{"id":10411,"date":"2026-07-28T20:00:00","date_gmt":"2026-07-28T13:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=10411"},"modified":"2026-08-15T04:38:39","modified_gmt":"2026-08-14T21:38:39","slug":"%e0%a6%aa%e0%a7%81%e0%a6%a8%e0%a6%b0%e0%a6%be%e0%a6%af%e0%a6%bc-%e0%a6%95%e0%a6%b0%e0%a6%be%e0%a6%b0-%e0%a6%95%e0%a6%b2%e0%a6%be%e0%a6%95%e0%a7%8c%e0%a6%b6%e0%a6%b2-%e0%a6%aa%e0%a7%87%e0%a6%a8","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/bn\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/","title":{"rendered":"\u09aa\u09c1\u09a8\u09b0\u09be\u09af\u09bc \u0995\u09b0\u09be\u09b0 \u09b6\u09bf\u09b2\u09cd\u09aa: \u09aa\u09c7\u09a8\u09be\u0987\u09b2 \u0987\u09ae\u09aa\u09cd\u09b2\u09be\u09a8\u09cd\u099f \u09b0\u09bf\u09ad\u09bf\u09b6\u09a8 \u09b8\u09be\u09b0\u09cd\u099c\u09be\u09b0\u09bf \u09ac\u09cb\u099d\u09be"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-e269d6e6 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, 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aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"600\" data-attachment-id=\"10630\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/the-art-of-the-redo_-penile-implant-revision\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?fit=800%2C600&amp;ssl=1\" data-orig-size=\"800,600\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"The Art of the Redo_ Penile Implant Revision\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?fit=800%2C600&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?resize=800%2C600&#038;ssl=1\" alt=\"Infographic on penile implant revision surgery \u2014 the art of the redo, when and why a penile prosthesis is replaced or revised\" class=\"wp-image-10630\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/The-Art-of-the-Redo_-Penile-Implant-Revision.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The art of the redo: when and why a penile implant is revised, and how skilled surgeons restore it.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A penile implant is one of the greatest quality-of-life advances in men&#8217;s health, with high satisfaction rates. But like any device placed inside the body, it can shift, malfunction or run into trouble years down the road. When that happens, fixing it is its own discipline \u2014 it takes a surgeon who is part mechanic and part detective.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the <strong>American Urological Association (AUA) 2026 meeting<\/strong> in Washington, DC, while shadowing <strong>Professor Mohit Khera<\/strong> \u2014 a global leader in men&#8217;s health \u2014 I sat in on one of the most practical sessions of the conference: a panel of six experienced surgeons discussing what happens when a penile implant needs a redo. Here are the most useful lessons from it, in plain English \u2014 including the ones that are less comfortable than the case stories.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"10854\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/penile-implant-revision-surgery-operating-room-team\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"penile-implant-revision-surgery-operating-room-team\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Revision (redo) implant surgery demands an experienced, high-volume surgical team.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Surgical team performing an operation in a sterile operating room, illustrating the specialized teamwork behind penile implant revision surgery\" class=\"wp-image-10854\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/penile-implant-revision-surgery-operating-room-team.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Revision (redo) implant surgery demands an experienced, high-volume surgical team.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">First, Why Would an Implant Ever Need Revision?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A standard <a href=\"https:\/\/drsoaraweeurology.com\/services\/penile-prosthesis-bangkok\/\">penile implant<\/a> has three hidden parts: two cylinders inside the penis, a small pump in the scrotum, and a fluid reservoir tucked deep in the pelvis. Most implants work well for many years. But a part can wear out, a component can shift position, or the surrounding tissue can change \u2014 and that is when a revision may be needed. Many of these problems can be corrected. Not all of them, and the honest version of that sentence comes later on this page.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lesson 1: The Mystery of the Wandering Reservoir<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One memorable case involved a man who suddenly noticed a painless bulge in his scrotum, and his previously well-functioning implant stopped working. During surgery the team found a surprise: an old, abandoned reservoir from a previous implant had drifted down into the scrotum.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here is the background. In the past, when an old implant failed, some surgeons would leave the old reservoir in place rather than dig it out of scar tissue, and put a new one elsewhere. Usually these abandoned parts stay put. But sometimes \u2014 after heavy coughing, straining or lifting \u2014 they slip out of position and migrate. The lesson the panel emphasised: you cannot simply push it back. The surgeon must identify which part belongs to the working device, remove the leftover hardware, and secure the functional reservoir in a stable new position.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lesson 2: Operating on Scar Tissue Is a Different Game<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every time a surgeon operates, the body forms scar tissue around the implant. In a man who has never had surgery before, the tissue is soft and predictable. In a revision it is thick, stiff and far less forgiving.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This changes everything. The tougher, less elastic tissue means incisions must be closed with especially careful stitching so the device stays securely in place. And because scarred tissue heals more slowly, men having a revision are usually asked to wait longer before using the device for the first time than a first-time patient would.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lesson 3: Sometimes the Device Is Fine<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Not every complaint means a broken device. One insightful case involved a man a few months after a technically perfect implant operation. The device was symmetric, well-positioned, and inflated and deflated flawlessly in the clinic \u2014 yet he was distressed, struggling to achieve a firm enough erection for intimacy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The culprit was <strong>under-inflation<\/strong>. Many men, afraid of hurting themselves or damaging the device, do not pump it firmly enough. They squeeze three or four times, feel some resistance, and assume that is as hard as it gets. A modern implant can safely take considerably more, and reaching full rigidity often takes many more squeezes than people expect.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Two important limits on that advice, because it is the part of this article most likely to be acted on at home.<\/strong> First, it applies only after the activation visit, once you have been taught to use the device \u2014 usually four to six weeks after surgery. Using the pump before then risks damaging or displacing the implant. Second, <strong>pumping should not hurt<\/strong>. Pain on inflation, a device that will not inflate, or new asymmetry appearing as it fills are reasons to stop and be examined, not reasons to push harder. Forcing a device that has a mechanical problem is how a small problem becomes a bigger one.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">With those caveats, the panel suggested a simple, non-surgical checklist before anyone considers a redo:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>An in-office demonstration:<\/strong> The doctor watches the patient use the device and counts the squeezes with him, often showing that it can be pumped considerably further than he realised. That moment is very common.<\/li>\n\n\n\n<li><strong>Looking at the anatomy:<\/strong> Fat over the pubic area can drape across the base of the penis and conceal part of the shaft, shortening its usable length even when the implant is fully firm. Weight loss can help here; so, sometimes, can a minor procedure.<\/li>\n\n\n\n<li><strong>Practical advice on positions:<\/strong> Where anatomy is the issue, this alone can solve the problem without any surgery.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"10852\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/mens-health-consultation-penile-implant-bangkok\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"mens-health-consultation-penile-implant-bangkok\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Many implant concerns are solved in the office \u2014 no surgery needed.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Doctor in consultation with a male patient in a clinic office, representing a men's health check for penile implant function\" class=\"wp-image-10852\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mens-health-consultation-penile-implant-bangkok.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Many implant concerns are solved in the office \u2014 no surgery needed.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Lesson 4: When a Cylinder Drifts Out of Place<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The cylinders are meant to rest neatly under the head of the penis. Occasionally a cylinder tip drifts to the side or pushes inward, causing visible asymmetry or deformity. Even without pain this usually needs correction, because uneven pressure can eventually cause discomfort or tissue problems.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A useful pearl came from a senior surgeon in the audience, with one rule: <strong>get an MRI before revision surgery for a misplaced cylinder.<\/strong> Inside a scarred, previously operated penis you cannot rely on touch alone. An MRI shows where the old cylinder travelled, where the true chamber lies, and where healthy tissue ends. Going in with a map beats going in blind.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Worth knowing, since it worries people: <strong>having a penile implant does not prevent you from having an MRI.<\/strong> These devices are compatible with MRI scanning. What matters is that you tell the radiographer and the radiologist that you have one, before the scan \u2014 which is the same rule that applies before any operation, any X-ray, and any attempt to pass a urinary catheter. Keep the device identification card you were given, and show it.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"10853\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/mri-scan-before-penile-implant-revision-surgery\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"mri-scan-before-penile-implant-revision-surgery\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;An MRI gives the surgeon a high-resolution road map before revising a misplaced cylinder.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?resize=800%2C533&#038;ssl=1\" alt=\"MRI scanner in a hospital radiology room, representing the pre-operative imaging used to map anatomy before penile implant revision surgery\" class=\"wp-image-10853\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/mri-scan-before-penile-implant-revision-surgery.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">An MRI gives the surgeon a high-resolution road map before revising a misplaced cylinder.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">When a cylinder needs repositioning, surgeons can rebuild and reinforce the chamber, and anchor the cylinder tip so it does not slip again. The panel debated which device handles these repairs best when the tissue is weakened \u2014 a reminder that experienced surgeons weigh these details case by case rather than by brand loyalty. <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/14\/penile-implants-in-2026-how-they-work-and-how-to-choose-the-right-one\/\">How the devices differ<\/a> is covered separately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lesson 5: The Most Complex Cases Need a Whole Team<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The final case was a real test: a man with a complicated medical history including organ transplants, who had suffered a serious injury and significant deformity of a previous implant. His situation showed that revision surgery is never just about the penis \u2014 it is about the whole person.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because he was on lifelong anti-rejection medication that impairs healing and raises infection risk, the surgeon&#8217;s first step was not picking up a scalpel but picking up the phone to the transplant team. The panel was emphatic: in a high-risk patient you work alongside the other specialists, timing and adjusting medication to give the body its best chance. <strong>If the transplant team is not comfortable, the surgery waits.<\/strong> The same principle applies to a man on anticoagulation, which is covered in <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/\">penile implants and blood thinners<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Revision Costs You That the First Operation Did Not<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Case stories are encouraging, and encouragement without the other half is not much use to a man deciding what to do. Three things are true about a redo that are not true about a first implant.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The infection risk is higher.<\/strong> Revision surgery carries a greater risk of device infection than the original operation, and infection is the one complication that often cannot be fixed by fixing: if the device becomes infected, the whole prosthesis usually has to come out, with a replacement at a second operation. <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/07\/the-cleanest-cut-50-years-of-making-penile-implant-surgery-safer\/\">Fifty years of work has gone into reducing that risk<\/a>, and it has not been eliminated.<\/li>\n\n\n\n<li><strong>Length is harder to preserve.<\/strong> Scarring inside the chambers can mean a slightly smaller device the second time. Where a device was removed and replacement delayed, the chambers contract, and that loss is difficult to recover \u2014 which is exactly why washing out and replacing in the same operation was such an advance.<\/li>\n\n\n\n<li><strong>The result may be good rather than perfect.<\/strong> Correcting a deformity in scarred tissue is not the same as starting fresh. A realistic goal is a device that works comfortably and reliably, not a return to the first implant&#8217;s appearance.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What Should Not Wait<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most implant problems are not urgent, and can be sorted out at a routine appointment. These are the exceptions, and they should be reported the same day rather than saved for the next visit:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A device that will not deflate<\/strong> \u2014 an erection that will not go down needs attention, not patience<\/li>\n\n\n\n<li>Pain that is new, worsening or persistent, rather than settling<\/li>\n\n\n\n<li>Fever or chills, spreading redness, or discharge from a wound or from the skin over the device<\/li>\n\n\n\n<li><strong>Any part of the device becoming visible or breaking through the skin<\/strong> \u2014 this is erosion and needs urgent assessment<\/li>\n\n\n\n<li>Inability to pass urine<\/li>\n\n\n\n<li>A scrotum that becomes tense or enlarges rapidly<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">And the one people miss: an implant infection can appear <em>months<\/em> after the operation, as pain that never quite settles rather than a dramatic fever. Reporting that early is often what decides whether the device can be saved.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Real Takeaway: Revision Is a Restoration<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Watching six experienced surgeons work through these cases, one thing stood out. In textbooks, surgery looks like clean lines and perfect outcomes. Real life is messier \u2014 bodies cough, tissues scar, accidents happen, devices shift. The mark of an expert is not only placing an implant well the first time. It is having the judgement and the versatility to step into a complex, scarred situation and rebuild it into something that works.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have an implant that is not working the way it should, the most useful thing to know is that a great many of these problems are solved without surgery at all \u2014 and that the ones that do need surgery are best handled by someone who does them regularly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have a penile implant that is not working as it should, or questions about implant surgery and revision options, Dr. Soarawee Weerasopone consults in men&#8217;s health and prosthetic urology at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital Headquarters<\/a> and at <a href=\"tel:0880221445\">Samitivej Sriracha Hospital, Chonburi \u2014 088-022-1445<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. It suits a first discussion and reviewing what device you have and what has happened so far; examining the device and any revision require an in-person visit. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Why might a penile implant need revision surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Most penile implants work well for many years, but occasionally a revision is needed. Common reasons include a part wearing out or leaking, a component such as the reservoir or a cylinder shifting out of position, scar tissue affecting function, or infection. Many of these can be corrected, though infection is the one that usually requires the whole device to be removed and replaced at a second operation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">My implant does not feel firm enough \u2014 is it broken?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Not necessarily. A common reason for a soft result with a working implant is under-inflation, because many men do not pump the device firmly enough for fear of damaging it. A modern implant can safely take more, and full rigidity often needs more squeezes than expected. Two limits apply: do not use the pump at all before your activation visit, and pumping should not hurt. Pain on inflation, a device that will not inflate, or new asymmetry as it fills mean you should be examined rather than push harder.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is revision surgery more difficult than the first implant?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Previous surgery creates scar tissue that is thicker and less elastic, making the operation more demanding and requiring extra care with closure and healing. Patients undergoing a revision are usually asked to wait longer before using the device. Revision also carries a higher risk of infection than the first operation, and scarring can mean a slightly smaller device and less length than before.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can I have an MRI if I have a penile implant?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Penile prostheses are compatible with MRI scanning. Tell the radiographer and radiologist that you have an implant before the scan, and keep the device identification card you were given. The same applies before any operation, X-ray, or attempt to pass a urinary catheter \u2014 a catheter in particular should not be passed by someone who does not know the device is there.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why is an MRI sometimes recommended before revision surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In a previously operated penis, scar tissue makes it impossible to rely on touch alone. An MRI provides an anatomical road map, showing where an old cylinder travelled, where the true chamber is, and where healthy tissue begins and ends. This improves safety and precision and lets the surgeon plan every step before making the first incision.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What implant problems need to be seen the same day?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A device that will not deflate; new, worsening or persistent pain; fever or chills, spreading redness or discharge; any part of the device becoming visible; inability to pass urine; or a scrotum that becomes tense or enlarges rapidly. An implant infection can also appear months after surgery as pain that never quite settles, and reporting it early often decides whether the device can be saved.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What makes a good surgeon for penile implant revision?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Revision requires experience working in scarred, complex anatomy. A good revision surgeon does these procedures regularly, uses imaging when needed, knows the strengths of different devices, and coordinates with other specialists for medically complex patients \u2014 including being willing to postpone the operation when another team is not comfortable proceeding.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/\",\n      \"name\": \"The Art of the Redo: Understanding Penile Implant Revision Surgery\",\n      \"description\": \"Why a penile implant may need revision, which problems are solved without surgery, what a redo costs that the first operation did not, and the symptoms that need same-day attention.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2026-07-28\",\n      \"dateModified\": \"2026-08-15\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/#revision\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"Many implant complaints are resolved without surgery, most often by correcting under-inflation. The pump must not be used before the activation visit, and pain on inflation, failure to inflate or new asymmetry require examination rather than more force. Revision surgery carries a higher infection risk than the original implantation and scarring can mean a smaller device and less length. A device that will not deflate, new or worsening pain, fever, spreading redness or discharge, visible device components, retention of urine, or a rapidly enlarging scrotum require same-day review. Penile prostheses are MRI-compatible provided the radiographer is told.\",\n      \"significantLink\": [\n        \"https:\/\/drsoaraweeurology.com\/services\/penile-prosthesis-bangkok\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/07\/07\/the-cleanest-cut-50-years-of-making-penile-implant-surgery-safer\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/07\/14\/penile-implants-in-2026-how-they-work-and-how-to-choose-the-right-one\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/07\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/\"\n      ]\n    },\n    {\n      \"@type\": \"TherapeuticProcedure\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/#revision\",\n      \"name\": \"Penile prosthesis revision surgery\",\n      \"alternateName\": [\"Penile implant revision\", \"Redo penile prosthesis surgery\"],\n      \"bodyLocation\": \"Penis, scrotum and pelvis\",\n      \"indication\": {\n        \"@type\": \"MedicalIndication\",\n        \"name\": \"Mechanical failure or leak, migration of a reservoir or cylinder, deformity from cylinder malposition, or device infection\"\n      },\n      \"preparation\": \"Non-surgical causes are excluded first, most commonly under-inflation, body habitus concealing shaft length, and technique. MRI is recommended before revision for a malpositioned cylinder because scar tissue makes examination unreliable. In medically complex patients, including transplant recipients on immunosuppression and men on anticoagulation, the plan is agreed with the responsible specialist team and the operation is deferred if they are not satisfied.\",\n      \"howPerformed\": \"Redundant hardware from previous implants is removed, the functional reservoir is secured in a stable position, corporal chambers are rebuilt or reinforced where needed, and cylinder tips can be anchored to prevent recurrent migration.\",\n      \"followup\": \"Scarred tissue heals more slowly, so device use is delayed longer than after a first implantation. The device identification card is retained and the implant declared before MRI, X-ray, catheterisation or any operation.\",\n      \"adverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Further loss of length where corporal scarring limits device size\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Residual asymmetry: correction in scarred tissue may be good rather than perfect\" }\n      ],\n      \"seriousAdverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Device infection, whose risk is higher in revision than in primary implantation and which usually requires removal of the entire prosthesis; it may present months later as pain that never settles\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"A device that will not deflate requires same-day assessment\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Erosion: any part of the device becoming visible or breaking through the skin requires urgent assessment\" }\n      ]\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/#faq\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Why might a penile implant need revision surgery?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Most penile implants work well for many years, but occasionally a revision is needed. Common reasons include a part wearing out or leaking, a component such as the reservoir or a cylinder shifting out of position, scar tissue affecting function, or infection. Many of these can be corrected, though infection usually requires the whole device to be removed and replaced at a second operation.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"My implant does not feel firm enough, is it broken?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Not necessarily. A common reason for a soft result with a working implant is under-inflation, because many men do not pump the device firmly enough for fear of damaging it. A modern implant can safely take more, and full rigidity often needs more squeezes than expected. Two limits apply: do not use the pump before your activation visit, and pumping should not hurt. Pain on inflation, a device that will not inflate, or new asymmetry as it fills mean you should be examined rather than push harder.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is revision surgery more difficult than the first implant?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Yes. Previous surgery creates scar tissue that is thicker and less elastic, making the operation more demanding. Patients undergoing a revision are usually asked to wait longer before using the device. Revision also carries a higher risk of infection than the first operation, and scarring can mean a slightly smaller device and less length than before.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Can I have an MRI if I have a penile implant?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Yes. Penile prostheses are compatible with MRI scanning. Tell the radiographer and radiologist that you have an implant before the scan, and keep the device identification card. The same applies before any operation, X-ray, or attempt to pass a urinary catheter.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Why is an MRI sometimes recommended before revision surgery?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"In a previously operated penis, scar tissue makes it impossible to rely on touch alone. An MRI provides an anatomical road map, showing where an old cylinder travelled, where the true chamber is, and where healthy tissue begins and ends. This improves safety and precision and lets the surgeon plan every step before the first incision.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What implant problems need to be seen the same day?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"A device that will not deflate; new, worsening or persistent pain; fever or chills, spreading redness or discharge; any part of the device becoming visible; inability to pass urine; or a scrotum that becomes tense or enlarges rapidly. An implant infection can also appear months after surgery as pain that never quite settles, and reporting it early often decides whether the device can be saved.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What makes a good surgeon for penile implant revision?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Revision requires experience working in scarred, complex anatomy. A good revision surgeon does these procedures regularly, uses imaging when needed, knows the strengths of different devices, and coordinates with other specialists for medically complex patients, including being willing to postpone the operation when another team is not comfortable proceeding.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclosure:<\/strong> Dr. Soarawee Weerasopone has received travel and accommodation support from Boston Scientific for prosthetic surgery training workshops. He receives no payment from any manufacturer for this article, and device selection for patients is based on clinical factors.<br><br><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. No advice, diagnosis or prescription is given through personal messaging channels or social media. Always consult a qualified healthcare professional before making any treatment decision. If your device will not deflate, or you develop fever, spreading redness or any exposure of the device, seek same-day medical care rather than waiting for an appointment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What happens when a penile implant shifts, malfunctions or needs a redo? Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, shares revision cases from AUA 2026 \u2014 why many problems are solved without surgery, what revision costs you that the first operation did not, and the signs that need attention today.<\/p>","protected":false},"author":185281453,"featured_media":10530,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Penile implant problems and revision surgery explained by a urologist: why implants shift, the under-inflation myth, and why an expert surgeon matters. 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