Penile prosthesis implantation

What is penile prosthesis implantation?

Penile prostheses are cylinders of silicone or bioflex (a substance that is biocompatible with the organism) of an anatomical structure that is implanted in the neophallus.

They are implanted during a surgical operation, at least 12 months after the genital gender confirmation surgery (metoidioplasty or phalloplasty), under the requirement of full healing and the absence of urinary fistulas.


The patient will be admitted to the hospital centre on the same day as the operation. Before the operation pertinent monitoring will be conducted and the patient will not have to remain admitted if the operation consists only of implanting the testicular prostheses.

The operation

The penile prosthesis is implanted via one of the following access channels:

  • Infrapubic incision (in the abdomen, above the base of the penis)
  • Incision in the trunk of the penis
  • Scrotal incision (in the scrotum – previously formed of the labia majora).


After the first 48 hours the patient’s movement will be limited to the maximum, despite being discharged on the same day as the operation.

Possible complications

The complications that most frequently may appear are:

  • Infection
  • Bleeding: The patient may experience an episode of bleeding during or after the operation.
  • Extrusion (popping out) of the prosthesis.
  • Displacement of the prosthesis.