{"id":10409,"date":"2026-07-21T20:00:00","date_gmt":"2026-07-21T13:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=10409"},"modified":"2026-08-15T04:35:04","modified_gmt":"2026-08-14T21:35:04","slug":"penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/km\/2026\/07\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/","title":{"rendered":"\u1780\u17b6\u179a\u178a\u17b6\u1780\u17cb\u1794\u1789\u17d2\u1785\u17bc\u179b\u179b\u17b7\u1784\u17d2\u1782 \u1793\u17b7\u1784\u1790\u17d2\u1793\u17b6\u17c6\u1794\u1793\u17d2\u1790\u1799\u1788\u17b6\u1798\u17d6 \u1792\u17d2\u179c\u17be\u17b1\u17d2\u1799\u1798\u17b6\u1793\u178f\u17bb\u179b\u17d2\u1799\u1797\u17b6\u1796\u179a\u179c\u17b6\u1784\u1794\u17c1\u17c7\u178a\u17bc\u1784 \u1793\u17b7\u1784\u1797\u17b6\u1796\u179f\u17d2\u1793\u17b7\u1791\u17d2\u1792\u179f\u17d2\u1793\u17b6\u179b\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780"},"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\/km\/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\" 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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=\"10621\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/penile-implants-blood-thinners_-is-it-safe\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.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=\"Penile Implants &amp;#038; Blood Thinners_ Is It Safe\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.jpg?fit=800%2C600&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.jpg?resize=800%2C600&#038;ssl=1\" alt=\"Infographic on penile implants and blood thinners \u2014 balancing heart health and anticoagulation with penile implant surgery safety\" class=\"wp-image-10621\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.jpg?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Penile-Implants-Blood-Thinners_-Is-It-Safe.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Penile implants and blood thinners: how surgeons balance heart protection with surgical safety.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Imagine you are a man who has finally decided to treat your erectile dysfunction with a penile implant \u2014 the definitive option when pills and injections no longer work. But there is a catch: you take blood thinners to protect your heart. Suddenly you are caught in a frightening dilemma. Stop the medication for surgery and risk a stroke or heart attack? Or stay on it and risk serious bleeding during the operation? This is a very real anxiety that thousands of men quietly wrestle with at home.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Before anything else, one sentence that matters more than the rest of this article: do not stop or adjust a blood thinner on your own, and do not stop it because of something you read here.<\/strong> That decision belongs to the doctor who prescribed it, working with your surgeon, and the timing is planned around your own heart risk rather than around a general rule. Men have come to harm by pausing a tablet a week before an elective operation without telling anyone.<\/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 watched an expert debate tackle exactly this question. It was logical, evidence-driven and deeply human. Let me translate that discussion into plain English.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Core Dilemma: Clotting vs Bleeding<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"768\" height=\"768\" data-attachment-id=\"10845\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?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;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"Men on blood thinners must balance heart protection with surgical safety\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?resize=768%2C768&#038;ssl=1\" alt=\"Balancing heart-protecting blood thinners with penile implant surgery safety for men with erectile dysfunction \u2014 Dr. Soarawee Weerasopone, Bangkok Hospital\" class=\"wp-image-10845\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Men-on-blood-thinners-must-balance-heart-protection-with-surgical-safety.jpg?w=800&amp;ssl=1 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">Men on blood thinners must balance heart protection with surgical safety.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">To understand the debate, picture a balance scale with two competing dangers: blood clots on one side, bleeding on the other.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A penile implant (inflatable penile prosthesis, or IPP) restores a man&#8217;s ability to have an erection on demand, and satisfaction with it is high. But like any operation it involves incisions, tissue work and placing a device inside the body. It is also <a href=\"https:\/\/drsoaraweeurology.com\/services\/penile-prosthesis-bangkok\/\">an irreversible operation<\/a>, which is part of why nobody is in a hurry to do it under difficult conditions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Now consider a man who depends on blood thinners \u2014 medicines such as warfarin, clopidogrel, apixaban or rivaroxaban. He is not taking these casually. He takes them because he has a mechanical heart valve, a history of blood clots, a recent stroke, a coronary stent, or an irregular heart rhythm. For him, these drugs prevent catastrophic strokes and heart attacks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here is the difficulty: if the surgeon stops the blood thinner to operate on dry tissue, the man&#8217;s risk of a dangerous clot rises. If the surgeon operates while he stays on the medication, the risk of serious bleeding rises instead. Two competing dangers, one decision.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Side 1: The Case for Caution \u2014 Pause the Medication<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The first group of experts took a traditional, careful stance: safety first, intimacy second. Their logic? A penile implant is an <em>elective<\/em> procedure. Erectile dysfunction, however devastating to a man&#8217;s confidence and relationships, is not an emergency \u2014 a heart attack or stroke is.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Their main concern was a complication called a <strong>haematoma<\/strong> \u2014 a large collection of blood pooling inside the surgical site. A haematoma is not just bruising. It stretches the tissue, causes severe pain, slows healing, and, most dangerously, raises the risk of infection. And in implant surgery infection is a disaster: if the device becomes infected, the entire implant usually has to be removed and replaced at a second operation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Their philosophy was essentially: why the rush? We routinely ask patients to control their diabetes, stop smoking or lose weight before surgery, so why not apply the same patience to a planned pause in anticoagulation, sometimes with a shorter-acting injectable around the time of surgery? Their conclusion: where the medication can be held safely, it should be, because the immediate risk of bleeding and losing the device outweighs the temporary risk of delaying an elective operation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Side 2: The Case for Continuation \u2014 Keep the Blood Flowing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Just as the audience was nodding along with caution, the opposing experts flipped the script. Their core message: <strong>a bleed is fixable \u2014 a dead heart muscle or a stroke is not.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">They pointed out that stopping life-preserving blood thinners exposes patients to rare but potentially fatal events, and that the most dangerous window for a cardiovascular event is during and in the first days after surgery \u2014 exactly when a patient who paused his medication is most vulnerable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To support keeping patients on their medication, they presented a large multi-centre series of men who underwent penile implant surgery \u2014 some continued their blood thinners through the operation, some stopped. The findings: men who stayed on their medication had somewhat more fluid draining from the wound in the first few days, but no meaningful difference in the rate of dangerous haematomas, and overall complications were if anything higher in the group that stopped.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That deserves one honest caveat, because it is the kind of finding that gets repeated as gospel. This was a retrospective review rather than a randomised trial, and the men whose surgeons chose to continue their medication were not necessarily the same kind of patient as those whose surgeons chose to stop it. It is a strong argument against a blanket rule of always stopping. It is not proof that continuing is right for everyone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Still, the underlying logic held the room: bleeding risk is <em>modifiable<\/em>; clotting risk is not. A skilled surgeon can manage extra bleeding with careful technique, compression and drains \u2014 but no surgical skill undoes a major stroke.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why the Answer Depends on Why You Take It<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The debate was framed as continue-versus-stop, but in the clinic there is no single answer, and the useful question is not <em>are blood thinners allowed<\/em> but <em>what are yours for, and how recently did that start?<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some situations carry a high clot risk that argues strongly for continuing, or for simply waiting: a mechanical heart valve, a stroke or blood clot within the last few months, or a recent coronary stent, where the medication is protecting the stent itself for a defined period. In those cases the right answer to an elective operation is often <strong>not now<\/strong> \u2014 and waiting a few months is a far better outcome than a clot. Other situations are more flexible, and the plan differs by drug as well: warfarin is managed differently from the newer direct oral anticoagulants, which clear from the body quickly, and antiplatelet medication after a stent follows its own timetable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">None of that is a decision a urologist makes alone. It is made with the doctor who prescribed the medication, and the surgery is scheduled around that answer rather than the other way round.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Skilled Surgeons Tip the Scales in Your Favour<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The debate highlighted several techniques that let experienced surgeons operate more safely on men who must stay on blood thinners:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Careful, direct-vision surgery:<\/strong> The surgeon sees every layer of tissue while operating, avoiding hidden blood vessels and minimising blind trauma.<\/li>\n\n\n\n<li><strong>Surgical drains:<\/strong> A small temporary drain lets excess blood leave the body instead of pooling inside and forming a painful haematoma.<\/li>\n\n\n\n<li><strong>Compression dressing:<\/strong> A gentle, continuous pressure wrap physically discourages blood from collecting at the surgical site.<\/li>\n\n\n\n<li><strong>Partial device inflation \u2014 done by the surgeon, not by you.<\/strong> Leaving the cylinders slightly inflated for the first weeks puts gentle internal pressure on the tissue, helping seal tiny bleeding vessels from the inside. <strong>This is set in theatre and is not an instruction to use the pump.<\/strong> Patients do not inflate, deflate or cycle the device until they are taught how at the activation visit, usually four to six weeks after surgery \u2014 doing it earlier risks damaging or displacing the implant.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What to Watch For After Surgery<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bruising and swelling of the scrotum are normal in the first days and can look alarming without being dangerous. These are the changes that are not normal, and they matter more in a man on anticoagulation:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A scrotum that is becoming tense, hard or visibly larger over hours<\/strong> rather than settling \u2014 the picture of a developing haematoma<\/li>\n\n\n\n<li>Pain that is worse on day three than on day one<\/li>\n\n\n\n<li>Bleeding from the wound that soaks through dressings rather than spotting<\/li>\n\n\n\n<li>Fever or chills, spreading redness, or discharge from the wound \u2014 possible infection, which a haematoma makes more likely<\/li>\n\n\n\n<li>Inability to pass urine, or any part of the device becoming visible<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Any of these should be reported the same day rather than at the next appointment. And separately, a man restarting a blood thinner after surgery should know the general warning signs of bleeding elsewhere \u2014 black or bloody stools, vomiting blood, an unusually severe headache, or bruising that appears without cause \u2014 which need urgent attention wherever they happen.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Real Takeaway<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"10841\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/you-do-not-have-to-choose-between-your-heart-and-your-relationship\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.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=\"You do not have to choose between your heart and your relationship\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Men on blood thinners can safely restore intimacy with a penile implant when care is coordinated with the cardiac team \u2014 Dr. Soarawee Weerasopone, Bangkok Hospital\" class=\"wp-image-10841\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/You-do-not-have-to-choose-between-your-heart-and-your-relationship.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">You do not have to choose between your heart and your relationship.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Walking out of that lecture hall into the spring air in Washington, I felt a real sense of gratitude. This debate captured why I enjoy urology: the field questions its own assumptions, examines hard data, and keeps moving.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you take blood thinners and are living with erectile dysfunction, the message from AUA 2026 is genuinely hopeful: <strong>being on a blood thinner does not automatically rule you out of a penile implant.<\/strong> That is different from saying it makes no difference. It means the question is now answered case by case, by looking at why you are anticoagulated and how recently, rather than by a blanket refusal \u2014 and sometimes the honest answer is still to wait a few months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What helps most is an experienced, high-volume implant surgeon working alongside the doctor who manages your heart. The protective measures \u2014 drains, compression, direct-vision anatomy \u2014 are routine for a surgeon who does these regularly. The related reading here is <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/07\/the-cleanest-cut-50-years-of-making-penile-implant-surgery-safer\/\">fifty years of infection control in implant surgery<\/a>, <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 work and how they are chosen<\/a>, and <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/28\/the-art-of-the-redo-understanding-penile-implant-revision-surgery\/\">what revision surgery involves<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you take blood thinners and are living with erectile dysfunction, you do not have to work this out alone. 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>, working with your cardiac team to plan a safe approach.<\/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 an initial discussion and reviewing your medication list before travelling; the assessment and the surgery 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\">Can I get a penile implant if I take blood thinners?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Often, yes. The old belief that taking blood thinners automatically disqualifies a man from penile implant surgery is no longer accurate. Modern evidence and surgical technique allow experienced surgeons to operate safely on many anticoagulated patients. It is decided case by case with the doctor who prescribes your medication, and in some situations the right answer is to wait rather than to proceed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should I stop my blood thinner before seeing a urologist?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. Never stop or adjust a blood thinner on your own, and never stop one because of something you have read. Bring the medication list to the consultation instead. Any change is planned by the doctor who prescribed it, together with the surgeon, and the timing is worked out around your individual clot risk.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why is it risky to stop blood thinners before surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Blood thinners are prescribed to prevent dangerous clots in men with mechanical heart valves, atrial fibrillation, coronary stents, or a history of stroke or blood clots. Stopping them, even temporarily, can raise the risk of a serious clotting event, particularly during and shortly after surgery. For some patients that clotting risk is more dangerous than the bleeding risk of operating while on the medication.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Are there situations where the surgery should simply wait?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. A mechanical heart valve, a stroke or blood clot within the last few months, or a recent coronary stent all carry a high clot risk for a defined period, and a penile implant is an elective operation. Waiting a few months until that window has passed is often the safest plan, and it does not mean the operation is off the table.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is a haematoma, and why does it matter for implant surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A haematoma is a collection of blood that pools inside the surgical site. After penile implant surgery a large haematoma can stretch the tissue, cause significant pain, slow healing and increase the risk of infection. Because an infected implant usually has to be removed, preventing and managing haematomas is a priority \u2014 which is why surgeons use drains, compression dressings and careful technique.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What should I watch for after surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A scrotum becoming tense, hard or visibly larger over hours instead of settling; pain worse on day three than day one; bleeding that soaks through dressings; fever, chills, spreading redness or discharge; inability to pass urine; or any part of the device becoming visible. Report these the same day. Bruising and swelling that gradually settle are expected.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should I inflate the implant if the surgeon left it partly inflated?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. Partial inflation is set in the operating theatre to apply gentle pressure and reduce bleeding. It is not an instruction to use the pump. Do not inflate, deflate or cycle the device until you are taught how at the activation visit, usually four to six weeks after surgery, because using it earlier risks damaging or displacing the implant.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How do surgeons reduce bleeding risk during implant surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Careful direct-vision surgery to avoid hidden blood vessels, temporary surgical drains so excess blood leaves safely, a compression dressing to discourage pooling, and leaving the implant partially inflated for the first weeks to apply gentle internal pressure. Together these make it possible to operate more safely on patients who continue their blood thinners.<\/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\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/\",\n      \"name\": \"Penile Implants and Blood Thinners: Balancing Your Heart and Your Intimacy\",\n      \"description\": \"Whether a man on anticoagulation can have a penile implant, why the answer depends on the indication and its recency, the surgical measures that reduce bleeding, and the postoperative warning signs.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2026-07-21\",\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\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/#ipp-anticoag\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"Anticoagulant and antiplatelet medication must never be stopped or adjusted by the patient. 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Patients must not stop or adjust the medication themselves. High clot-risk situations such as a mechanical heart valve, recent stroke or venous thromboembolism, or a recent coronary stent may warrant deferring this elective operation.\",\n      \"howPerformed\": \"Where surgery proceeds on continued anticoagulation, bleeding is managed with direct-vision dissection, temporary drainage, a compression dressing and partial inflation of the cylinders.\",\n      \"followup\": \"Partial inflation is set intraoperatively and the patient does not inflate, deflate or cycle the device until the activation visit at four to six weeks. A scrotum becoming tense or enlarging over hours, pain worse at day three than day one, bleeding soaking through dressings, fever or spreading redness, retention of urine, or visible device components require same-day review.\",\n      \"adverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Increased wound drainage in the first postoperative days\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Scrotal bruising and swelling\" }\n      ],\n      \"seriousAdverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Haematoma: stretches tissue, causes severe pain, delays healing and raises the risk of device infection\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Device infection, which usually requires removal of the whole prosthesis and replacement at a second operation\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Thromboembolic events including stroke and myocardial infarction if anticoagulation is interrupted, with the highest risk during and shortly after surgery\" }\n      ]\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/21\/penile-implants-and-blood-thinners-balancing-your-heart-and-your-intimacy\/#faq\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Can I get a penile implant if I take blood thinners?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Often, yes. The old belief that taking blood thinners automatically disqualifies a man from penile implant surgery is no longer accurate. Modern evidence and surgical technique allow experienced surgeons to operate safely on many anticoagulated patients. It is decided case by case with the doctor who prescribes your medication, and in some situations the right answer is to wait rather than to proceed.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Should I stop my blood thinner before seeing a urologist?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No. Never stop or adjust a blood thinner on your own, and never stop one because of something you have read. Bring the medication list to the consultation instead. Any change is planned by the doctor who prescribed it, together with the surgeon, and the timing is worked out around your individual clot risk.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Why is it risky to stop blood thinners before surgery?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Blood thinners are prescribed to prevent dangerous clots in men with mechanical heart valves, atrial fibrillation, coronary stents, or a history of stroke or blood clots. Stopping them, even temporarily, can raise the risk of a serious clotting event, particularly during and shortly after surgery. For some patients that clotting risk is more dangerous than the bleeding risk of operating while on the medication.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Are there situations where the surgery should simply wait?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Yes. A mechanical heart valve, a stroke or blood clot within the last few months, or a recent coronary stent all carry a high clot risk for a defined period, and a penile implant is an elective operation. Waiting a few months until that window has passed is often the safest plan, and it does not mean the operation is off the table.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What is a haematoma, and why does it matter for implant surgery?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"A haematoma is a collection of blood that pools inside the surgical site. After penile implant surgery a large haematoma can stretch the tissue, cause significant pain, slow healing and increase the risk of infection. Because an infected implant usually has to be removed, preventing and managing haematomas is a priority, which is why surgeons use drains, compression dressings and careful technique.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What should I watch for after surgery?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"A scrotum becoming tense, hard or visibly larger over hours instead of settling; pain worse on day three than day one; bleeding that soaks through dressings; fever, chills, spreading redness or discharge; inability to pass urine; or any part of the device becoming visible. Report these the same day. Bruising and swelling that gradually settle are expected.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Should I inflate the implant if the surgeon left it partly inflated?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No. Partial inflation is set in the operating theatre to apply gentle pressure and reduce bleeding. It is not an instruction to use the pump. Do not inflate, deflate or cycle the device until you are taught how at the activation visit, usually four to six weeks after surgery, because using it earlier risks damaging or displacing the implant.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How do surgeons reduce bleeding risk during implant surgery?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Careful direct-vision surgery to avoid hidden blood vessels, temporary surgical drains so excess blood leaves safely, a compression dressing to discourage pooling, and leaving the implant partially inflated for the first weeks to apply gentle internal pressure. Together these make it possible to operate more safely on patients who continue their blood thinners.\"\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. <strong>Never stop or change any prescribed medication \u2014 especially a blood thinner \u2014 without consulting the doctor who prescribed it.<\/strong> 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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Can a man on blood thinners safely have a penile implant? Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, unpacks an AUA 2026 debate on balancing heart safety and intimacy \u2014 why the answer depends on why you take the medication, and why the one thing you must not do is stop it yourself.<\/p>","protected":false},"author":185281453,"featured_media":10532,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Can men on blood thinners get a penile implant? A urologist explains the AUA 2026 debate on anticoagulation, bleeding vs clotting risk, and safe surgical techniques. 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