A penile implant 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 ways, the efficiency becomes less and less with time basically because of losing the cells inside of the cavernous tissue which 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 is a hybrid between the two main kinds.
the most common one like that is the 3-piece implant with no pump, which is found to be a bit cheaper than the full 3-piece implant, but difficult to keep the erection which makes the whole idea of getting the implant less efficient.
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Malleable Penile implant :
It is two pieces made of medical silicone rubber reinforced with metal cores on the inside to give rigidity and at the same time the required softness to be able to bend the two columns to take the form of an angle downward when not wanting sexual intercourse, and upward when wanting sexual intercourse.
The malleable penile implant is implanted inside the penis in place of the cavernous tissue, which allows the patient to have an erect penis for life, unlike the inflatable penile implant which gives you the possibility of controlling the time of obtaining an erection.
This might appear to be simpler, easier, and even cheaper. But on the other side as this implant will always be hard it might be embarrassing in some cases or at least not comfortable as it keeps the penis in the erection form all the time.
This type is recommended for patients who suffer from neurological diseases or cases of paraplegia or total paralysis and cannot use their hands strongly enough, patients who are over 70 years old and do not have the strength to use the penile implant, or patients whose penis size is less than 7 cm, these cases are the only ones for which we recommend implanting a flexible brace.
Otherwise, for patients who do not suffer from any neurological diseases and have sufficient strength and appropriate penis size, there is no need to even think about implanting a malleable penile implant and we do not recommend it for these cases.
3-piece Penile implant :
The Three-piece inflatable penile implant is the most widespread, and there are two types of it, the first of which increases the width only, and the other type, which is the newest, increases the width and length of the penis with repeated use of the penile implant in sexual intercourse
Three-piece inflatable penile implants use 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, which is salt water, from the reservoir into the cylinders. Afterward, 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 implants is the control of having the erection since it is not always needed it’s better to have a little tool that gives you the erection only when needed, which reflects positively on you and your partner, which is why 90% of patients who come to us choose this type of penile implant in Turkey.
As we mentioned earlier about the inflatable penile implants that increase the length and width of the penis with practice, this type is currently the newest and most implanted for patients who suffer from erectile dysfunction and at the same time want to increase the size of the penis.
this penile implant increases the width of the penis by 30% and you can see the difference in the width of the penis with the first use of the implant, and for the length up to 2 cm and appears naturally with repeated sexual practice from 6 months to about a year to see a natural increase in the length of the penis.
The procedure:
Before going into the surgery we prefer at the Istanbul clinic to a visit the surgeon’s office so we can check everything and ask for some tests if needed,
this visit is important so the doctor can have a clear idea about how things will be during the surgery and avoid any surprises, also it’s important to be sure that the other Non-surgical ED treatments are not going to work for the case.
Steps of Penile Implant Surgery in Turkey
We will now talk about the three stages of penile implant surgery for the treatment of sexual dysfunction:
1- Before the operation
The patient is advised to control diabetes and do a cumulative sugar test so that it is not more than 10 before coming to Turkey, and inform us of all diseases that he suffers from such as heart, kidney, or any other diseases. We may ask you to do some tests before coming to Turkey to make sure that you are qualified to perform this type of operation or not.
Stopping blood thinners such as aspirin and Plavix at least 5 days before
Do not shave the pubic hair, there is a specialized person in the hospital who will do this for you to avoid any scars or wounds if you do it yourself.
Two days before the operation date, we ask the patient to keep the pubic area clean by using a specialized soap to sterilize this area as much as possible before the operation.
2-During the procedure
Penile implant surgery in Turkey for the treatment of ED is performed in a special operating room, the first of its kind in Turkey, specially prepared for highly sterilized operations used for organ transplantation.
The patient is given local or spinal anesthesia based on the decision of the anesthesiologist, in addition to intravenous antibiotics, and the skin is sterilized and disinfected with special materials and the skin is isolated with a special material to reduce the chance of any infections.
An opening of approximately 2 cm is made in the scrotum, through which the stent is fully implanted, and there is no other wound in the body, this opening that we make is fully healed in less than a month and no trace remains.
3- After the operation
Painkillers and antibiotics are given for two weeks after the operation, as for the stitches used in the wound site, they do not need to be removed as they automatically decompose by themselves and the patient can leave the hospital on the second day of the operation date.
The patient is advised not to walk long distances for the first week, and the patient is prohibited from taking a shower for 5 days after the operation.
When implanting an erection stent, we advise the patient to place an ice pack on the scrotum where the swellings and swellings are located to minimize them.
We ask the patient to bring with him more than one pair of tight underwear in order to keep the penis in a certain position after the surgical procedure, which we explain to the patient upon arrival.
Read More: Penis Enlargement Surgery
Best penile implant option for you!
The choice of which implant is best for you is the prerogative of your doctor, who will diagnose your health condition and choose what is right for you accordingly.
Here we will mention the most important criteria for the best penile implant for each patient, the choice of the right implant depends on several considerations:
- 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.
Does the penile implant affect sex?
There may be some concern about this question, but let’s be clear: this penile implant treats erectile dysfunction and It does not have any positive or negative effect on desire or orgasm,
so a patient with ejaculation issues or 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 him 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 give you the sensation if you do not have it.
Penile Implant Surgery in Turkey:
Even though it’s surgery, the penile implant is considered to be one of the simplest of all kinds, The cut is no longer than 2 cm. in length /0.7 Inch/ located in the area right between the penis and the scrotum.
A very little cut that can be easily healed in a few days or a bit more in case of having any diabetes.
Both Malleable and 3-piece implants can be inside of the body from the little cut, therefore there will be no scars whatsoever anywhere else in the body.
The usual time for this surgery is around 1 hour, a night at the hospital will be recommended to check that everything is okay before discharging the next day
The most important Question is, do all cases of ED require a penile implant?
The answer is NO … but anyone who suffers from erectile dysfunction and does not respond to medical treatment needs a penile implant.
It is often due to a chronic disease such as damage to nerves and peripheral blood vessels associated with diabetes and atherosclerosis
More recently, it has been recommended for psychological causes of ED that are unresponsive to pharmaceutical treatment.
Penile implant Brief History
In the 16th century, French scientist Ambroise Pare made the first attempt to make an artificial penis out of wooden tubes to facilitate urination for a specific patient.
The first attempt to implant the penis into the tissue was in 1936 by Russian physician Nikolaj Bogoraz, who used cartilage from the ribs and implanted it into the organ to provide rigidity and strength during an erection.
However this method was not ideal, so it was necessary to think of other methods and alternatives to rib cartilage
Indeed, in 1950, the American doctor Dr. Scardino used the first synthetic material that he implanted inside the penis, and in 1952, Drs. Goodwin and Scott published the results of using an acrylic material and implanting it under the inner fat layer of the penis, known as Buck’s fascia.
In 1960, Drs. Loeffler and Sayegh published the results of using the same material (Acrylic) and implanting it, but with a different location by placing it inside the cavernous tissue of the penis rather than outside it.
In 1966, attention turned to an Egyptian plastic surgeon named Dr. Beheri, who was credited with using polyethylene rods and placing them inside the cavernous tissue under the tunica albuginea layer after making a conduit for them using a Hegar dilator, and Dr. Beheri confirmed that he had operated on 700 cases using this modern technique, which resulted in an erect and stiffer penis.
The date of the appearance of first inflatable stent was in 1973 by Dr. Scott and colleagues, and the device consisted of three parts, based on pumping the fluid from the store when pressed to rush into two cylinders implanted inside the cavernous tissue, so an erection occurs, and after the end of sexual relations, pressure is applied again to return the fluid to its place and the member relaxes.
In this way, we have two types of stents, the inflatable prosthesis, and this type has developed significantly and has become the joint in the American market, and the second type of implant is the malleable prosthesis, which is the cheapest and most widely used in Turkey and EU and US.
FAQ’s related to the Penile Implant Surgery:
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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