Loss of sensitivity after penile prosthesis implantation is not common, because the implant is placed inside the corpora cavernosa. Glans sensitivity is mainly related to the neurovascular bundle, which runs along the dorsal aspect of the penis and, when respected during the procedure, tends to remain preserved.
Men who are candidates for a prosthesis often wonder what their sex life will be like after the procedure.
In some cases, men with a penile prosthesis report preservation of sexual pleasure perception, as long as there is adequate stimulation and an individual adaptation process to the implant.
Does penile sensitivity change after a penile prosthesis?
In general, penile sensitivity is usually preserved after a penile prosthesis when nerves are properly respected during the procedure, although responses vary from patient to patient.
Dr. Paulo Egydio has extensive experience in penile reconstructive surgery and developed a technique based on geometric principles applied to the tunica albuginea.
The Egydio Technique aims to optimize the distribution of elasticity in penile tissues, respecting individual anatomical and neurovascular limits.
Based on clinical experience, satisfaction after penile prosthesis implantation is often high, although it may vary according to clinical and emotional factors and each patient’s adaptation process to the device.
In selected cases, combining the approach with expansion techniques may influence perceived satisfaction, depending on clinical characteristics and each patient’s individual response.
Related: What to know before getting a penile prosthesis
So, do men with a penile prosthesis feel pleasure?
A penile prosthesis does not directly interfere with pleasure, because sensation depends on stimulation.
The goal of the prosthesis is to restore penile rigidity in cases of severe erectile dysfunction or pronounced curvature.
In addition, when the procedure is performed by an experienced surgeon using an appropriate technique, nerves and blood vessels are preserved, which may contribute to sexual satisfaction with a penile prosthesis.
Orgasm and ejaculation with a penile prosthesis
An orgasm with a penile prosthesis also requires arousal, just as it does in men without an implant.
Arousal is a brain response to sexual stimuli, which may be visual, tactile, or even memories of pleasurable experiences.
The prosthesis provides penile rigidity, but it does not change the neurological processes involved in pleasure and orgasm.
What may happen during the first sexual experiences after the prosthesis is difficulty reaching orgasm due to anxiety or insecurity.
Over time and with the adaptation process, many patients report improved confidence and sexual response, although this evolution may vary.
Ejaculation after a penile prosthesis depends on the patient’s prior clinical condition.
If the man has not undergone a radical prostatectomy, ejaculation generally remains normal, because removing the prostate does not change semen production or release.
On the other hand, men who have had the prostate removed no longer ejaculate, because the seminal vesicles are also removed and they are responsible for producing seminal fluid.
Related: Which penile prosthesis would Dr. Paulo Egydio choose?
Dr. Paulo Egydio is a penile prosthesis specialist
A penile prosthesis can help restore penile rigidity in severe cases of erectile dysfunction and curvature.
If you are experiencing difficulty with penetration, fill out the pre-assessment form to schedule an appointment with Dr. Paulo Egydio.
The specialist has performed more than 6,000 penile implant surgeries, and this experience contributes to procedural safety and technically appropriate decision-making, always respecting the particularities of each case.
