A penile prosthesis is a medical device that requires surgery to
implant in a man's penis. More than 300,000 men have benefited from
penile implants, returning to an active and satisfying sex life for
themselves, and their partners. Overall patient satisfaction is
reportedly high with penile prosthesis, with more than 90% of
patients satisfied with the outcomes as compared with 50% of
patients satisfied with oral medications. Many patients have
reported that the treatment was life changing and restored the
intimacy back into their life and relationships.
The Expertise Needed for Success
As one of the region's leading microsurgeons, Dr.
Lerner is on the leading-edge of the most advanced surgical
techniques and technology and his experience performing penile
prosthetic surgery has benefited many men and their quality of
life.
Dr. Lerner understands that choosing a penile implant is a very
personal decision and will discuss with you all of your options to
ensure you receive the prosthetic device that is just right for
you. Because each type of prosthesis offers unique features, Dr.
Lerner will discuss the benefits and risks of the implant, and work
with you to determine the option that best fits with your personal
preferences.
Two- and Three-piece Inflatable Prostheses (Implants)
The two- and three-piece inflatable prosthetic devices consist
of a fluid filled pair of cylinders implanted in the penis and a
small pump implanted in the scrotum. Both are simple to use,
completely concealed inside the body and produce an erection that
looks and feels natural.
With the two-piece implant, you simply squeeze
and release the pump several times. When the fluid is pumped into
the cylinders, it creates an erection that provides rigidity.

The three-piece inflatable device has an
additional part - a reservoir that is implanted into the lower
abdomen. When you are ready to have sex, you pump the fluid from
the reservoir into the cylinders to create a rigid erection. After
intercourse, you release the valve inside of the scrotum to drain
the fluid back into the reservoir to return to flaccidity.
The three-piece inflatable penile prosthesis creates a firmer
erection than the two-piece device.

Advantages of the two-and three-piece inflatable
prostheses:
- Completely concealed inside the body
- Simple to use
- Devices are inflated to provide rigidity and deflated for
concealment
- Like a natural erection
- When deflated, the cylinders are soft and flaccid (three-piece
implant)
Disadvantages of the two- and three-piece inflatable
prostheses:
- Requires some manual dexterity
- Cylinders remain partially filled with fluid when deflated
(two-piece device)
Weighing the Pros and Cons
While the thought of surgery can be quite intimidating for some
men, Dr. Lerner makes sure to provide you with all of the
information needed to make a decision that is right for you, and
your partner. He will review the advantages and disadvantages of
the prosthetic devices as well as educate you on the benefits and
risks, which include:
Benefits of Penile Prostheses:
- Provides a long term solution to ED
- Provides the ability to attain a natural feeling, rigid
erection anytime you choose
- Allows for more spontaneity when the mood strikes
- Enables you to maintain an erection as long as desired
- No costly pills or shots
- Feels natural during sexual intercourse
- Doesn't interfere with ejaculation or orgasm
Risks:
- Surgery carries risk of infection; if infection occurs, the
prosthesis may need to be removed
- Can result in a slightly shorter penis
- If the implant is removed for any reason, attaining a natural
erection will be impossible, even with ED medications or by other
means.
- Mechanical parts may fail
Patient and partner satisfaction rates are among the highest
when it comes to penile prosthesis for the treatment of erectile
dysfunction:
- 92% of patients would recommend the two-piece penile prosthesis
to others
- 90% of sexual partners would recommend the two-piece penile
prosthesis to other couples
- 9 out of 10 men and their partners were very pleased with their
inflatable penile prosthesis
- The three-piece inflatable penile device has a 92% patient
satisfaction rate and a 96% satisfaction rate among partners
- 95% of patients would undergo the implant procedure again
Is a penile implant the right choice for you? Talk to Dr.
Lerner about this treatment option, and if you are a candidate for
prosthetic surgery.