the definitive solution to erectile dysfunction!
One of the most significant quality of life improving interventions in the Urology Department of the Gotthegy Private Clinic is the penile implantation, which will be available in our clinic in collaboration with the Menopause & Andropause Outpatient Clinic from April 2026. This solution offers a permanent and reliable help for men for whom drug therapy, injectables or vacuum devices for erectile dysfunction have not been effective. This branch of modern urology now offers a technology that is discreet, natural and has very high patient satisfaction rates.
A penile implant, also known as a penile prosthesis, is a surgically implanted device that allows you to achieve an erection immediately and for any length of time. It is important to emphasise that this intervention is usually the „last stage” in the therapeutic palette, i.e. it is used when all other conservative methods have failed. The implant does not affect urination, sex drive or the ability to have an orgasm, and is intended solely to provide the mechanical rigidity needed for intercourse.
In clinical practice, two main types are distinguished, which are always selected according to the individual needs and anatomical characteristics of the patient. The most popular and most natural solution is the inflatable (hydraulic) implant, which consists of a small pump in the scrotum, cylinders in the penis and a fluid reservoir. Their use is very discreet: by pressing the pump, the fluid flows into the cylinders, creating an erection, and after the act, a valve allows the fluid to be returned to the reservoir, so that the penis regains its flaccid state.
The other type is the flexible (semi-rigid) implant. This consists of two flexible but strong rods that the surgeon inserts into the cavernous bodies. In this case, there is no need for pumping, the patient simply folds the penis into the desired position before the act and then folds it back against his body afterwards. Although this type is mechanically simpler and therefore less prone to error and more affordable, it is less aesthetically discreet, as a certain degree of penile rigidity remains constant.
The operation is usually performed under general anaesthesia or spinal anaesthesia and takes about an hour. The surgeon inserts the implant through a small incision. Thanks to modern surgical techniques and hidden localisation, the incision site will be virtually invisible after healing. Most patients spend one night in the clinic and then continue their recovery at home.
The full healing process and tissue regeneration usually takes four to six weeks. Heavy physical work and intense sports should be avoided during this period. Sexual activity and the use of implants are only recommended after a check-up with a specialist and after the wound has fully healed. Patient feedback suggests that the use of the device can be learned quickly and brings significant improvements in self-esteem and relationship harmony.
Modern, three-piece inflatable implants remain completely hidden inside the body. Even on the beach or in the changing room, the presence of the device is not noticeable, as all parts are positioned under the skin in the scrotum and in the cavernous bodies of the penis. The flaccid state and the erection also feel natural.
In contrast, with semirigid implants, the permanent stiffness and larger size of the penis is definitely noticeable on the beach, in a swimsuit or tight trousers. As such, it is a less comfortable solution.
The implant does not affect the sensitivity of the penis or the ability to reach orgasm. As the device is placed inside the cavernous bodies, the nerve endings of the skin remain intact. Most men report the same intensity of pleasure as before the onset of erectile dysfunction, and the removal of anxiety often even improves the experience.
Hydraulic penis implant in inflated state.
Source: patients.uroweb
The implant does not affect the sensitivity of the penis or the ability to reach orgasm. As the device is placed inside the cavernous bodies, the nerve endings of the skin remain intact. Most men report the same intensity of pleasure as before the onset of erectile dysfunction, and the removal of anxiety often even improves the experience.
Today's modern devices are designed for long-term use, up to 15-20 years. Although, as with any mechanical device, failure or leakage can occur, statistics to date show that the vast majority of prostheses implanted have performed flawlessly over the long term. If a problem does occur, the implant can be replaced with another operation.
Most partners do not notice the presence of an implant unless they are aware of it. The feel of the penis remains natural and the stiffness is reliable. In fact, many partners see the change as a positive one, as the duration of the act is no longer dependent on spontaneous erectile dysfunction, giving both partners greater confidence
Yes, you can return to sports and gym workouts after having a penile implant, but you need to give your body time to heal properly first. Your doctor will determine exactly when you can start exercising again, which is usually 4-6 weeks after surgery. During this critical recovery phase, it is essential to avoid lifting heavy weights and any intense forms of exercise that may strain or stretch the affected area.
During recovery, it is also advisable to avoid swimming, taking a bath or using a hot tub, as these activities can increase the risk of infection. Once your recovery is complete and approved by your doctor, you can return to your regular exercise routine. Please always listen to your body's signals and consult your doctor immediately if you have any concerns or complaints about exercise.
