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Doctor explaining penile implantation procedure using anatomical model during consultation

Penile Implant Surgery

Penile Implantation Treatment in Pakistan

A penile implant (or prosthesis) is a medical device surgically placed inside the penis that helps you to get an erection, normally if you have erectile dysfunction (ED) when other treatments fail. It allows a man to attain an erection for intercourse by either bending rods or inflating a cylinder with a hidden pump. It offers an authentic and permanent solution that doesn't affect sensation or orgasm, but it requires surgery. This surgery is completely internal.
Dot Clinics have experienced urologist Dr. Faisal Ilyas registered by Australian Medical Council and PMDC verified who provide Pnile Implant surgery in lahore using modern methods and equipments.

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Medical diagram showing penile implant components including cylinders, pump bulb, and valve

Overview of Penile Implants

A penile implant or penile prosthesis is a procedure meant to give you the ability to have an erection whenever you want. There are two types of penile implants: inflatable and non-inflatable. Penile implants are typically recommended after other treatments for ED fail. It is designed to allow you to get and maintain an erection satisfactory for sexual intercourse and has been in clinical use for over 50 years.

  • Surgical Procedure: The implant is completely hidden inside the body and placed through minimally invasive outpatient surgery. The procedure usually takes 1–2 hours.
  • High Satisfaction Rates: Patient and partner satisfaction rates exceed 98%, which is higher than most other erectile dysfunction treatment options.
  • Natural Sensation and Function: Penile implants do not affect penile sensation. Erections feel natural during sexual intercourse.
  • Irreversible Procedure: This is a permanent solution. Natural erectile tissue is modified to place the implant cylinders, making natural erections or other ED treatments no longer possible after removal without replacement.
  • No Increase in Penis Size: The implant restores rigidity to the penis’s natural erect size and does not increase length or girth.
  • Potential Risks: As with any surgery, risks include infection (rare with modern techniques and antibiotic-coated devices), mechanical failure, and implant erosion that may require additional surgery.
  • Recovery and Durability: Normal non-strenuous activities can usually be resumed within a few days to a couple of weeks. Sexual activity typically resumes after 4–6 weeks. Penile implants are durable and often last 15–20 years.


Types of Penile Implants

Three types of penile implantation devices displayed on medical tray: malleable implant (rigid rod), two-piece inflatable implant (pump and cylinders), and three-piece inflatable implant (pump, reservoir, and cylinders)

There are two main types of penile implants used in the clinics such as malleable (semi-rigid) and inflatable, these options option depends on how easily you can use your hands, your overall health, and whether you have had any surgeries before. Dot Clinics doctors will carefully guide you in choosing the penile implant that suits you best.

Dot Clinics offers the following types of Penile Treatments are given below:

  • Inflatable implants: Inflatable devices, the most used in the penile implantation, can be inflated to create an erection with invisible pump in the socrutom and deflated at other times. Three-piece inflatable implant use a fluid-filled reservoir that is implanted into the lower abdomen. A pump placed inside the scrotum, and fluid-filled pair of cylinders implanted in the penis.
    When you are ready to have sex, you pump the fluid, which is salt water, from the reservoir into the cylinders to create a rigid erection. After intercourse, you release the valve inside of the scrotum to drain the fluid back into the reservoir to return to flaccidity. The 3-piece penile prosthesis is ideal for patients who desire a natural feeling erection and provides better and natural erection from maleable and 2 piece prothesis.
  • Two-Piece Inflatable Penile Implant: With the two-piece implant, you simply squeeze and release the pump several times. Because the pump contains the fluid and pumped into the cylinders, it creates an erection that provides rigidity.
  • Semi Rigid (Malleable) A semi-rigid implant is a pliable rod, which remains always firm. The patient uses the device by bending the penis away from the body body for sexual activity and bending it back toward the body for concealment.

Which one is The Most Preferable Penile Implant

Inflatable implants provide a more natural feel but require good hand dexterity, while malleable ones suit those with dexterity issues or previous abdominal surgery. The choice depends on lifestyle, dexterity, and medical history, with 3-piece inflatable often preferred for higher satisfaction rate and are more comfortable and close to reality, and malleable for ease of use.


How does the Penile Implant Work?

Medical diagram illustrating how a three-piece inflatable penile implant works: top panel shows inflation process where squeezing pump transfers saline from reservoir into penile cylinders to achieve erection; bottom panel shows deflation process where pressing release button in scrotum drains saline back into reservoir, returning penis to flaccid state

An inflatable penile implant consists of three main components: two inflatable cylinders, a fluid reservoir, and a pump. During surgery, the Dot Clinics healthcare provider places the cylinders inside the penis. The reservoir, which contains sterile fluid, is positioned beneath the abdominal muscles. The pump is placed under the skin of the scrotum, between the testicles.

The cylinders are connected to the reservoir and pump through thin tubes. To achieve an erection, the patient presses the pump located in the scrotum. This action transfers fluid from the reservoir into the cylinders, creating an erection with the desired level of firmness. Pressing the pump does not place pressure on the testicles.

After sexual activity, the patient activates the release valve on the pump, allowing the fluid to flow back into the reservoir and the penis to return to a flaccid state.

A non-inflatable (malleable) penile implant consists of two firm but flexible silicone rods placed inside the penis. This type of implant does not require pumping. The penis can be manually positioned upward for sexual activity and downward for daily comfort. The firmness remains constant and does not change after orgasm.


What Is the Procedure of a Penile Implant Surgery?

Step-by-step penile implant procedure infographic showing: 1) Preparation with consultation, 2) Anesthesia administration, central anatomical diagram with incision locations and implant placement in pelvic area, 6) Closure with sutures, and 7) Recovery period of 4-6 weeks
  • Before penile implantation, you need an assessment appointment with our expert surgeon to analyze your fitness, screen for MRSA, and perform basic investigations. A penile prosthesis is recommended for patients who do not recover with other treatments.
  • A penile implant procedure involves the surgical placement of inflatable or malleable devices inside the penis to treat erectile dysfunction (ED). The surgery is usually performed under spinal or general anesthesia through a small incision. Depending on the implant type, the device may include cylinders, a pump, and a fluid reservoir. At Dot Clinics, we commonly prefer malleable implants, depending on your condition and budget.
  • The procedure is normally performed in the operating room under full general anesthesia, so you will be asleep throughout the surgery.
  • During the surgery, our urology specialist makes an incision at the junction of the penis and scrotum to insert the implant. The same incision is usually used to place the fluid reservoir. After the procedure, mild discomfort for a few days is normal, and painkillers are provided. Absorbable stitches are used and do not require removal.
  • A catheter may be placed in the bladder for 24 to 48 hours to assist with urination. Once the catheter is removed and you are urinating normally, you can go home. The average hospital stay is one day.
  • Our doctor will advise you not to inflate the prosthesis until your follow-up visit, usually three weeks after surgery. At that visit, you will receive complete instructions on how to inflate and deflate the device properly. Sexual activity should be avoided for at least six weeks after the procedure.
  • Most patients recover well after penile implant surgery. Temporary swelling or bruising is common and usually resolves within a few days. Infection or bleeding is rare (2–3%). Less common risks include numbness, implant-related issues, or injury to nearby organs. A follow-up visit is scheduled in 2–3 weeks. Contact Dot Clinics immediately if you experience unusual or urgent symptoms.

Who Is a Suitable Candidate for a Penile Implant?

causes of erectile dysfunction

A penile implant may be recommended for men who experience erectile dysfunction or related conditions that do not respond to conventional treatments. Suitable candidates may include individuals with the following conditions:

  • ✅ Men who are unable to achieve or maintain sufficient penile rigidity before or during sexual activity.
  • ✅ Patients diagnosed with Peyronie’s disease, where scar tissue causes curvature of the penis and interferes with sexual function.
  • ✅ Individuals for whom other erectile dysfunction treatments, such as oral medications or penile injections, have failed.
  • ✅ Men with underlying medical conditions, including diabetes or heart disease, that contribute to erectile dysfunction.
  • ✅ Patients with blood vessel (vascular) disease affecting penile blood flow.
  • ✅ Men seeking to restore or improve sexual activity and quality of life when medically appropriate.
  • ✅ Individuals with a history of pelvic, genital, or spinal cord injury resulting in erectile dysfunction.

Six circular icons showing benefits of penile implants: improved intimacy and relationship satisfaction, restored confidence and self-esteem, spontaneity and readiness anytime, effective and reliable ED solution, permanent treatment without pills or injections, and discreet design not visible externally, with text noting high patient satisfaction rates

What Are the Benefits of a Penile Implant?

  • Desired Fulfillment: Penile implants allow you to achieve and maintain an erection firm enough for sexual activity whenever and for as long as you want.
  • Safe Treatment: This is a well-established and safe surgical procedure with a low risk of complications and side effects.
  • High Satisfaction: More than 90% of patients report satisfaction with penile implants. At Dot Clinics, patient satisfaction rates reach up to 98% after implant surgery.
  • Durable Solution: Penile implants are reliable and long-lasting. Modern implants typically function effectively for up to 20 years.
  • Short-Time Procedure: The procedure is performed as an outpatient surgery and usually takes 1–2 hours, allowing most patients to return home the same day.

What Are the Risks After a Penile Implant?

Medical diagram showing anatomical cross-section of penile implant device with list of potential side effects

While penile implants are generally safe, like any surgery they carry some potential risks. These include:

  • Infection: Infection can occur with any surgical procedure. The risk is higher in patients with diabetes or spinal cord injuries.
  • Implant Problems: Modern penile implants are highly reliable and designed to fit each patient. Rarely, mechanical malfunction may occur. Replacement surgery can be performed if needed, but the implant remains in place if you choose not to have another surgery.
  • Internal Erosion: This complication is often linked with infection. The implant may adhere to the internal skin of the penis, which could require additional medical attention.
  • Urethral injury: Damage to the urethra (the tube that carries urine) may occur and can require surgical repair, which may delay implant placement.
  • Mechanical failure: Implant parts may malfunction over time and require replacement surgery.
  • Reduced blood flow to the glans: Decreased blood supply to the head of the penis may occur and could require implant removal.

Penile Implant Surgery Cost in Pakistan

The cost of penile implant surgery in pakistan starts from 1000,000 PKR to 1500,000 PKR, depending on several factors such as the type of implant used (malleable or inflatable), the surgeon’s experience, the hospital or clinic facilities, and the city where the procedure is performed. Some advanced inflatable implant options can reach higher costs above PKR 20,000,000+, especially for 3-piece implants.
Factors that affect the cost:

  • Type and brand of implant device used
  • Surgeon’s qualifications and experience
  • Clinic location and facility charges
  • Anesthesia fees
  • Pre-operative investigations and post-surgery care

At Dot Clinics, mealable penile implant cost sart from 1,000,000 PKR, and we offer the best treatment at affordable prices in Pakistan. This includes the implant device, professional surgeon’s fee, clinic charges, and fundamental aftercare.


Six circular icons showing benefits of penile implants: improved intimacy and relationship satisfaction, restored confidence and self-esteem, spontaneity and readiness anytime, effective and reliable ED solution, permanent treatment without pills or injections, and discreet design not visible externally, with text noting high patient satisfaction rates

Can penile implants make the penis hard and bigger?

Penile implants do not make your penis bigger than it was before surgery. Modern penile implants have cylinders that may slightly improve length, thickness, and firmness over time as you use the implant. But, the head of the penis (glans) does not become hard because the implant is not placed there. After getting a penile implant, you will always need the inflate your penis to get an erection. Medications for erectile dysfunction not work after penile implantation if your operation failed you need again penile prothesis.


Does the Penile Implant Feel the Same After Surgery?

When you inflate your penis, the prosthesis makes your penile thick and stiff like a natural erection. Many people feel more relaxed or better after this penile implant procedure. It doesn't change the sensation on the skin of your penis. It also does not affect the ejaculate and orgasm. It takes a few weeks or even a month to adjust to this sensation of having an implant. After this treatment, many people report high satisfaction once they fully recover.


What is the Recovery Time after a Penile Implant?

Healing times depend on people's health because everyone has their own unique body structure. Normally, pain, swelling, and discomfort. It should be overcome after a week. You may have affection for up to four weeks.
After surgery, patients are admitted to hospitals for 2-3 days. When patients feel better, they can leave the hospital with a proper urology prescription. After this surgery, you can go back to your work. If your work is on a desk or office work, you should take at least one week off from the office.

And if you are doing a more physical job, you should leave at least 2-4 weeks to recover before returning to your work. After 4 weeks of surgery, you can continue your sexual activity.


Dr. Ayesha Dermatologist

Why Trust Dot Clinics for Penile Implant Surgery?

You can consult at Dot Clinics, where modern facilities support safe and effective urological care. We offer advanced and innovative treatments for erectile dysfunction. Dot Clinics is led by experienced penile implant surgeon Dr. Faisal Ilyas, who performs this procedure with the support of skilled and trained technicians. The clinic maintains a neat, clean, and germ-free environment to ensure patient safety. If other treatments have not helped you achieve an erection required for sexual activity, penile implant surgery may be the best option. Visit Dot Clinics to discuss your concerns, our doctor will provide an effective and permanent solution for all types of erectile dysfunction.

  • Advanced medical technology
  • A certified and experienced medical team
  • Customized treatment plans
  • Affordable pricing and package options
  • Confidential and respectful consultations

✅To ensure the authenticity of medical information, the above content has been written by Dr. Amjad and verified by Dr. Faisal Ilyas a registered Urologist, sexologist, and Endoscopic Surgeon.

FAQ's

Penile implant depends on your need, but three-piece inflatable implants (AMS 700 or Titan) offer the most natural feel with excellent rigidity.

Penile implant typically lasts 10 to 15 years, with many modern devices averaging around 20years after penile implant.

Implementations may last 12 months or more, depending on your health and habits. For some men it is important to take a couple of maintenance sessions done once or twice a year in order to maintain results.

Possible Complications After Penile Implant Surgery

Although penile implant surgery is generally safe, patients should be aware of potential complications, including:

  • Infection: Can occur through surgical instruments or at the surgical site, potentially leading to sepsis or urinary tract infection (UTI).
  • Bleeding: Severe bleeding can occur, which in rare cases may lead to shock or life-threatening situations.
  • Blood Clots: Deep vein thrombosis (DVT), stroke, or pulmonary embolism (PE) are rare but possible risks.
  • Organ Failure: Heart, kidney, or respiratory failure may occur in extreme cases, usually related to underlying health conditions.
  • Pain: Patients may experience acute or chronic pain following surgery.
  • Shock: Severe drops in blood pressure can occur in rare situations.
  • Metabolic Imbalance: Conditions such as dehydration or potassium deficiency may arise during recovery.

To feel the sensation, reach an organ, and ejaculate mostly depends on the level and completeness of the injury.

To operate the penile implant, you squeeze the small pump located in the scrotum to inflate in, and press the valve to deflate it.

Penile implant successfully treating erectile dysfunction (ED), satisfaction rate both male and partners often exceeding 90-98%.

Recovery from the penile implant surgery normally involves discomfort, swelling, and pain for a few weeks, but is generally manageable with prescribed painkillers and following the doctor's orders.