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Opinions from Penile Prosthesis Users and Life After Surgery

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

The opinion of those who use a penile prosthesis is usually quite positive, because many patients report an improvement in penile rigidity and in the quality of sexual relations. As a result, many report a significant improvement in self‑esteem, reflected in intimacy and in other areas of life. Learn more.

Understanding how a penile prosthesis works is essential, but listening to reports from those who have had a penile prosthesis placed is just as important. These statements help to see more clearly the emotional and sexual changes after the implant.

If you are about to undergo the procedure, take this opportunity to get to know the experiences of men who already live with the prosthesis.

What is it like to have a penile prosthesis?

After adaptation, patients usually report that they are able to resume everyday activities and intimate relations with more confidence.

There is an adaptation period for the tissues around the implant to adjust. Over time, the body tends to adapt to the implant, making its presence more comfortable in daily life.

This adaptation of the malleability of the tissues around the cylinder occurs because, in surgery, the implant was placed according to the size limit of the penis.

It can take up to a year after the procedure for this adaptation to consolidate. However, some patients adapt more quickly and in a short time are already accustomed to the positioning of the penis.

To make this process as quick as possible, the ideal is to prefer wearing tight underwear, which makes it easier to accommodate the member. In addition, avoid sea or pool water until the scar closes completely – which takes about one month.

Indeed, one of the reports from patients with a penile prosthesis is about the volume that the prosthesis gives to the penis. Some feel satisfied when the member shows through briefs or swimwear, while others avoid this type of clothing in public because they do not like when the penis is outlined – however, this usually improves as the implant loosens.

Before and after the penile prosthesis: what really changes?

There is a lot of research on the before and after the penile prosthesis. These scientific studies are important so that the population can know the good results of the penile implant, because the medical code of ethics prevents the disclosure of patient images and testimonials.

A master’s thesis produced in Portugal in 2024 analyzed 18 men who received a penile prosthesis at the Coimbra University Hospital Center between January 2020 and December 2023. Data were collected through a telephone questionnaire to evaluate the experience with the penile prosthesis.

Of the 18 men evaluated, 15 reported being satisfied, highlighting that the device never failed during sexual intercourse and that, if they had to decide again, they would choose to place the prosthesis. The answers also indicated significant improvements in self‑esteem, sexual desire and perception of the implant’s effectiveness over time.

An interesting fact is that many participants stated that the self‑confidence acquired with the implant improved the relationship with their partner. This reinforces that the benefits of the penile prosthesis go beyond sexual function, positively impacting various aspects of life, since the perception of virility plays an important role in building male identity.

What is recovery like with a penile prosthesis? 

Hearing testimonials about the penile prosthesis is a valuable tool for understanding what the postoperative period is like. Reports from those who have already undergone the surgery help to clarify doubts and reduce insecurities about recovery.

After surgery, the patient must follow a series of care measures to ensure good healing and achieve the expected results.

The postoperative period begins with a consultation on the same day of the procedure. In this first evaluation, the doctor checks the patient’s general condition and provides guidance on recovery and the gradual return to daily activities.

For those who received the inflatable prosthesis, the return consultation takes place 28 days after surgery, in order to guide the correct use of the implant.

Regarding wound care, the recommendation is to keep the penis with the initial dressing for five days. After that, it should be changed daily for another five days, always taking care to keep the area clean and dry.

Returning to work can occur between 7 and 10 days, provided there is no physical effort. Physical exercises are usually allowed after 30 days. The return to sexual relations is usually authorized between 45 and 60 days, depending on the progress of each patient.

Is the prosthesis noticeable?

Many men have questions such as “Do people notice that I have one?” and “Is it visible during intercourse?” To clarify these issues, it is necessary to understand the types of prosthesis available.

The malleable prosthesis keeps the penis in a semi‑rigid position all the time, but it can be accommodated against the body, near the groin or downwards, making the prosthesis go unnoticed under clothing. At the time of intercourse, just position it properly and then return it to the original position.

The inflatable prosthesis gives a more natural appearance, similar to a penis without a prosthesis. Rigidity is achieved by inflating the pump that is part of the prosthesis mechanism. To return to the natural state, just deflate the pump.

Clear your doubts with Dr. Paulo Egydio (conclusion)

Dr. Paulo Egydio has 25 years of experience with penile prostheses, with more than 6 000 surgeries performed over his career. With a consolidated trajectory in the area, Dr. Paulo Egydio works in penile implants and reconstructions, always prioritizing patient safety and treatment individualization.

Fill out our pre‑analysis form to receive Dr. Paulo’s first impressions by e‑mail within 24 hours.

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Written by

Dr. Paulo Egydio

Urologist · CRM-SP 67.482 · RQE 19514

Disclaimer: this article is for educational purposes only and does not replace a medical consultation. To evaluate your case, consult a specialist.

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    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.

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