Subspecialty Areas » Impotence » Figures

Penile Implant Surgical Procedure

Figure 1

Mentor Titan® inflatable penile implant. Two inflatable cylinders are placed in the penile erection chambers. A pump is placed in the scrotum, between the testicles, and a fluid reservoir is placed in front of the bladder. The patient squeezes the pump to inflate the implant and produce an erection. After sexual activity is finished, he squeezes the release bars to deflate the implant.

Figure 2

A roughly one inch incision is marked on the upper scrotum.

Figure 3

The urethra is seen in between the forceps; the left and right erection chambers are on either side of the urethra.

Figure 4

The left erection chamber is opened, dilated, and measured, in preparation for cylinder placement.

Figure 5

The right erection chamber is likewise opened, dilated, and measured.

Figure 6

The optimal-size cylinders and pump are selected and prepared.

Figure 7

The cylinders have been inserted into the left and right erection chambers. The urethra is in the midline and is unharmed.

Figure 8

The reservoir is about to be inserted where it will not be felt or appreciated by the patient.

Figure 9

The reservoir is filled with sterile saline; the connection between the reservoir and pump is about to be created.

Figure 10

The connection has been made, and the cylinders and reservoir have already been installed. The implant has been inflated.

Figure 11

The pump has been installed in between the testicles, and is under the skin at the bottom of the scrotum.

Figure 12

The procedure is complete and the skin is closed. The implant is deflated.

Figure 13

When the implant is inflated, it produces an excellent erection. When the incision heals, it will be nearly invisible. The patient will learn how to inflate and deflate the implant 4-6 weeks post-operatively.