Egydio Institute
Men’s Sexual Health
Science, Health, and Innovation

Anal Sex With Penile Prosthesis: Is it Possible?

BY DR. PAULO EGYDIO · CRM-SP 67.482 · RQE 19514

Practicing anal sex with penile prosthesis may be the desire of many men who, for some time, have had difficulty during intimate moments due to lack of rigidity or deformity in the member.

With the placement of the prosthesis, they will have a penis rigid enough to perform penetration. Therefore, it will be possible to enjoy a normal sex life.

Characteristics of Penile Prosthesis

Penile prostheses are devices designed to treat erectile dysfunction after a surgical procedure.

They can also assist in cases of a penis that, in addition to erectile dysfunction, show symptoms such as penile curvature due to fibrosis.

There are different models of prostheses. The most common are malleable and inflatable ones.

By activating them, putting them in an erect position, a man can have sexual intercourse. The penis remains erect even after ejaculation.

At other times, the prosthesis is discreet and gives a natural appearance to the intimate area. To do this, just position it or deflate it.

What is the best prosthesis for anal sex?

Anal sex requires a prosthesis that gives the penis good vertical resistance, as the area presents penetrative resistance.

Certain brands, models, and calibers offer different firmness. In the case of the inflatable option, the reconstruction of tissues is fundamental to increase the caliber and create space so that the cylinder can fully inflate – which will provide greater vertical resistance.

Tips for Anal Sex with Penile Prosthesis

Practicing anal sex can be a pleasurable experience for some partners, whether because the anus is a narrow region that provides more pressure on the penis, for the sensation of dominance, or for a predilection for buttocks.

It is important that this practice is carried out with sensitivity and that there is open communication between partners, especially when the man has a penile implant.

Lubrication

Lubrication makes a difference for any sexual practice. In the case of anal sex, using a lubricant is essential, as the anus does not produce its own lubrication.

When the area is “wet,” the penis penetrates with less friction. Besides being more pleasurable, this avoids the risk of prosthesis fracture. Therefore, lubricate the tip of the penis.

Preparation and Hygiene

It’s common for some “accidents” to happen during anal sex, and this should be faced naturally.

However, it’s possible to avoid them.

It’s ideal not to engage in the act after meals or when feeling the need to use the bathroom. Additionally, you can take a shower before the intimate moment.

Foreplay

Foreplay is even more important in anal sex with an implant!

It is during this time that the sphincter muscles relax. Besides being crucial for a more comfortable experience, the relaxation of the opening will facilitate the penis’s entry – especially if lubrication is present – preventing damage to the prosthesis.

Gradually

The gradual insertion of the penis into the relaxed anus is very important for the partner to get accustomed to the sensation, even if they are experienced in the practice.

Sex can start with fingers or a sex toy before progressing to penetration. This gradual insertion will aid in adaptation.

Best Positions

The best position is always the one that is most comfortable for the couple. It’s very important that the partners find the one that works best at the moment.

However, good options to start with are the spoon and lotus, which allow for gradual insertion of the member. This helps to avoid trauma and negative experiences, especially in the first instances of practicing anal sex with a penile prosthesis.

Anal Sex with Penile Prosthesis: Happy woman making an OK sign with her hand and smiling on a beige background. The female person joins the thumb and forefinger in a ring, showing satisfaction and representing an anus with her hands.

Risks of Anal Sex with Penile Prosthesis

The anal region naturally has many bacteria that live in the intestine environment.

These microorganisms can cause infections in the urethra – urethritis. The problem can affect the implant area – causing pain and being complicated to treat. Moreover, if not promptly cared for, it can evolve and reach the prostate and testicles. Therefore, protection with a condom is essential.

The use of condoms also prevents so-called STIs – sexually transmitted infections -, such as syphilis, HPV, and AIDS.

Moreover, it is worth remembering that the anal sphincter is a very powerful muscle. When the penis is not introduced gradually, there is a risk of the muscle closing with enough force to damage the prosthesis.

Thus, investing in foreplay, comfortable positions, and careful insertion of the penis are ways to make the area more receptive and avoid the risk of damage during anal sex with the prosthesis.

Intimacy and Trust in Anal Sex

Practicing anal sex is not a unanimous preference among men. Some may feel discomfort, disinterest, or even aversion to the act – and in the female universe, these taboos are even more common.

Along with this factor, there is the issue of the penile prosthesis. Many men who have it may have gone through negative experiences at the moment and are still getting used to being sexually active again, which generates certain insecurities.

Therefore, having intimacy and trust with your partner will make a difference in practicing anal sex with the prosthesis.

If the couple does not like it or still does not feel comfortable with the act, leave the pressure aside. There are many ways to explore sexuality and enjoy intimate moments.

If you need guidance to resume your sex life, do not hesitate to seek help. We are at your disposal!

Read also

IN THIS ARTICLE
    PRELIMINARY ASSESSMENT

    Receive initial guidance from Dr. Paulo Egydio within 24 hours.

    SHARE
    ABOUT THE AUTHOR

    Dr. Paulo Egydio

    Medical Director and Urologist at Egydio Medical Center. CRM-SP 67.482 · RQE 19514. Creator of the Egydio Technique, described in leading international urological guidelines.

    NEXT STEPS

    Still have questions about your case?

    All treatment recommendations require an individual assessment. Contact the Egydio Medical Center team to discuss the next steps for your case.
    ALSO READ

    More articles about Penile Prosthesis

    Content on the same topic, reviewed by Dr. Paulo Egydio.
    NEWSLETTER

    Stay up to date with the latest urology news and updates from Egydio Medical Center!

    Get answers to your questions and explore videos, articles, and more on Dr. Paulo Egydio’s blog.

    Don’t miss an update! Subscribe to our newsletter and stay informed about the latest in men’s health.