Korean Society of Plastic Surgeons

Silicone penile implant

A silicone penile implant procedure is a medical intervention designed to address erectile dysfunction (ED) when other treatments have proven ineffective. The procedure typically begins with a thorough consultation to discuss the patient’s medical history, expectations, and the different types of implants available—most commonly, malleable (bendable) and inflatable. On the day of surgery, the patient is placed under general or regional anesthesia to ensure they are comfortable and pain-free. A small incision is made at the base of the penis or in the lower abdomen, through which the surgeon carefully inserts the silicone rods or inflatable cylinders into the erectile tissue of the penis. For inflatable implants, a pump is also placed in the scrotum or abdominal wall, allowing the patient to control penile rigidity manually.

The procedure generally takes between one to two hours and, once completed, the incisions are sutured closed and bandaged. Post-operative care includes a recovery period during which the patient is monitored for any signs of infection, bleeding, or implant malfunction. Pain management, typically involving prescribed painkillers, is an essential component of the immediate recovery phase. Patients are usually advised to refrain from sexual activity and heavy physical exertion for 4 to 6 weeks to allow for proper healing. Follow-up consultations are crucial to ensure the implant is functioning correctly and to provide additional guidance on how to use the device if it is inflatable. Overall, a silicone penile implant can significantly enhance the quality of life for individuals struggling with ED, restoring both physical function and emotional well-being.