การผ่าตัดใส่ซิลิโคนอวัยวะเพศชายในกรุงเทพฯ
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 หย่อนสมรรถภาพทางเพศ 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 →
Who Is a Candidate?
Penile prosthesis surgery is suitable for men who:
- Have moderate to severe erectile dysfunction
- Have not responded to PDE5 inhibitors, ICI, or shockwave therapy
- Cannot tolerate medications due to side effects or contraindications
- Have ED related to diabetes, post-radical prostatectomy, or severe โรคเพโรนีย์
- Prefer a permanent, on-demand solution over ongoing medications
- Are in good general health to undergo elective surgery
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
Why Choose Dr. Soarawee for Penile Prosthesis Surgery
- 🎓 Observership at Baylor College of Medicine — home of the original AMS 700 prosthesis (developed by F. Brantley Scott), where modern IPP techniques were pioneered
- 🔬 Familiar with current best practices — including “no-touch” antibiotic protocols and modern infection-prevention standards
- 🏥 Bangkok Hospital Headquarters — fully equipped operating theaters with infection-control protocols meeting international standards
- 📊 Patient education — comprehensive pre-operative counseling regarding expectations, recovery, and long-term care
- 🌐 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
คำถามที่พบบ่อย
Q1: Will the prosthesis be visible or detectable?
อุปกรณ์เทียมแบบเป่าลมสามชิ้นที่ทันสมัยนั้นอยู่ภายในทั้งหมด เมื่อปล่อยลมอุปกรณ์จะไม่เป็นที่สังเกต เมื่อเติมลม การแข็งตัวจะปรากฏและให้ความรู้สึกเป็นธรรมชาติ โดยทั่วไปแล้วคู่รักทางเพศจะไม่สังเกตเห็นการฝังดังกล่าว เว้นแต่จะได้รับการแจ้ง.
Q2: How does the prosthesis work?
สำหรับอุปกรณ์พองลมแบบสามชิ้น: การบีบปั๊มบริเวณถุงอัณฑะจะส่งของเหลวจากถังเก็บในช่องท้องไปยังกระบอกสูบในองคชาต ทำให้เกิดความแข็งตัว หากต้องการลดความแข็งตัว ให้กดวาล์วระบายที่ปั๊มเพื่อคืนของเหลว กระบวนการนี้ใช้เวลาเพียงไม่กี่วินาทีและเรียนรู้ได้ง่าย.
Q3: Will sexual sensation be affected?
การรับความรู้สึก จุดสุดยอด และการหลั่งน้ำอสุจิ ยังคงอยู่ เครื่องมือปลูกฝังจะคืนความสามารถในการแข็งตัวของอวัยวะเพศเท่านั้น โดยไม่ส่งผลต่อการทำงานของเส้นประสาทหรือการตอบสนองทางเพศตามธรรมชาติ ชายส่วนใหญ่รายงานประสบการณ์ทางเพศที่เทียบเคียงได้กับก่อนที่จะมีภาวะหย่อนสมรรถภาพทางเพศ.
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.
Book Your Confidential Consultation
Definitive treatment for erectile dysfunction. Decades of restored confidence and intimacy.
All consultations conducted with complete discretion.
