Penile Prosthesis Surgery in Bangkok

Penile Prosthesis Surgery in Bangkok

Definitive surgical treatment for erectile dysfunction unresponsive to conservative therapy. Three-piece inflatable penile prosthesis (IPP) with AMS 700 and Coloplast Titan devices — the gold standard for restoring spontaneous, on-demand erections.

Medically reviewed by Dr. Soarawee Weerasopone, MD — Board-Certified Urologist · Research Scholar & Clinical Observer, Scott Department of Urology, Baylor College of Medicine

What Is a Penile Prosthesis?

A penile prosthesis is a surgically implanted medical device that restores the ability to achieve erection on demand. It is considered the definitive treatment for 발기부전 in men who have failed or cannot tolerate oral medications, injections, or other conservative therapies. Patient satisfaction rates exceed 90% in published series — among the highest of any ED treatment.

Types of Penile Prostheses

• Three-Piece Inflatable Penile Prosthesis (IPP) — the gold standard. Comprises paired cylinders in the penis, a fluid reservoir in the abdomen, and a pump in the scrotum. Most natural-looking and feeling option. Devices include AMS 700 (Boston Scientific) and Coloplast Titan.
• Two-Piece Inflatable — reservoir combined with pump in scrotum; suitable for patients in whom abdominal reservoir placement is challenging.
• Malleable (Semi-Rigid) Prosthesis — single bendable rod; simpler surgery; suitable for select patients with manual dexterity limitations or severe scarring.

Selecting the right device depends on anatomy, hand dexterity, prior surgery, and personal preference. How modern implants work and how to choose the right one →

The Procedure

• Anesthesia: General or spinal anesthesia
• Operative time: 60–120 minutes
• Surgical approach: Penoscrotal or infrapubic incision
• Hospital stay: 1–2 nights
• Antibiotic prophylaxis: Strict protocol to minimize infection risk (less than 1–2% with modern coated devices)
• Return to non-strenuous activity: 1 week
• Sexual activity resumed: 4–6 weeks postoperatively
• Device lifespan: 10–15+ years with modern prostheses

자주 묻는 질문 (FAQ)

Q1: Will the prosthesis be visible or detectable?

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

Q2: How does the prosthesis work?

For three-piece inflatable devices: squeezing the pump in the scrotum transfers fluid from the abdominal reservoir to the cylinders in the penis, producing rigidity. To deflate, a release valve on the pump is pressed, returning the fluid. The process takes seconds and is easily learned.

Q3: Will sexual sensation be affected?

Sensation, orgasm, and ejaculation function are preserved. The prosthesis only restores the ability to achieve erection — it does not alter nerve function or natural sexual response. Most men report sexual experiences comparable to before ED developed.

Q4: What are the risks of penile prosthesis surgery?

Primary risks include infection (less than 1–2% with modern coated devices and “no-touch” technique), mechanical malfunction (rare in first 10 years), and erosion. Patient satisfaction and long-term outcomes are excellent when surgery is performed by experienced specialists at high-volume centers.

Q5: Is penile prosthesis surgery reversible?

Removal is technically possible but typically not advised. Once the prosthesis is implanted, the natural erectile tissue (corpora cavernosa) is permanently altered, meaning natural erections will not return after device removal. The decision should therefore be carefully considered.

Q6: How long do penile prostheses last?

Modern three-piece inflatable prostheses have mechanical longevity of 10–15 years or more in most cases. When devices eventually require replacement, the procedure is straightforward and outcomes remain excellent.

Q7: 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 in their preferred language.

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Definitive treatment for erectile dysfunction. Decades of restored confidence and intimacy.
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