2026年阴茎假体：工作原理及如何选择合适的一款

最后更新： 8 月 15, 2026

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For decades, erectile dysfunction was a subject discussed in hushed tones, weighed down by undeserved shame. Today it is a problem we can treat decisively. When tablets such as sildenafil or tadalafil no longer work, the inflatable penile prosthesis (IPP) — the penile implant — is the definitive option.

One word of precision before we go further, because it shapes everything else on this page: an implant is not a cure. It does not repair the erectile tissue; it replaces the mechanism, and in doing so it removes what was there. That is why it comes last in the sequence rather than first, and why the choice of device matters less than the choice to have the operation at all.

At the American Urological Association (AUA) 2026 meeting in Washington, DC, while shadowing 莫希特·赫拉教授 — a global leader in sexual medicine — I attended a session where experienced implanters debated the modern generation of penile prostheses. Here is a plain-language guide to what I learned.

How Does a Penile Implant Actually Work?

To understand why surgeons debate different devices, it helps to understand the device itself. A modern three-piece inflatable penile prosthesis is a completely hidden system with three parts:

• Two cylinders placed inside the erection chambers of the penis.
• A small pump tucked discreetly inside the scrotum.
• A fluid reservoir — a small balloon of sterile saline — placed in the lower abdomen.

When a man wants an erection, he squeezes the pump a few times, moving fluid from the reservoir into the cylinders. Afterwards a release valve returns the fluid, and the penis returns to a soft state. Because everything is internal, nobody knows it is there unless he chooses to say so. Learning to use the pump comfortably takes a few weeks of practice, and it is not used at all until the activation visit four to six weeks after surgery.

The Three Leading Manufacturers

The session focused on the rivalry among three manufacturers. Each has strengths and trade-offs, and there is no single best device for everyone. Three things to say before the comparison. First, which devices are actually available to you depends on your country and your hospital, since not every model is registered or stocked everywhere. Second, warranty terms change — treat what follows as the state of the discussion at a 2026 conference rather than a current contract, and confirm the specifics for the device you are offered. Third, and most important on a page that compares brands: I have received support from Boston Scientific in the form of travel and accommodation for prosthetic surgery training workshops. That is a common arrangement in surgical education and it is disclosed here so you can weigh what follows for yourself. It does not determine which device is chosen for any patient — anatomy, dexterity and risk factors do — but you are entitled to know it before reading a ranking.

1. Boston Scientific (AMS 700): The Time-Tested Option

The AMS 700 has the longest track record of the three. Its cylinders use a multi-layer design that gives uniform rigidity and a natural-looking soft state when deflated, which contributes to high reported patient and partner satisfaction. It comes pre-coated with two antibiotics, a useful safety feature in higher-risk patients. A newer pump design refills faster and reduces the older problem of a release valve stiffening over time.

The trade-offs noted by the panel: no unconditional lifetime warranty, some cylinders can expand slightly unevenly after years of heavy use, maximum girth is capped by its structural fabric, and that same fabric can make future revision surgery more challenging.

2. Coloplast: The Heavy-Duty Option

Coloplast devices are built from a strong polyurethane rather than silicone, and several published series report an excellent mechanical lifespan. That strength also allows the largest-diameter implant on the market, which can suit men with larger natural anatomy. Its coating lets the surgeon dip the device in an antibiotic mixture chosen for the patient’s own risk factors.

The trade-offs: the pump can feel stiff and needs reasonable finger dexterity — worth thinking about for a man with arthritis or a weak grip — the firmer material does not droop as naturally in the soft state, and it has traditionally carried a standard rather than a lifetime warranty.

3. Rigicon: The Newer Entrant

The newest of the three, founded in 2019, has expanded quickly across many countries. Its advantage is timing: entering later allowed it to design around problems its competitors had already encountered. The result is reinforced connections intended to reduce mechanical failure, one of the widest girth options available, a thin but strong silicone that compresses cleanly for a smooth soft state, and single-use surgical tools that streamline the operation.

The honest trade-off is the one that comes with any newer product: a shorter track record. The failure modes of the older devices are known because they have been implanted for decades and followed for decades. A device introduced in 2019 has strong early data and a generous warranty, but nobody yet has twenty-year outcomes for it. That is not a criticism, simply the nature of time, and it is a reasonable thing to weigh.

A Few Engineering Details That Matter

One memorable part of the session compared how cylinders look and feel when deflated. Bulkier materials can cause the cylinder tips to fold over inside the penis — a minor cosmetic issue urologists nickname dog ears. Thinner, uniform cylinders avoid this and conceal more smoothly.

The panel also discussed the reservoir. Older designs could wrinkle or collapse if underfilled, causing a mechanical glitch. Newer, more elastic reservoirs can be safely underfilled, giving surgeons flexibility to place them in alternative locations when a patient’s anatomy calls for it — which matters after previous abdominal or pelvic surgery. These are the fine details an experienced surgeon weighs for each man.

What a Brand Comparison Leaves Out

Comparing devices is the interesting part of the conversation. It is not the important part. Whichever of the three is chosen, the following are the same:

• The operation cannot be undone. Implanting the cylinders removes the natural erectile tissue. If the device is ever taken out, natural erections do not return and tablets or injections will no longer work. No brand changes this.
• Infection is the complication that matters most. If the device becomes infected, the whole prosthesis usually has to be removed and replaced at a second operation. Risk is higher in men with diabetes, in men who are immunosuppressed, and in revision surgery. The fifty-year story of how that risk was brought down is worth reading alongside this one.
• Many men notice some loss of length compared with the erections they had before erectile dysfunction developed. Expected, not a complication — but better known beforehand than discovered afterwards.
• Every device eventually wears out. Warranties differ; mechanics do not. A man implanted in his fifties should expect a replacement at some point, and revision surgery carries a higher infection risk than the first operation.

If you take anticoagulant or antiplatelet medication, that adds a separate planning question, covered in penile implants and blood thinners.

Trust Your Surgeon — and Still Ask

As the session wrapped up, a urologist in the audience asked a good question: with three high-performing devices available, are we obliged to explain every technical detail and make patients choose between them?

One panelist gave an answer that resonated with the room. Urologists should think like orthopaedic surgeons, he said. A patient needing a hip replacement does not debate the grade of titanium. He trusts the expert, who studies his anatomy, his bone density and his lifestyle, and selects the right device.

I agree with that, with one addition. Trusting your surgeon to make the technical choice is not the same as being kept out of the conversation, and a good surgeon welcomes questions rather than treating them as a challenge. Reasonable things to ask, and to expect a straight answer to:

• Which device are you planning to use for me, and why that one for my anatomy?
• Which devices are available at this hospital?
• How many of these operations do you do in a year?
• What happens if it becomes infected, or fails in ten years?
• What will be different about my erections afterwards — length, sensation, ejaculation?

The patient’s job is not to memorise engineering specifications. It is to understand what is being traded, and to find a surgeon who will explain it plainly.

Leaving that ballroom in Washington, I felt a renewed sense of how far this field has come. Penile prosthetic surgery is a blend of technique, judgement and engineering, and for the right man it genuinely restores something that had been lost. Device choice is only one part of the decision; candidacy, anatomy and prior surgery matter just as much. See the full IPP surgery service in Bangkok for how that assessment is carried out.

If you are living with severe erectile dysfunction that has not responded to tablets or injections, a penile implant may be worth exploring. Dr. Soarawee Weerasopone consults in men’s health and prosthetic urology at 曼谷医院总部 and at Samitivej Sriracha Hospital, Chonburi — 088-022-1445.

曼谷医院远程医疗服务适用于无法亲自就诊的患者，包括国际患者——请通过电子邮件提前向泌尿科预约： bhquro@bdms.co.th. It suits a first discussion about whether an implant is appropriate; the assessment and the surgery require an in-person visit. Samitivej Sriracha is in-person only.

常见问题解答

What is a three-piece inflatable penile prosthesis?

A three-piece inflatable penile prosthesis (IPP) is a surgically implanted device used to treat severe erectile dysfunction. It consists of two cylinders placed inside the penis, a pump in the scrotum, and a fluid reservoir in the lower abdomen. Squeezing the pump moves saline into the cylinders to create a firm erection, and a release valve returns the fluid afterwards. Because the whole system is internal, it is invisible to others.

Is a penile implant a cure for erectile dysfunction?

Not in the sense of repairing what was damaged. An implant replaces the erectile mechanism rather than restoring it, and implantation removes the natural erectile tissue, so natural erections do not return and tablets or injections no longer work afterwards. It is the definitive option for severe erectile dysfunction, and it is irreversible — both of those are true at the same time.

Which penile implant brand is the best?

There is no single best penile implant for everyone. The three leading manufacturers — Boston Scientific (AMS 700), Coloplast and Rigicon — each have distinct strengths in reliability, maximum girth, soft-state appearance and warranty, and the newest has the shortest track record simply because it is newest. The right choice depends on your anatomy, goals, dexterity and risk factors, and on which devices your hospital actually offers.

Can I choose which device I get?

You can and should ask which device is planned and why, and which devices are available at that hospital, since not every model is registered or stocked in every country. The technical selection is normally made by the surgeon to fit your anatomy and circumstances, in the same way an orthopaedic surgeon selects a joint replacement.

When should a man consider a penile implant instead of pills?

A penile implant is considered when first-line treatments such as oral medication or penile injections no longer work or are not tolerated, particularly in men with underlying causes such as diabetes, prostate cancer surgery or cardiovascular disease. Because it is irreversible, it comes after those treatments rather than instead of them, and the decision is made together with a urologist after a full assessment.

Will anyone be able to tell I have a penile implant?

Generally not. A modern inflatable penile prosthesis is completely internal, producing a natural soft appearance when deflated and a firm erection when inflated. Partners are typically unaware unless told. One exception worth remembering: you should always tell any doctor, surgeon or radiographer about the implant before imaging, catheterisation or an operation.

How long does a penile implant last?

Modern implants are durable and generally last many years, with warranty coverage varying by manufacturer from standard multi-year terms to a lifetime guarantee on some newer devices. Warranty terms change over time, so confirm the current position for the device you are offered. Mechanically, every device eventually needs replacing, and revision surgery carries a higher infection risk than the first operation.

Disclosure: 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.

免责声明 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, does not constitute medical advice, and is not an endorsement of any manufacturer or product. Device descriptions reflect a conference discussion in 2026; availability and warranty terms vary by country, hospital and time. 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.