:
Penoscrotal approach:
This is the most commonly used method. A small incision of approximately 2 cm is made at the junction between the penis and the scrotum.
Through this opening, the entire implant is placed, including the cylinders, pump, and reservoir. This technique provides excellent exposure of the corpora cavernosa and allows for precise placement, with a scar that heals quickly and becomes almost invisible within a month.
Infrapubic approach:
In this technique, the incision is made just above the base of the penis, in the lower abdominal area. It offers faster access to the reservoir and is preferred in some cases, especially when patients have had previous scrotal surgeries or for surgeons with specific expertise in this approach.
Both techniques are safe and effective, and the choice of method depends on the patient’s anatomy, medical history, and the surgeon’s preference. Regardless of the technique, the surgical wound is small, heals within weeks, and leaves minimal to no visible trace.
3 – After the operation
Painkillers and antibiotics are prescribed for two weeks after the operation. The stitches used at the wound site are absorbable and do not need to be removed manually. Most patients are discharged from the hospital on the second day after surgery.
The patient is advised not to walk long distances during the first week after surgery, and showering is prohibited for the first 5 days.
When an erection stent (penile implant) is placed, we advise the patient to apply an ice pack on the scrotum to minimize swelling in the operated area.
We also ask the patient to bring more than one pair of tight underwear. These help keep the penis in a specific position after surgery, which we explain in detail upon the patient’s arrival.
Read More: Penis Enlargement Surgery
Best penile implant option for you!
The choice of the most suitable implant for you ultimately rests with your doctor, who will diagnose your health condition and recommend the option that fits your individual case.
Below, we highlight the most important criteria for selecting the best penile implant for each patient. The decision depends on several considerations:
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- The age of the patient and the age of the patient’s spouse.
- The size of the penis.
- The ratio between the inner and outer penis.
- The presence of certain diseases, such as Peyronie’s disease.
- The ratio between the length of the penis and the size of the glans and scrotum.
- Whether there has been previous abdominal surgery, such as prostate or colon surgery.
- Determine the type of previous abdominal surgery, whether it was laparoscopic or by other means.
- Consider whether there has been previous vascular surgery.
- History of a kidney transplant, if any, or major pelvic surgery.
- Whether or not there is curvature or fibrosis of the penis and its angle.
- The presence or absence of a very prominent suprapubic fat pad. Consider the patient’s overall health status.
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Does the penile implant affect sex?
There may be some concern about this question, but let’s be clear: the penile implant treats erectile dysfunction and does not have any positive or negative effect on sexual desire or orgasm.
So, a patient with ejaculation issues or low libido should look for another solution apart from the penile implant.
On the contrary, if the patient has normal ejaculation and sexual desire, the penile implant does not affect these functions at all.
The penile implant can give a man a strong erection and help him have an enjoyable sexual relationship if he has the libido, but it will not create the sensation if it doesn’t exist naturally.
Penile Implant Surgery in Turkey:
Even though it’s a surgical procedure, the penile implant is considered one of the simplest types of surgeries. The incision is no longer than 2 cm (0.7 inch), located in the area right between the penis and the scrotum.
A very small cut that heals easily within a few days, or slightly longer in diabetic patients.
Both Malleable Implants and 3-piece implants can be placed inside the body through this small incision; therefore, there will be no visible scars elsewhere on the body.
The average duration of this surgery is around 1 hour. Patients usually stay in the hospital overnight to ensure everything is stable before being discharged the next day.
The most important question is: Do all cases of ED require a penile implant?
The answer is NO. However, anyone suffering from erectile dysfunction who does not respond to medical treatment may require a penile implant.
In many cases, ED is due to chronic conditions such as nerve and peripheral vascular damage associated with diabetes and atherosclerosis. More recently, penile implants have also been recommended for certain psychological causes of ED that are unresponsive to pharmaceutical treatment.
Penile Implant Brief History
In the 16th century, French scientist Ambroise Paré made the first attempt to create an artificial penis using wooden tubes to facilitate urination for a specific patient.
The first attempt to implant material into the penis tissue was in 1936 by Russian physician Nikolaj Bogoraz, who used rib cartilage and implanted it to provide rigidity during erection.
This method was not ideal, so new alternatives were sought. In 1950, American doctor Dr. Scardino used the first synthetic material for implantation. In 1952, Drs. Goodwin and Scott published results using an acrylic material placed under Buck’s fascia (the inner fat layer of the penis).
In 1960, Drs. Loeffler and Sayegh published results of using the same acrylic material but implanted inside the cavernous tissue rather than outside it.
In 1966, Egyptian plastic surgeon Dr. Beheri pioneered the use of polyethylene rods placed inside the cavernous tissue under the tunica albuginea. He operated on 700 cases using this technique, achieving strong, durable erections.
The first inflatable penile prosthesis appeared in 1973 by Dr. Scott and colleagues. The device consisted of three parts, and erection was achieved by pumping fluid from a reservoir into two cylinders inside the penis. After intercourse, pressing the pump again would return the fluid and restore flaccidity.
Since then, two main types of penile implants have remained: the inflatable prosthesis, which has significantly evolved and dominates the American market, and the malleable prosthesis, which remains more affordable and widely used in Turkey, the EU, and the US.
Since the operation is performed under anesthesia, there will be no pain during the operation. As this is still a surgery, some feelings of pain might be after the operation which can be treated with painkillers.
You can be discharged the same day after penile implant surgery. Recovery occurs after an average of 4 -6 weeks.
In case of not working in a physical job after, in 2 weeks you can return to your job. If you have a heavy physical job, it is recommended to get a 30-day rest.
After 2 weeks, you can start physical activity and do light sports exercises. However, you should avoid heavy training, wait at least 30 days for intense exercises, and get your doctor’s approval.
After penile implant surgery in the Istanbul clinic, you should wait at least 40 days for sexual intercourse and you should get approval from your doctor before starting sexual activity, including masturbation.
The procedures performed on the sides of the penis and the implant will be on the top of the penile tissue, aside from nerves, and vessels, and do not affect any of the functional organs.
And therefore, because the erection can be done manually, it is not likely to experience erection problems at all any time after the operation, any premature ejaculation decreased sexual desire, and/or any other functional problem around the penis area.
Penile implant surgery can fix curvature in the penis in its early stages. Like if before the surgery, if the penis was slightly curved during erection it can be cured with no more issues of any curvature in the future,
but in case of having a big curvature, additional surgery might be needed to cut any part of the skin that holds it together and causing the curvature.
No, the urinary tract is in no way affected by penile implant surgery.
No, penile implant surgeries do not affect reproduction in any way.
Since the cut of the penile implant surgery is only 2 cm. and it’s under the penis so there will be absolutely nothing to show and therefore there will be no sign whatsoever of doing any kind of surgery in the area.
Therefore, when the recovery period is over, it cannot be understood from the outside that you have undergone any penile implant surgery.
As with any surgery, there are some risks in penile implant surgery. Complications that may occur apart from the general risks arising from anesthesia are as follows:
Infection: To prevent the risk of infection, the care and dressing of the penile periphery should be done very carefully after the surgery and the doctor’s controls should be done on time.
and for sure using the best qualities would play a very important role in this matter.
Edema: It is natural for small swellings to occur sometimes around the penis after penis enlargement surgery. These swellings generally heal within 8 days.
Therefore, you should not neglect the doctor’s control and if such a situation occurs, you should contact your doctor for advice.
The state of blood accumulation has been largely prevented by modern methods, but if you still encounter such a situation, you should contact your doctor immediately.
Penile implant surgery prices vary according to many factors such as the procedures to be performed, the choice of anesthesia, the center where the surgery will be performed,
the experience of the surgeon and surgical team performing the surgery, and of course the kind/brand of the implant which is one of the most important things in the whole process since it’s a once-in-a-lifetime surgery, we prefer to give the best.
You can contact us to find out what you need and how much the penile implant surgery in Turkey will cost. You can find out the current prices of penile implant surgery by using the forms on the phone, Whatsapp, or the site
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