I'm Dr. Sébastien Beley , a urologist and andrologist in Paris, and today I want to talk to you about an important topic for many men: how to regain a good glans erection when you have a penile implant . This issue is often misunderstood, but it significantly impacts the quality of sexual life and pleasure. In this article, I'll explain the mechanisms involved, the limitations of conventional penile implants, and, most importantly, how using Vitaros can provide an innovative and effective solution. 
Understanding glans erection with a penile implant
When men suffer from severe erectile dysfunction, penile implant surgery is often the recommended solution. This implant restores sufficient rigidity to the penis, particularly the corpora cavernosa, to allow for penetration. However, it's important to understand that the implant does not fully recreate a natural glans erection. While the corpora cavernosa regain their rigidity thanks to the implant, the glans, the tip of the penis, generally does not experience a true erection. In fact, in some men, not only is the erection of the corpora cavernosa lost, but also that of the glans. The implant stabilizes the glans, but it does not cause an increase in its volume or the swelling of its mucous membrane, which is characteristic of a natural erection.
Consequences of the absence of glans erection
This absence of glandular erection has several important consequences:
- Penile volume loss: On average, a reduction in penis length of one to one and a half centimeters is observed. This loss is linked to the absence of glans turgidity.
- Loss of sensation: The corona of the glans is a very sensitive area, rich in tactile receptors. When this area is not swollen, there is a noticeable decrease in sensitivity, leading to a loss of pleasure during sexual intercourse.
In summary, even if the penile implant restores the mechanical function of erection, it does not guarantee a complete restoration of sexual pleasure, particularly because of the absence of erection of the glans.
The role of Vitaros in improving glans erection
To overcome this limitation, I suggest that affected patients try Vitaros . This medication is a prostaglandin in gel form that is instilled directly into the urethra. A small drop is enough to cause, in some men, penile swelling, that is, an increase in arterial blood flow to the area, thus generating a true erection of the glans.
How does Vitaros work?
Vitaros gel works locally by dilating the blood vessels in the glans penis through a pharmacological action. Injected into the urethra, it diffuses into the corpus spongiosum and induces a glandular erection. This action complements the mechanical erection achieved with the penile implant, thus allowing for a more complete and natural restoration of glans erection. It is important to note that Vitaros does not work for all men. Its effectiveness depends, in particular, on the permeability of the urethra.
- In some men, the urethral canal is very tight, which prevents the gel from spreading to the glans and the corpus spongiosum.
- In others, the diffusion is sufficient to cause effective swelling of the glans.
Unfortunately, there is no preliminary test that can reliably predict whether Vitaros will be effective . The only way to know is to undergo a trial under medical supervision.
Practical tips for using Vitaros
To maximize your chances of success with Vitaros , here are some practical tips I recommend:
- Storage: Keep the Vitaros tube in the refrigerator after purchase from the pharmacy.
- Warming: Before use, warm the gel by rubbing it between your hands or keeping it in your trouser pocket for a few minutes. This liquefies the gel and makes it easier to apply.
- Instillation: Instill a small drop into the urethra at the last moment, just before sexual activity.
- Patience: Wait a few minutes for the gel to diffuse and cause a glandular erection.
If you are a man with a penile implant and you experience a lack of glans filling despite a good erection, I strongly encourage you to try Vitaros. This treatment can significantly improve the quality of your erection and your sensory experience.
Why is glandular erection so important?
One might think that the penile rigidity achieved with an implant is sufficient for satisfying sexuality. However, the quality of an erection depends not only on mechanical rigidity, but also on the sensitivity and pleasure experienced, which largely originate in the glans. The corona of the glans is a key area for male sexual pleasure. It contains a high concentration of sensory nerve endings. During a natural erection, this area swells and becomes more sensitive, increasing stimulation and pleasure. Without this glandular engorgement, sensation is diminished, which can impair sexual satisfaction and self-confidence. By restoring glandular erection, Vitaros therefore provides a sensory dimension often lost in men with penile implants.
Who can benefit from this approach?
This solution is primarily aimed at men who:
- They underwent penile implant surgery to treat severe erectile dysfunction.
- They observe a good mechanical erection thanks to the implant, but an absence or defect in filling of the glans.
- They wish to improve their sensitivity and the quality of their erection in order to regain satisfying sexual pleasure.
If you recognize yourself in this situation, don't hesitate to consult a specialist urologist . Trying Vitaros could be a key step in improving your sex life.
Precautions and limitations of treatment
Like all medications, Vitaros has precautions for use:
- It may not work in some men due to urethral impermeability.
- The gel should be used according to medical recommendations to avoid any adverse effects.
- It does not replace ongoing treatment or medical advice for erectile dysfunction.
It is therefore essential to discuss this with your doctor before starting this treatment and to follow their advice for safe and effective use.
Conclusion: Towards a complete restoration of erection with penile implant and Vitaros
Penile implant surgery is a major advancement for men suffering from severe erectile dysfunction. It restores the penis's mechanical function and allows for an active sex life. However, the absence of glandular erection remains a significant limitation that can affect satisfaction and pleasure. Vitaros offers a valuable complementary solution. By promoting glans engorgement, this injectable gel, administered via the urethra, complements the implant's action, resulting in a more natural, fuller, and more pleasurable erection. If you are affected by this issue, I encourage you to consider this treatment and discuss it with your urologist. Remember that sexual health is a fundamental aspect of well-being, and solutions exist for every situation. Finally, take care of your sexual health and don't hesitate to seek information and support from qualified professionals.