Dr. Reed, Have looked at your gallery of ups and downs penile implant photos on penisdoctor.com/before-after-penile-implantation
Would you recommend a penile implant for a man with ED?
A penile implant or prosthesis is the last resort for a man with ED, erectile dysfunction. Usually this is a process which evolves, and of course the most popular option are the phosphodiesterase-5 (PDE5) inhibitors such as Viagra, Cialis, Levitra. These are definitely contra-indicated if you are on nitrates for angina. If you have cardio-vascular disease, you need clearance from your doctor.
You may also consider behavioral modification, avoidance of alcohol before sex, etc. Then there is a constrictor ring and a vacuum erection device. Lastly you may wish to consider intracorporal injections with papaverine or alprostadil or a combination called “bi-mix“.
The average duration of a penile implant is 8 years, but some require servicing (think surgical revision) before that. With other patients they have lasted for 14 years. This is in part related to frequency of use and over-pressuring the cylinders.
Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery – Miami
Penile implant photo, flaccid mode
Penile implant photo, erect mode