What are some pros and cons of penile implants?

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  A Taking Control Of Your Diabetes (TCOYD) answered

  Penile implant surgery is a long-lasting treatment for erection dysfunction (ED) in that it allows a man to have an erection essentially at any time.
  
  Some benefits of penile implant surgery are:

  • surgery takes only about an hour to perform
  • can be done as an outpatient procedure, in most cases
  • it has been done for over 40 years on hundreds of thousands of men
  • high rates of patient satisfaction
  • does not affect a man’s sensation, orgasm, ejaculation or urination

  Some drawbacks of penile implant surgery are:

  • may not be covered by insurance

  If your surgery is not covered by insurance, one easy way to look for an affordable service is to search online for flat-fee “penile implant surgery packages.” 
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  A Dr. Marc B. Garnick, MD , Hematology & Oncology, answered

  Broadly speaking, there are two types of penile implants -- inflatable implants and semi-rigid (malleable) rods. Inflatable implants may have a two- or three-piece design.
  
  Advantages of a three-piece inflatable penile implant include the following:
  

  • Acts and feels more like a natural erection than semirigid models.

  Disadvantages of a three-piece inflatable penile implant include the following:
  

  • Requires more manual dexterity than other implants.
  • Possibility of leakage or malfunction.
  • Most expensive type of implant.
  • Requires the most extensive surgery of all implants.

  Advantages of a two-piece inflatable penile implant include the following:
  

  • Penis looks more natural in erect and flaccid states than with the semirigid implant.
  • Easier to operate than the three-piece implant.
  • No abdominal incision.

  Disadvantages of a two-piece inflatable penile implant include the following:
  

  • Possibility of leakage or malfunction.

  Advantages of a semirigid (malleable) penile implant include the following:
  

  • Easy to use, especially for those with limited dexterity.
  • Requires the least extensive surgery.
  • Fewest parts, so less chance of malfunction.
  • Least expensive type of implant.

  Disadvantages of a semirigid (malleable) penile implant include the following:
  

  • Constantly firm.
  • Somewhat harder to conceal than inflatable implants, but new designs make this less of a concern than in the past.
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