How Penile Implants are Treating Impotence

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How Penile Implants are Treating Impotence

Permanent Penis Enlargement

The mention of penile implants may conjure up memories of Austin Powers and his penis pumps but the truth behind the humour is a very sensitive topic that not many fellas are keen to discuss. Losing the fun, sensation, joy and spontaneity of sex is a fear and embarrassment that lurks at the back of most men’s brains. Thanks to Professor Colin Moore of the Australian Centre for Cosmetic and Penile Surgery there is a light on the horizon for those that may find themselves unable to get or keep an erection.

Let’s address the top three questions first.

  1. Will I look like Robocop?

You can imagine you do if that helps, but no, the mechanics are all inserted. Nothing is visible.

  1. No way! How much would that hurt?

Be realistic, one of your most sensitive areas is involved. You’ll likely need to take pain medications to ease pain after the surgery with mild pain likely for several weeks.

  1. Does it change what sex feels like?

An implant does not change sensation on the skin of the penis or a man’s ability to reach orgasm. Ejaculation is not affected. Only the man with the small scar on his scrotum would be able to notice the surgery.

Moving on…

What is impotence?

Going soft, struggling to get it up, no mast in a stiff breeze. Impotence is when a man is persistently unable to get or keep an erection that is firm enough for sexual intercourse. While he still may have an orgasm and can physically father a child he will most likely have difficulty doing so.

Impotence, when it persists, is not normal. The key word is persistent. Most guys at one crucial moment or another will find themselves in the awkward position of being unable to get or keep an erection. These infrequent slumps are usually resulting from stress, tiredness, anxiety or excessive alcohol or other drug consumption. Worrying about impotence may then set the scene for a more persistent problem due to “fear of failure” known as performance anxiety. It is when this failure to perform occurs regularly and in an ongoing way that it becomes a problem.

Research has established that prevalence of impotence among Australian men ranges from:

  • 13.1% of 40-49 year olds
  • 33.5% of 50-59 year olds
  • 51.5% in 60-69 year olds
  • 69.2% of 70-79 year olds

It is important to remember that the ageing process is not a reason for impotence to occur.

I just had too many beers to get it up!

For some this may be the case however the cause of impotence may be physical or psychological. Interestingly for most gents it will be a little of psychological and mostly physical.

Physical causes include:

  • Diabetes
  • High cholesterol
  • Heart disease
  • Post prostate cancer
  • High blood pressure
  • Alcohol or other drug use
  • Some prescribed drugs
  • Disease of the liver and kidney
  • Surgery to the bladder, prostate gland, lower bowel and spine
  • Poor blood flow to the penis resulting from blocked arteries

Psychological causes include:

  • Anxiety or stress
  • Anxiety about sexual performance or sexual identity
  • Fear of sexual contact (from issues such as pregnancy or HIV/Sexually Transmitted Diseases)
  • Psychological trauma or abuse
  • Sexual problems with partner
  • Sexual boredom
  • Depression
  • Lack of communication in the relationship or other relationship issues
  • Grief or the effects of illness of self or family member

These causes do not mean there is anything wrong with your mental health. Allied health professionals can assist you through correcting any misinformation you may have about the issue and also tailor a set of mental exercises to assist you. Usually, once a man is given correct sexual information and any concerns have been discussed then this difficulty can be overcome.

Opening up to a health professional about problems with your penis may seem uncomfortable and embarrassing for a lot of blokes, but if there was ever a time to “chew the fat” and speak freely it’s during your appointment. Be upfront about any medications, recreational drugs and lifestyle choices. Voice your worries, concerns and questions. The team at the Australian Centre for Cosmetic and Penile Surgery are professional, discrete and importantly, experienced. They have probably seen and heard it all before. Being candid will enable you to receive the most appropriate treatment for you.

How is impotence treated?

As well as addressing the psychological factors, penile implants are commonly used to treat the physical side of impotence. The implant is surgically placed into a man’s body and is designed to aid getting an erection. It can help restore a healthy sex life and is a relatively simple operation.

What is a penis implant?

There are two basic types of penile implants: inflatable implants and flexible rod implants. All are totally concealed within the body and upon activation provide an almost immediate erection to bring back the spontaneity to sex.

Are you ready for this: How does it make it all rise?

Inflatable implants produce a controlled more natural erection.

Essentially two cylinders are inserted side-by-side into the corpora cavernosa in the shaft of the penis. Additionally a pump is inserted into scrotum and a reservoir containing fluid is placed in the abdomen. After undergoing penile implant surgery, when a man desires an erection, he uses the device to transfer fluid from the reservoir into the cylinders. The cylinders expand, enlarging or “erecting” the penis.

3-piece inflatable implants (about 75% of penile implants.)

The “gold standard” of penile implants. The most technologically advanced device.
Placement: Performed under general anaesthesia. Using a small incision, the Surgeon positions the inflatable cylinders in the corpora cavernosa. A small pump is positioned in the scrotum and a reservoir is placed deep in the abdomen. The reservoir is filled with saline solution. The device is completely hidden and unobtrusive.

Recovery time: It commonly takes about four to six weeks to regain sexual function.

How it works: Gently squeeze the concealed pump in your scrotum several times. This moves the saline solution from the reservoir into the cylinders. As the cylinders fill, the penis becomes erect and firm. To end the erection, simply press a “deflation site” on the pump. Deflating the cylinders transfers the fluid back to the reservoir and the penis becomes flaccid.


2-piece inflatable implants (about 15% of penile implants.)

Fluid-filled internal penile pumps including cylinders and a small pump. Placement: Performed under either local or general anaesthesia. Using a small incision, the Surgeon positions the inflatable cylinders in the corpora cavernosa. A small pump is positioned in the scrotum. The device is completely concealed and unobtrusive. The pump inflates the cylinders by transferring fluid within the system. A simple deflation technique then transfers fluid to return the penis to a flaccid state.

Recovery time: It takes about four to six weeks to regain sexual function.

How it works: Gently squeeze and release the concealed pump in your scrotum several times. This transfers the fluid in each cylinder to the cylinder shaft. Your penis will then become erect. To end the erection; gently bend your penis down for 6-12 seconds, this transfers fluid back into the reservoir.

Down boy!

Flexible rod implant

Flexible rods produce a permanently firm penis. Semi-rigid malleable (positionable) rods (about 10% of penile implants.)This is the simplest of the penile implants.
Placement: The surgeon gently places two bendable, “positionable” rods into the penis. The rods have an outer coating of silicone and inner stainless steel core or interlocking plastic joints. These enable the man to place the penis in either the erect or flaccid position.

Recovery time: It takes about four to six weeks to regain sexual function.
How it works: For intercourse, the man places his penis in the erect position. As he does so, the rods inside his penis bend. To conceal the penile implant, the man bends his penis down. He can bend the device in more than one place to create the desired erection.


While penis implants are an invasive procedure, most men and their partners report satisfaction with the devices.

The Australian Centre for Cosmetic Surgery understands the sensitive nature of impotence and penile implants and your enquiry will be treated with integrity, confidence and confidentiality.

For more information on impotence and penile implants or to arrange a confidential consultation to discuss these procedures, visit The Australian Centre for Cosmetic Surgery, complete a contact form or call us on 0414251234.

Prof Colin Moore