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What is Penile Implant Surgery?

Penile implant surgery, also known as penile prosthesis surgery, is a procedure to treat severe erectile dysfunction by implanting a device into the penis, allowing men to achieve an erection on demand. It’s typically a last resort after medications (e.g., sildenafil) or other therapies fail. In India, this surgery is performed in urology or andrology departments at hospitals like Apollo, Fortis, Medanta, and AIIMS, often at affordable costs. Understanding the procedure, costs, recovery, risks, and FAQs is essential for patients.

Why do you need Penile Implant Surgery?

Penile implant surgery is indicated for:

  • Erectile dysfunction (ED):
    • Severe ED unresponsive to oral medications (e.g., PDE5 inhibitors like sildenafil), injections, or vacuum devices.
    • Common causes: Diabetes (30–50% of ED cases in India), vascular disease, post-prostatectomy (as in your query, 30–50% risk), or Peyronie’s disease (penile curvature).
    • Prevalence in India: 20–30% of men over 40 years; higher in diabetics.
  • Other indications:
    • Penile fibrosis (e.g., from prior priapism or injections).
    • Gender-affirming surgery (rare, for transgender men; different procedure).
  • Associated treatments:
    • Often combined with Peyronie’s correction (e.g., plaque incision) if curvature present.
    • Counseling pre-op to set expectations (e.g., no change in penile length or sensation).
  • Timing:
    • Performed in adults (average age 50–70 years for ED); elective procedure after failed conservative treatments.

The procedure aims to restore the ability to achieve erections, improve quality of life, and maintain sexual function, offering a permanent solution for ED with high satisfaction rates (85–90%).

Why Do Penile Implant Surgery Costs Vary in India?

Costs range from ₹1 lakh to ₹5 lakh:

  • Implant Type: Malleable (₹1–2 lakh); inflatable (₹3–5 lakh; 3-piece more expensive).
  • Hospital/Location: Higher in metro cities (Apollo, Fortis: ₹3–5 lakh); lower in government hospitals (AIIMS: ₹1–2 lakh, often subsidized under Ayushman Bharat).
  • Surgeon’s Expertise: Experienced urologists charge more.
  • Additional Costs: Anesthesia (₹10,000–₹20,000), hospital stay (₹5,000–₹15,000/day), medications (₹5,000–₹10,000).
  • Insurance: Coverage varies; often not covered (elective for ED); confirm with your provider.

Penile Implant Surgery Procedure

  • Before Surgery Evaluation:
    • Assessment:
      • History/physical exam: Confirm ED cause (e.g., vascular, neurogenic); assess penile anatomy.
      • Blood tests: Blood sugar (diabetes control), testosterone levels, clotting profile.
      • Doppler ultrasound: Evaluates penile blood flow (if needed for diagnosis).
    • Preparation: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe; antibiotics pre-op to reduce infection risk.
    • Consent: Risks, including infection, are explained; patient chooses implant type.
  • Surgical Technique:
    • Penile Implant Surgery:
      • Performed under general or spinal anesthesia, lasting 1–2 hours.
      • Types of implants:
        • Inflatable penile prosthesis (IPP): Most common (70–80% of cases); 2- or 3-piece device; cylinders in penis, pump in scrotum, reservoir in abdomen; allows on-demand erection.
        • Malleable (semi-rigid) prosthesis: Bendable rods; simpler, less expensive; penis remains semi-rigid.
      • Process:
        • Incision: Infrapubic (above penis, 3–5 cm) or penoscrotal (at base of penis/scrotum); minimizes visible scarring.
        • Corpora cavernosa (erectile tissue) dilated; cylinders (IPP or malleable) inserted into penis.
        • IPP: Pump placed in scrotum; reservoir (if 3-piece) in lower abdomen; system connected.
        • Closure: Sutures in layers; absorbable sutures for skin; drain (if needed) for 1–2 days.
      • Post-op: Device left deflated (IPP) for 4–6 weeks to allow healing.
    • Intraoperative Tools:
      • Dilators: Create space in corpora for cylinders.
      • Antibiotic irrigation: Reduces infection risk.
      • Sizers: Ensure proper implant fit.
  • After Surgery:
    • Hospital stay: 1–2 days.
    • Care: Ice packs to reduce swelling; antibiotics for 7–10 days; avoid sexual activity for 6 weeks.
    • Pain management: Mild to moderate pain for 3–5 days; managed with painkillers (e.g., paracetamol).
    • Instructions: Learn to use device (IPP pump training at 4–6 weeks); monitor for infection.

Recovery After Penile Implant Surgery

  1. Hospital Stay: 1–2 days.
  2. Post-Surgery Care:
    • Pain/Swelling: Mild to moderate pain for 3–5 days; swelling resolves in 1–2 weeks.
    • Activity: Avoid strenuous activity for 4–6 weeks; light activities in 3–5 days.
    • Incision: Sutures (if non-absorbable) removed in 7–10 days; scar fades in 3–6 months (hidden in pubic area).
    • Device use: IPP training at 4–6 weeks; sexual activity resumes at 6–8 weeks.
    • Sensation: No change in sensation or orgasm; erection rigidity restored.
  3. Follow-Up:
    • Visits at 1 week (check healing), 4–6 weeks (device training), and as needed.
    • Monitor: Device function, infection signs; implants last 10–15 years (90% still functional at 10 years).

Most resume normal activities in 1–2 weeks; sexual activity resumes in 6–8 weeks. Satisfaction rate: 85–90% for patients and partners; improves quality of life significantly.

Risks and Complications

  • Surgical Risks:
    • Bleeding (1–3%): Hematoma at site; may resolve or need drainage.
    • Infection (1–3%): Higher risk in diabetics; may require implant removal (devastating complication).
    • Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
  • Post-Surgery:
    • Pain (5–10%): Persistent discomfort; usually resolves in 2–4 weeks.
    • Device malfunction (2–5%): Pump or cylinder failure (IPP); may need revision surgery.
    • Erosion (1–2%): Implant erodes through skin; requires removal.
    • Penile shortening (5–10%): Perceived due to fibrosis; counseling pre-op helps.
  • Long-Term:
    • Mechanical failure (5–10% at 10 years): IPP components wear out; revision surgery needed.
    • Infection (delayed, <1%): Can occur years later; requires removal.

Report fever, severe swelling, redness, or device malfunction promptly.

Frequently Asked Questions (FAQs)

What causes the need for penile implant surgery?

Severe ED (unresponsive to medications), often due to diabetes, vascular disease, post-prostatectomy, or Peyronie’s disease.

Can I avoid penile implant surgery?

Yes, if milder ED: Try oral medications (e.g., sildenafil), injections, vacuum devices; surgery is last resort for severe cases.

Is penile implant surgery painful?

Mild to moderate pain for 3–5 days, managed with medication; resolves in 1–2 weeks.

How soon can I resume normal activities?

Light activities: 3–5 days; sexual activity: 6–8 weeks; full recovery: 4–6 weeks.

Is penile implant surgery covered by insurance in India?

Coverage varies; often not covered (elective for ED); confirm with your provider; Ayushman Bharat may not apply.

Signs of complications?

Fever, severe swelling, redness, or device malfunction.

Will the implant feel natural?

Mostly: IPP mimics natural erection (85–90% satisfaction); malleable less natural but simpler; sensation unchanged.

Lifestyle changes post-surgery?

Learn device use (IPP), avoid trauma to penis, monitor for infection, and attend follow-ups.

Conclusion

Penile implant surgery is a highly effective solution for severe ED, offering a permanent fix with high satisfaction rates and manageable recovery. India’s top hospitals (Apollo, Fortis, AIIMS) provide affordable care, though insurance coverage may vary. Understanding the procedure, costs, recovery, risks, and FAQs helps patients approach surgery confidently. Consult a urologist for personalized guidance.

Looking for Best Hospitals for Penile implant surgery

Note: we are not promoting any hospitals

we are not promoting any hospitals we sourced all the details from google and hospitals website, please verify and start with your surgery here we go the list includes government, budget and superspeciality hospitals accreditation bodies are the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI)

  • click on your city and schedule your surgery now done in good hands.
City Minimum Price (₹) Maximum Price (₹)
Agra
3,00,000
7,00,000
Ahmedabad
3,50,000
8,00,000
Ajmer
3,00,000
7,00,000
Aligarh
3,00,000
7,00,000
Allahabad
3,00,000
7,00,000
Amritsar
3,25,000
7,50,000
Aurangabad
3,25,000
7,50,000
Bangalore
3,50,000
8,00,000
Bareilly
3,00,000
7,00,000
Belgaum
3,25,000
7,50,000
Bhopal
3,25,000
7,50,000
Bhubaneswar
3,25,000
7,50,000
Bikaner
3,00,000
7,00,000
Chandigarh
3,50,000
8,00,000
Chennai
3,50,000
8,00,000
Coimbatore
3,50,000
8,00,000
Dehradun
3,25,000
7,50,000
Delhi
3,50,000
8,00,000
Dhanbad
3,00,000
7,00,000
Durgapur
3,00,000
7,00,000
Faridabad
3,50,000
8,00,000
Ghaziabad
3,50,000
8,00,000
Gorakhpur
3,00,000
7,00,000
Guntur
3,25,000
7,50,000
Gurgaon
3,50,000
8,00,000
Guwahati
3,25,000
7,50,000
Gwalior
3,00,000
7,00,000
Hyderabad
3,50,000
8,00,000
Indore
3,25,000
7,50,000
Jabalpur
3,00,000
7,00,000
Jaipur
3,50,000
8,00,000
Jalandhar
3,25,000
7,50,000
Jamshedpur
3,25,000
7,50,000
Jodhpur
3,00,000
7,00,000
Kanpur
3,00,000
7,00,000
Kochi
3,50,000
8,00,000
Kolkata
3,50,000
8,00,000
Kollam
3,25,000
7,50,000
Lucknow
3,25,000
7,50,000
Ludhiana
3,50,000
8,00,000
Madurai
3,25,000
7,50,000
Mangalore
3,25,000
7,50,000
Meerut
3,00,000
7,00,000
Moradabad
3,00,000
7,00,000
Mumbai
3,50,000
8,00,000
Mysore
3,50,000
8,00,000
Nagpur
3,25,000
7,50,000
Nashik
3,25,000
7,50,000
Navi Mumbai
3,50,000
8,00,000
Noida
3,50,000
8,00,000
Patna
3,00,000
7,00,000
Pune
3,50,000
8,00,000
Raipur
3,25,000
7,50,000
Rajkot
3,25,000
7,50,000
Ranchi
3,00,000
7,00,000
Surat
3,50,000
8,00,000
Thane
3,50,000
8,00,000
Vadodara
3,25,000
7,50,000
Varanasi
3,00,000
7,00,000
Visakhapatnam
3,25,000
7,50,000

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.

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