There are many possible causes of impotence, the inability to achieve or
maintain an erection. When factors like complications from medication, psychological
conditions, and drug use have been eliminated, and treatments such as
medication, vacuum devices and hormone therapy are ineffective, a doctor may
suggest a penile (PEE-nile) implant. The two major types of implants
are malleable, (MAL-ee-uh-bul) and inflatable. Malleable implants are
semi-flexible rods which are surgically inserted into the penis. This type
of implant leaves the penis in a partially erect state, and allows it to be
adjusted to different positions. The width and length of the penis
remain the same. Inflatable implants are cylinder-like devices,
connected to a fluid reservoir placed just above the bladder with a pump
in the scrotum. When the pump is pressed, the fluid inflates the implant, causing
an erection. With inflatable implants, the penis appears more natural
when at rest, and width or length may be slightly increased. Both
procedures are performed in a hospital, and require an average stay of
three to seven days. Possible complications include rejection of the
implant, infection, damage to the urethra, and mechanical failure.
Overall, however, the procedure is considered relatively safe. To find
out more about penile implants, consult a urologist.