Penile implant surgery is a common surgical solution for treating severe erectile dysfunction. As a urologist and andrologist, I’ve observed that this procedure raises a frequent question among patients: does penile implant surgery lead to a loss of penile volume? Is it possible to maintain a good penis size? This article aims to shed light on this topic, explain the underlying mechanisms, and offer advice on how to optimize the results of the surgery.
Understanding severe erectile dysfunction and its impact on penis size
Patients who undergo penile implant surgery generally suffer from severe, often long-standing erectile dysfunction. This condition is associated with a progressive reduction in the ability of the cavernous tissues responsible for erection to expand. Over time, these tissues retract, which can lead to a visible loss of volume in the penis.
Several medical factors can aggravate this retraction:
- Cardiovascular disease: obstruction of the arteries supplying the penis reduces blood flow, which in turn reduces the size and quality of the erection.
- Diabetes complicated by neuropathy: This disorder can alter tissue trophicity, that is, their ability to nourish themselves and maintain good health, which also affects penis size.
In short, when a patient undergoes penile implant surgery, the penis has often already lost volume due to the underlying disease and the prolonged absence of functional erections.
Penile implant surgery: a procedure that does not reduce penis size
Contrary to popular belief, penile implant surgery does not cause any additional loss of volume. In fact, during the procedure, the corpora cavernosa are measured at their maximum extension to determine the optimal size of the cylinders to be implanted.
The goal is to place an implant that corresponds exactly to the measured length, or even slightly longer if the tissues are sufficiently flexible. This precision is particularly achievable with hydraulic implants, which offer greater adaptability.
In other words, the operation aims to restore the maximum possible length of the penis, taking into account the patient’s current anatomical situation. It therefore does not contribute to a further reduction in size, but rather seeks to preserve or optimize existing length.
The role of the glans in size perception
Another important aspect often overlooked is the loss of glans volume during arousal, which frequently accompanies severe erectile dysfunction. The glans, which normally swells and increases in volume with erection, may no longer dilate properly.
This lack of volumetric enlargement of the glans translates into a perceived loss of 1 to 2 centimetres in total length of the penis, which can reinforce the sensation of reduced size.
Why consult a specialist early for a penile implant?
One of the key messages I wish to convey is the importance of early consultation with a urologist when a loss of effectiveness is observed with conventional treatments for erectile dysfunction, whether oral tablets or intracavernosal injections.
If you find that these treatments no longer produce a functional erection, or produce an erection that is difficult to use, it’s vital to discuss the possibility of a penile implant as soon as possible.
The earlier the operation is performed, the less the penis will retract, and therefore the better the post-operative satisfaction. In fact, a less retracted penis offers greater potential for implantation and restoration of length.
The benefits of a suitable penile implant
The hydraulic penile implant is today’s benchmark technology. It enables patients to regain a firm, natural erection on command, thus improving the quality of their sexual life. By choosing an implant that matches the measured length of the corpora cavernosa, the chances of maintaining a satisfactory size are maximized.
Beyond functional restoration, preserving penis size is a key factor for the psychological well-being and self-confidence of operated patients.
Tips for preparing for the operation
- Consult a specialized urologist: A complete work-up will enable you to assess the condition of the tissues and discuss treatment options.
- Act quickly: Don’t delay in considering implantation if medical treatments no longer work.
- Learn more about implant types: Hydraulic implants are often preferred for their performance and comfort.
- Follow post-operative advice: Rehabilitation and medical follow-up are essential to optimize results.
Conclusion: don’t let severe erectile dysfunction affect your quality of life
Penile implant surgery should not be feared due to an unfounded concern about size reduction. On the contrary, this procedure represents an effective solution for restoring a functional erection and preserving penile length, provided it is performed promptly.
If you experience a decrease in the effectiveness of erectile dysfunction treatments, don’t hesitate to consult a urologist to discuss this option. The earlier the implant is inserted, the better the chances of maintaining a healthy penis size and a fulfilling sex life.
I remain at your disposal for any questions or consultations you may have, as each patient deserves personalized care tailored to his or her needs.
