보철물이 보이거나 감지될 수 있습니까?

Modern three-piece inflatable prostheses are entirely internal. When deflated the device is unnoticeable, and when inflated the erection looks and feels natural. Sexual partners are typically unaware of the implant unless told.

보조기는 어떻게 작동하나요?

Squeezing the pump in the scrotum transfers fluid from the reservoir to the cylinders in the penis, producing rigidity. Pressing a release valve on the pump returns the fluid. The process takes seconds, though most men need a few weeks of practice before it feels easy.

성감각에 영향을 줄까요?

Sensation, orgasm and ejaculation are preserved. The prosthesis restores the ability to achieve an erection; it does not alter nerve function or natural sexual response.

Will the penis be shorter after a penile implant?

Many men notice some loss of length compared with the erections they had before erectile dysfunction developed. This is expected rather than a complication, and it is one of the reasons the operation is discussed carefully beforehand rather than offered as a first step.

음경 보형물 수술의 위험은 무엇인가요?

The principal risks are infection, mechanical malfunction and erosion. If the device becomes infected, the whole prosthesis has to be removed and a replacement implanted at a second operation. Infection risk is higher in men with diabetes, in revision surgery, and in men who are immunosuppressed. Mechanical failure is uncommon in the first ten years.

음경 보형물 수술은 되돌릴 수 있습니까?

No. Removal is technically possible but implantation permanently alters the natural erectile tissue, so natural erections do not return and earlier treatments such as tablets or injections no longer work afterwards. This is the single most important point to be sure about before agreeing to the operation.

What symptoms after penile implant surgery need to be seen the same day?

Fever or chills, spreading redness or discharge from the wound, pain that increases after the first few days rather than settling, inability to pass urine, a tense or rapidly swelling scrotum, or any part of the device becoming visible. Implant infection can also appear months later as pain that never settles, and reporting it early decides whether the device can be saved.

Do I need to tell other doctors about the implant?

Yes. Keep the device identification card and tell any doctor, surgeon or radiographer about the implant before imaging, catheterisation or any operation. A urinary catheter in particular should not be passed by someone who does not know the device is there.

음경 보형물은 얼마나 오래 지속되나요?

Most modern three-piece inflatable prostheses have a mechanical life of 10 to 15 years or more. When a device eventually needs replacing, revision surgery is well established but carries a higher risk of infection than the original implantation.

How much does penile prosthesis surgery cost?

Cost is not discussed on this site. Please email the Urology department at Bangkok Hospital Headquarters at bhquro@bdms.co.th, who handle all pricing enquiries.

국제 환자도 방콕에서 음경 보형물 수술을 받을 수 있습니까?

Yes. Bangkok Hospital Headquarters provides international patient services including pre-arrival consultation and structured postoperative follow-up. Most patients can fly home 5 to 7 days after surgery with written recovery instructions. Bangkok Hospital Telemedicine can be arranged for follow-up once home by emailing bhquro@bdms.co.th.

Penile Prosthesis Surgery (IPP) Bangkok

Q: When can I start using the device?

Not until the activation visit at 4 to 6 weeks, when you are taught how to inflate and deflate it. Inflating or cycling the device before then risks damaging or displacing it. Sexual activity is restricted for the same period.

방콕의 음경 보형물 수술

보존적 치료에 반응하지 않는 발기부전의 확정적 수술 치료. AMS 700 및 Coloplast Titan 기기를 이용한 3피스 팽창형 음경 보형물(IPP) — 자연스럽고 즉각적인 발기 복원을 위한 표준 치료법.

Medically reviewed by Dr. Soarawee Weerasopone, MD — Board-Certified Urologist · Fellowship in Andrology, Chang Gung Memorial Hospital Kaohsiung, Taiwan (2019), under Prof. Po-Hui Chiang · Research Scholar & Clinical Observer, Scott Department of Urology, Baylor College of Medicine

기밀 상담 예약

음경 보형물이란 무엇인가요?

음경 보형물은 필요할 때 발기를 회복할 수 있도록 수술적으로 삽입되는 의료 기기입니다. 확정 치료 ~을/를 위해 발기부전 in men who have failed or cannot tolerate oral medications, injections, or other conservative therapies. Patient satisfaction in published series is among the highest of any ED treatment, consistently reported above 90% — but it is an irreversible operation, and that trade-off is the heart of the decision.

음경 보형물의 종류

3단 팽창형 음경 보형물 — 골드 스탠더드. 음경에 한 쌍의 실린더, 복부에 액체 저장소, 음낭에 펌프로 구성됩니다. 가장 자연스럽고 실제 같은 옵션입니다. AMS 700(보스턴 사이언티픽) 및 콜로플라스트 타이탄과 같은 기기가 있습니다.
투피스 에어 — 고환 내 복강 내 저류조와 펌프 결합; 복강 내 저류조 설치가 어려운 환자에게 적합.
유연 보형물 (반강성 보형물) - 단일 유연 봉; 수술 간소화; 수동 조작 능력 제한 또는 심각한 흉터가 있는 특정 환자에게 적합.

Selecting the right device depends on anatomy, hand dexterity, prior surgery, and personal preference — and on which devices can be sourced at the time, which is confirmed during consultation rather than assumed. 현대 임플란트는 어떻게 작동하고 올바른 임플란트를 선택하는 방법

Disclosure of industry relationship. Boston Scientific, which manufactures the AMS 700 device named above, has provided travel and accommodation support for Dr. Soarawee’s prosthetic urology training workshops. No manufacturer has any role in the content of this page or in which device is recommended to any individual patient, and both manufacturers’ devices are described here on the same terms. You are entitled to know this before reading anything written about implants, and you are entitled to ask the same question of any surgeon anywhere.

후보자는 누구인가?

음경 보형물 수술은 다음과 같은 남성에게 적합합니다:

중등도에서 중증 발기부전
PDE5 억제제, ICI, 또는 충격파 요법에 반응하지 않음
부작용이나 금기증으로 인해 약물 복용이 불가능합니다
당뇨병으로 인한 발기부전, 전립선 적출술 후, 또는 심한 페이로니병
지속적인 약물 치료보다는 영구적이고 즉각적인 해결책을 선호합니다
금일은 선택 수술을 받기에 건강 상태가 양호합니다.

An implant is not a first step. Conservative treatment is tried properly first, and men with poorly controlled diabetes or an active infection anywhere in the body are stabilised before surgery is considered, because both raise the risk of the one complication that matters most.

절차

마취 전신 마취 또는 척추 마취
작전 시간: 60–120분
수술적 접근 음낭-음경 또는 치골하 절개
입원 1〜2박
항생제 예방 엄격한 규정 감염 위험 최소화 (reported at roughly 1–2% or below with modern coated devices in primary cases; higher in revision surgery and in men with diabetes)
가벼운 활동으로 돌아가십시오. 1주
성행위 재개 수술 후 4-6주
기기 수명: 10–15년 이상 최신 의족

Recovery — and What Is Not Normal

Swelling, bruising and soreness of the scrotum and penis are expected for the first one to two weeks, and can look more dramatic than they are. A few things are different.

Go to hospital the same day for any of these

Fever or shaking chills — the sign that matters most after any implant operation
Spreading redness, increasing pain after the first few days, or discharge from the wound
Inability to pass urine
Rapidly increasing swelling, or a scrotum that becomes tense and hard
Any part of the device becoming visible, or skin breaking down over it — this is erosion and needs urgent assessment, not observation

Implant infection does not always announce itself in the first week. Pain that never settles, or that returns months later along with the device feeling fixed or tethered, needs to be reported rather than tolerated — early recognition is what determines whether a device can be salvaged.

Practical points for living with a device

Do not inflate or cycle the device until you are told to. The device is activated at a follow-up visit once healing allows, and you are taught to use it then. Attempting it early risks damage and displacement.
Keep the device identification card you are given and tell any doctor, surgeon or radiographer that you have an implant — it matters for future imaging, for any catheterisation, and before any operation.
Tell any clinician performing a procedure elsewhere in the body, since antibiotic cover is sometimes considered to protect the implant.
The device is designed to be undetectable when deflated, but it is a mechanical device: learning to use it comfortably takes a few weeks of practice, and that is normal rather than a sign anything is wrong.

쏘라위 박사에게 음경 보형물 수술을 받아야 하는 이유는 무엇인가요?

🎓 Fellowship-trained in Andrology — a clinical fellowship at Chang Gung Memorial Hospital Kaohsiung, Taiwan (2019) under Prof. Po-Hui Chiang, alongside a second fellowship in robotic and minimally invasive urology. This is the formal qualification behind the men’s health and prosthetic work described on this page
🌍 Research Scholar & Clinical Observer at Baylor College of Medicine — the Scott Department of Urology takes its name from F. Brantley Scott, who developed the original inflatable prosthesis there, and prosthetic urology remains one of its central interests. This is an observer and research appointment rather than a fellowship, and it carries no licence to practise in the United States
🔬 Current with prosthetic best practice — including no-touch technique and modern antibiotic and infection-prevention protocols
🏥 Bangkok Hospital Headquarters — fully equipped operating theaters with infection-control protocols meeting international standards
🗣️ Honest pre-operative counselling — including the parts men are not always told: that the operation cannot be undone, that a small loss of length is common, and what happens if a device ever needs replacing
🌐 International patient program — surgical packages with accommodation, post-operative follow-up, and English-speaking nursing staff
🔒 Complete discretion — sensitive surgery handled with the highest professional confidentiality

자주 묻는 질문 (FAQ)

Q1: Will the prosthesis be visible or detectable?

현대의 3피스 팽창식 보형물은 완전히 내부 장치입니다. 공기가 빠지면 장치가 눈에 띄지 않습니다. 공기가 주입되면 발기가 나타나고 자연스러운 느낌을 줍니다. 성 파트너는 일반적으로 알리지 않으면 보형물의 존재를 알지 못합니다.

Q2: How does the prosthesis work?

3단 팽창 장치의 경우: 음낭의 펌프를 짜면 복부 저장소의 체액이 음경의 실린더로 이동하여 단단함을 유발합니다. 수축시키려면 펌프의 해제 밸브를 누르면 체액이 돌아갑니다. 이 과정은 몇 초가 걸리며 쉽게 배울 수 있습니다.

Q3: Will sexual sensation be affected?

감각, 오르가즘 및 사정 기능은 보존됩니다. 보형물은 발기 능력만을 회복할 뿐 신경 기능이나 자연스러운 성적 반응을 변경하지는 않습니다. 대부분의 남성은 발기부전이 발생하기 전과 유사한 성적 경험을 보고합니다.

Q4: What are the risks of penile prosthesis surgery?

The main risks are infection, mechanical malfunction, and erosion of the device through tissue. Infection is the one that matters most: it is uncommon in primary surgery with modern coated devices and no-touch technique, but if it occurs the whole device usually has to be removed, and a second operation is needed later to replace it. Risk is higher in men with diabetes, in revision surgery, and in men who have had radiotherapy. Mechanical failure is rare in the first decade. Satisfaction and long-term outcomes are excellent overall, but these possibilities should be understood before, not after, surgery.

Q5: What symptoms after surgery mean I should be seen urgently?

Fever or shaking chills, spreading redness, wound discharge, pain that increases rather than settles after the first few days, inability to pass urine, a rapidly swelling or tense scrotum, or any part of the device becoming visible through the skin. Implant infection can also appear months later as pain that never resolves — early reporting is what determines whether a device can be saved rather than removed.

Q6: When can I start using the device?

Not until you are shown how, at a follow-up visit once healing allows — usually a few weeks after surgery. Inflating or cycling it earlier risks damage and displacement. Sexual activity generally resumes at 4–6 weeks. Learning to operate the pump comfortably takes a little practice, which is normal.

Q7: Is penile prosthesis surgery reversible?

No, and this is the single most important thing to understand before proceeding. Removal is technically possible, but implanting the device permanently alters the erectile tissue (the corpora cavernosa), so natural erections and any response to tablets or injections will not return afterwards. This is why an implant is considered only once conservative treatments have genuinely been tried.

Q8: Will I lose length?

Many men notice their erection is slightly shorter than it once was. Part of this is the implant, and part is the underlying condition — long-standing erectile dysfunction and Peyronie’s disease both shorten the penis over time, so some of the loss has usually already happened before surgery. It is discussed honestly beforehand rather than discovered afterwards, and expectations set at that conversation are a large part of why satisfaction with this operation is so high.

Q9: How long do penile prostheses last?

Modern three-piece inflatable prostheses have mechanical longevity of 10–15 years or more in most cases. When a device eventually needs replacing, the procedure is well established, though revision surgery carries a somewhat higher risk of infection than the original operation.

Q10: Do I need to tell other doctors that I have an implant?

Yes. Keep the device identification card you are given and mention the implant to any doctor, surgeon or radiographer — it matters before imaging, before any catheterisation, and before any operation, and antibiotic cover is sometimes considered for procedures elsewhere in the body to protect the device.

Q11: Does the surgeon have any relationship with the device manufacturers?

Yes, and it is set out openly above. Boston Scientific, which makes the AMS 700, has provided travel and accommodation support for Dr. Soarawee’s prosthetic urology training workshops. Manufacturer-supported training is common in prosthetic surgery worldwide, because the companies run the courses where the technique is taught. It should still be disclosed rather than assumed, and no manufacturer has any role in which device is recommended to an individual patient — that is decided by anatomy, hand dexterity, prior surgery and preference. It is a fair question to ask any implant surgeon, anywhere.

Q12: Can international patients have penile prosthesis surgery in Bangkok?

Yes. Bangkok Hospital Headquarters offers comprehensive international patient services including pre-arrival consultation, airport transfers, accommodation arrangements, and structured post-operative follow-up. Most patients can fly home 5–7 days after surgery with detailed recovery instructions. Plan the trip with enough margin for the device to be activated and for you to be taught to use it before you leave.

Q13: Can I discuss this by video consultation before travelling?

Yes, and for international patients it is the sensible first step. Bangkok Hospital operates a Telemedicine service and Dr. Soarawee sees patients through it; arrange it in advance by email to the Urology department at bhquro@bdms.co.th. A video consultation is well suited to reviewing what treatments you have already tried, discussing whether an implant is the right choice at all, and understanding what the operation involves. Examination and surgery are of course in person. Samitivej Sriracha Hospital does not offer telemedicine and is in-person only.

Q14: How much does the surgery cost?

Prices are quoted by the hospital rather than by Dr. Soarawee, and they depend heavily on which device is used. For a quotation covering the device, surgery, hospital stay and follow-up, email the Urology department at bhquro@bdms.co.th.

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방콕 병원 — 온라인 예약

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Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients — arrange it in advance by email to the Urology department at bhquro@bdms.co.th. Samitivej Sriracha is in-person only.

Medical disclaimer: The information on this page is provided for general educational purposes only. It is not medical advice, does not address any individual case, and is not a substitute for consultation with a qualified physician. Fever, spreading redness or exposed device after implant surgery needs same-day hospital assessment — in Thailand the emergency number is 1669. Medical advice, diagnosis and prescriptions are not provided through personal messaging channels or social media. Reading this page does not create a doctor–patient relationship. Please seek in-person medical evaluation for any personal health concern. Industry disclosure: Boston Scientific has provided travel and accommodation support for Dr. Soarawee’s prosthetic urology training workshops; no manufacturer has any role in the content of this page.