Penile Implant Surgery: A Complete Guide for Erectile Dysfunction and Peyronie’s Disease

Mar 27 2:59pm | Sevann Helo, MD | @drsevannhelo

Penile implants are a highly effective treatment for erectile dysfunction (ED) and Peyronie’s disease when other treatments have not worked. This guide answers common questions to help you understand your options and decide if a penile implant may be right for you.

What is a penile implant?

A penile implant is a medical device placed inside the penis during surgery. It allows men with erectile dysfunction to have a firm erection suitable for sex.

Penile implants are most often used when:

ED does not improve with medications (like Viagra or Cialis)
Injections or vacuum devices are not effective
Peyronie’s disease causes both curvature and weak erections

Illustration of an inflatable penile implant, showing the cylinders placed in the penis, the pump located in the scrotum, and the fluid reservoir positioned in the pelvis.

Who is a good candidate for a penile implant?

You may be a good candidate if you:

Cannot get or keep an erection firm enough for sex
Have tried other ED treatments without success
Are healthy enough for surgery
Understand what the implant can and cannot do

The best candidates have realistic expectations and are motivated to improve their quality of life.

Who should not get a penile implant?

Penile implants may not be recommended if you:

Have an active infection
Are not medically fit for surgery
Have untreated urinary problems
Have untreated mental health concerns affecting recovery

Many of these issues can be treated before surgery.

Can a penile implant fix Peyronie’s disease?

Yes. A penile implant can:

Straighten the penis
Restore strong erections

This makes it one of the most effective treatments for men with Peyronie’s disease and erectile dysfunction.

How long do penile implants last?

Modern penile implants are very durable. Most last:

10 to 15 years or longer

Some men may need replacement over time. About 20% of men may need another procedure within 10 years.

Do penile implants feel natural?

Yes. Penile implants:

Look natural when soft and erect
Do not affect sensation or orgasm

At first, things may feel different. Most men report that by 6–9 months, their experience feels similar to before surgery.

The implant does not create fullness in the head of the penis (glans). For most men, this is not bothersome. If needed, medications or devices can help.

What do partners think about penile implants?

Most partners report high satisfaction. Benefits include:

Reliable erections
Spontaneous intimacy
Improved confidence

There are no special precautions during sex. The device is strong and designed for normal activity.

For some women, especially after menopause, vaginal dryness may cause discomfort. This can often be treated with:

Vaginal estrogen
Silicone-based lubricants

What types of penile implants are available?

There are two main types:

1. Inflatable penile implants (most common)

Create a natural erection using a small pump
Look and feel more natural

2. Malleable (bendable) implants

Always firm
Can be positioned manually

Inflatable implants are most commonly used. Your doctor will help you choose the best option.

What are the benefits of penile implant surgery?

Reliable, on-demand erections
No need for pills or injections
High satisfaction rates
Can correct penile curvature
Cost-effective over time compared to repeated treatments

What are the risks of penile implants?

Penile implant surgery is safe, but risks include:

Infection (1–3%)
Device malfunction over time
Temporary pain or swelling
Rare injury to nearby structures
Erosion (device pressing through tissue)

Complication rates are low when performed by experienced surgeons.

How long does penile implant surgery take?

Surgery takes about 1 hour
Most men go home the same day or after one night

What is recovery like after penile implant surgery?

Light activity: a few days
Return to work: 2–4 weeks
Sex: 4–6 weeks

Some soreness and swelling are normal early on. Rest and limited activity help recovery.

Do penile implants require maintenance?

No long-term medications are needed
Patients learn how to use the device
Early practice (cycling) helps with comfort

Important tips:

Implants are safe for MRI (tell your doctor)
Avoid long-term urinary catheters when possible

Does insurance cover penile implants?

Yes. Most insurance plans, including Medicare, cover penile implants when medically necessary.

Without insurance, costs can be high. However, many patients qualify for coverage.

What questions should you ask your doctor?

Am I a good candidate for a penile implant?
Which type is best for me?
What results should I expect?
What are my risks?
How experienced are you with this surgery?

When should you consider care at Mayo Clinic?

If you have erectile dysfunction or Peyronie’s disease that is affecting your quality of life, it may be time to seek expert care.

At Mayo Clinic, our specialists:

Offer advanced treatment options
Perform high volumes of penile implant surgery
Provide personalized, patient-centered care

Final thoughts: Is a penile implant right for you?

If erectile dysfunction or Peyronie’s disease is affecting your ability to have sex, you are not alone. Penile implants are one of the most effective treatments available.

They don’t just improve appearance—they restore function, confidence, and quality of life.

Talking with a urologist who specializes in men’s health is the first step toward finding the right solution for you.

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