Testicular/Penile Implants

Penile Implants

Treatment for Erectile Dysfunction

Erectile dysfunction, a serious condition where a man cannot achieve or sustain an erection, is an area where surgical treatment may be necessary.  When all conservative measures in the treatment of erectile dysfunction have failed, a penile prosthesis or penile implant can be placed.  The device is completely contained within the body, and no part is visible to the eye.

What should I expect from the surgery?

The surgery involves the placement of a three-piece inflatable penile prosthesis and is performed under general anesthesia or spinal anesthesia.  Surgery is performed at Greater Baltimore Medical Center and patients stay overnight in the hospital.  The success rate is excellent (>90%) with regard to patient satisfaction.

How much does the surgery cost?

Financial concerns are always important when considering any medical procedure.  Please read our financial information section for more information.

Post-operative instructions

After surgery, instructions will vary from patient to patient.  For a sense of what you can expect after your surgery, see our post-operative instructions.

How long will it take to recover?

Every patient is different, but most men find they can return to work in a matter of weeks.  It takes four to six weeks to fully recover.

When I can I resume intercourse?

Eight weeks after the procedure is the average for most men for resuming sexual intercourse.

Penile Prosthesis Post-operative instructions
Please review the instructions below to assist in your recovery from your penile prosthesis - these are general guidelines

  • You can remove the protective dressing two days following the procedure.  Continue scrotal support for one week after the surgery.  
  • The incisions were closed with absorbable suture.  This suture dissolves on its own and does not need to be removed.   
  • You may shower two days following surgery.  Do not let the water directly contact the incision.  Pat the area dry - do not rub the incision.  Do not submerge in water (bath, pool, swimming) until after two weeks.
  • You may resume a regular diet on postoperative day one.
  • Driving is permitted one week after surgery, but only if you are pain-free when off medications.
  • You may return to work, on average two weeks after surgery.
  • Activity should be light, walking short distances is fine, but do NOT lift objects heavier than 10 pounds, avoid exercise (no running, Stairmaster/NordicTrack, heavy lifting, straining, sit-ups, pushups or similar activities etc.) for four weeks.

Take the following medications as prescribed:

  • Tylox one tablet by mouth every 4-6 hours as needed for pain.  Otherwise, take Tylenol for pain.
  • Keflex one tablet by mouth every 6 hours for 14 days.  If penicillin allergic, an alternative antibiotic will be prescribed.
  • Colace one tablet by mouth twice a day to prevent constipation.
  • Keep your penis pointed cephalad (toward your head).  This is so the penis heals in this position.
  • There will be swelling in your scrotum, but it is important that you pull down on the prosthesis pump which is located in your scrotum.  This is so the scrotum heals with the pump located in the most dependent (lowest) position within the scrotum.
  • Your prosthesis may be partially inflated for healing purposes.  Do not attempt to inflate or deflate the prosthesis.  At your 6 week postop visit Dr. Boyle will teach you to begin cycling (inflating and deflating) your prosthesis.

Call to make an appointment to see Dr. Boyle for a two week postoperative check.  You will see Dr. Boyle again at 6 weeks postoperatively.

Contact Dr. Boyle if you notice:

  • The wound becomes increasingly red, warm, inflamed, swollen
  • Develop a fever >101 degree F
  • Copious drainage from the wound


Testicular Implants

Testicular implants are used after the testes have been surgically removed or are absent because of birth defect, illness or trauma.  For cosmetic purposes, it may be desired to have a testicular implant(s) or testicular prosthesis (es) placed. An implant is sized to match the normal testicle, or when both testes are absent, sized to fill the scrotum so that it appears as desired.  

Testicular implants are filled with saline and placed inside the scrotum.  They are soft to the touch, and result in a very realistic look and feel.

What should I expect from the procedure?

Testicular implants are placed in the operating room under IV sedation and local anesthesia and are performed as an outpatient procedure.  They may placed at the time of orchiectomy or testis removal or at a later date.

Post-operative instructions

After surgery, instructions will vary from patient to patient.  For a sense of what you can expect after your surgery, see our post-operative instructions.

How long will it take to recover?

Every patient is different, but most men find they can return to work in a matter of weeks.  It takes four to six weeks to fully recover.

When I can I resume intercourse?

One to two weeks after the procedure is the average for most men for resuming sexual intercourse.

How much does the surgery cost?

Financial concerns are always important when considering any medical procedure.  Please read our financial information section for more information.

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