Penile Prosthesis (Erectile Implant) for FTM Patients

A penile prosthesis (erectile implant) is placed inside the neo-phallus after phalloplasty to enable erection for penetrative sexual intercourse. It is always the last stage of phalloplasty — placed only after the phallus has fully healed, all urethral complications have been resolved, and the patient has had at least 18-24 months of stable post-phalloplasty healing.

Types of Penile Prosthesis

Type How It Works Inflatable (3-piece) Prosthesis

The most sophisticated option. A fluid-filled pump in the scrotum transfers fluid from a reservoir (placed in the abdomen) into cylinders inside the phallus — creating a realistic erection that can be deflated at will. Most natural feel and appearance.

Semi-Rigid / Malleable Prosthesis A bendable rod inside the phallus that can be positioned upward for intercourse and bent downward when not in use. Simpler device, no pump required. Some patients find the permanently semi-rigid state less comfortable.

Timing Minimum 18-24 months after main phalloplasty — once fully healed

Anaesthesia

General anaesthesia Duration 2-3 hours

Hospital Stay

1-2 nights Return to Work 2-3 weeks Sexual Activity 6-8 weeks after implant placement

Frequently Asked Questions

How long do penile prostheses last?

Inflatable penile prostheses have an average lifespan of 10-15 years before mechanical replacement may be needed. Semi-rigid prostheses have no moving parts and may last longer. Replacement is a surgical procedure but is less complex than the original implantation.

What are the risks of penile prosthesis in a neo-phallus?

The risk of implant-related complications (infection, erosion) is slightly higher in neo-phalli than in natal phalli — due to reduced sensation and the reconstructed tissue. Infection is the most serious risk and typically requires implant removal. Careful patient selection, meticulous surgical technique, and perioperative antibiotics minimise this risk significantly.

What to Expect at Your Consultation

Your consultation with Dr. Bhavya Sree is a private, unhurried, and completely confidential conversation — with absolutely no obligation to proceed. You can expect: A thorough and respectful discussion of your goals, your medical history, and your timeline An honest explanation of what each procedure involves, what it achieves, and what it does not Clear information about the surgical process, recovery, and realistic outcomes A staged surgical plan if multiple procedures are being considered Discussion of any prerequisites — hormonal therapy, letters of support, or prior procedures A fully itemised, transparent cost estimate with no hidden fees No judgement. No pressure. No assumptions. Just an expert, compassionate conversation about your options.

Book your private consultation with Dr. Bhavya Sree — drbhavyaplasticsurgery.com | Visakhapatnam