Penile Prosthesis Implant at Gousse Urology Clinics

Penile Prosthesis Implant

Erectile dysfunction affects many men as they get older. Studies have shown that half of all men experience at least some form of erectile dysfunction within their lifetime. The reasons for erectile dysfunction vary according to their existing medical conditions.

Not all erectile dysfunction cases are attributed to a physical condition. Some men have trouble getting an erection because of stress, anxiety or other psychological factors. In these cases, the treatment solutions would involve lifestyle changes such as exercise, nutrition and counseling. These simple habitual modifications can go a long way in reducing or reversing erectile dysfunction symptoms.

A urologist may be inclined to prescribe medication to assist a patient as well. When a chemical imbalance in the body contributes to erectile dysfunction, a man can take certain prescription medications to correct the imbalance. This determination is made after the urologist conducts a complete examination of the patient to determine the exact cause of their erectile dysfunction.

Most erectile dysfunction conditions are reversible without surgery. However, there are cases where men cannot maintain an erection even after they make lifestyle changes. This would mean they have a more severe condition known as irreversible erectile dysfunction. The condition stems from physical problems within the erection chambers and groin area that prevent an erection from forming.

A penile prosthesis implant is the best solution for reversing any erectile dysfunction that is irreversible through natural means. The urologist implants a prosthetic surgical device into the groin area and penis of the patient. The purpose of the device is to help the patient form and maintain an erection during sex. 

Keep in mind that penile prosthesis implants don’t increase the sensitivity of the penis’ skin. An implant is not meant to boost or enhance the sexual experience of the man. It is simply meant to allow the man to have sex in the first place. The urologist will perform one out of the two possible types of penile prosthesis implants that are available. 

The most common penile prosthetic implant consists of flexible plastic rods that get placed inside of the penis’ two erection chambers. It is a popular choice because you can move and adjust the erection to a suitable sexual position. The plastic rods are bendable and easy to maneuver as needed.

In extreme cases of erectile dysfunction, the urologist will recommend for the patient to receive a hydraulic variation of the penile prosthetic implant. The hydraulic penile prosthetic implant feels more natural because you have more control over the erection. The urologist inserts a pump and reservoir behind the groin muscles.

Tubing from the reservoir is connected to the two erection chambers. Anytime you wish to have an erection, you simply turn on the pump to send fluids from the reservoir to the erection chambers. That will cause you to form a full erection within seconds. Once you are done having sex, you can use the deflation valve to send the fluid back to the reservoir.

Lesson to Remember

An experienced urologist will only recommend a penile prosthesis implant if your erectile dysfunction cannot get reversed through traditional treatments, such as lifestyle changes and medications. Your best bet would be to attempt these modifications to your daily lifestyle and see if it helps strengthen your erections.

The decision to get a penile prosthesis implant is yours alone. The urologist will explain the pros and cons of choosing to get the implant procedure done. The biggest downside is that you would never be able to form an erection again naturally if you had the implant removed. That is why you need to be absolutely sure that you cannot reverse your erectile dysfunction through lifestyle changes.

Penile Prosthesis Implant

Penile Prosthesis Implant

The simplest type of prosthesis consists of a pair of malleable (bendable) plastic rods surgically implanted within both erection chambers of the penis. With this type of implant the penis also feels semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sexual activity. Many men do find the malleable penile prosthesis natural enough.

Currently, most men with ED choose a hydraulic, inflatable penile prosthesis, which allows a man to have an erection whenever he chooses and is much easier to conceal when deflated. Many men feel that the inflatable prosthesis is more natural.

Urologists should advise a penile prosthesis only when there is a clear medical cause for ED and when the problem is unlikely to resolve or improve naturally or with other medical treatments. Rarely a penile prosthesis is implanted during surgery to reconstruct the penis when scarring has caused erections to curve (Peyronie’s disease).

The inflatable penile prosthesis consists of two cylinders — a reservoir and a pump — which are placed surgically in the body. The two cylinders are inserted in the penis and connected by tubing to a separate reservoir of fluid. The reservoir is implanted under the groin muscles. A pump is also connected to the system and sits under the loose skin of the scrotal sac, between the testicles.

To inflate the prosthesis, the man presses on the pump. The pump transfers fluid from the reservoir to the cylinders in the penis, inflating them and causing an erection. Pressing on a deflation valve at the base of the pump returns the fluid to the reservoir, deflating the penis and returning it to the normal flaccid state.

While men who have had the prosthesis surgery can see the small surgical scar where the bottom of the penis meets the scrotal sac, other people probably will be unable to tell that a man has an inflatable penile prosthesis.

When the penis is inflated, the prosthesis makes the penis stiff and thick, similar to a natural erection. Most men rate the erection as shorter than their normal erection; however, newer models have cylinders that may increase the length, thickness, and stiffness of the penis.

When the penis is inflated by pressing on the scrotal pump, the prosthesis makes the penis stiff and thick, similar to a natural erection. Most men rate the erection as shorter than their normal erection; however, newer models have cylinders that may increase the length, thickness, and even stiffness of the penis.

A penile prosthesis does not change sensation on the skin of the penis or a man’s ability to reach orgasm. The sensations associated with ejaculation are not affected either. Once a penile prosthesis is put in, however, it may destroy the natural erection reflex. Men usually cannot get an erection without inflating the implant by pressing on the pump. If the implant is removed, the man may never again have natural erections. That is the reason why the penile prosthesis is used only in cases of irreversible ED. Occasional complications related to infection or malfunction of the prosthesis can occur.

Fortunately, approximately 90%-95% of inflatable prosthesis implants produce erections suitable for intercourse. Satisfaction rates with the prosthesis are extremely high, and typically 80%-90% of men are satisfied with the results and say they would choose the surgery again.

Insurance plans are likely to pay for the penile prosthesis, as long as a medical cause of ED is established. Medicare covers the surgery, but Medicaid does not.

Penile Prosthesis Implant Urologist

Penile Prosthesis Implant Urologist - Dr. Angelo Gousse, MD

Real People. Real Results.

For trouble getting or maintaining an erection, medications and surgical procedures at Bladder Health & Reconstructive Urology Institute in Aventura, Miramar and West Palm Beach, Florida, can help. Urologist and reconstruction specialist Angelo Gousse, MD, offers penile prosthesis implants for men with irreversible erectile dysfunction. As a leader in the field for more than 25 years, Dr. Gousse can help you determine which treatment option for ED is best for your needs. To schedule a visit today, call the office nearest you or use the online booking tool.

Penile Prosthesis Implant Q & A

A penile prosthesis implant is a type of surgical device that helps a man achieve an erection for the purpose of sexual intercourse. Penile prosthesis implants don’t affect the sensation of the skin on the penis or a man’s ability to have an orgasm. Penile prosthesis implants may be recommended in severe cases of erectile dysfunction (ED) when other treatment options have failed.

Two types of penile prosthesis implants are available. The basic type is an implant that contains bendable plastic rods that are inserted into the two erection chambers of the penis. Many men find this option is natural enough.

For a more advanced option, Dr. Gousse also offers a hydraulic, inflatable penile prosthesis implant that can be concealed more easily when an erection is undesired. Most men feel this is the most natural option.

The first type of penile prosthesis implant can be lifted or adjusted into an erect position for sexual intercourse. Since the plastic rods are malleable, you can move your penis into a comfortable position as needed.

The second type of implant involves a reservoir and pump that are surgically inserted into the body underneath the groin muscles. The reservoir is filled with fluid that connects to tubing within the two erection chambers of the penis.

When you want to get an erection, you activate the pump, which pushes fluid from the reservoir into the tubing in your penis. When an erection is no longer needed, you press the deflation valve on the pump to drain the fluid from the tubing into the reservoir.

For either prosthesis surgery, you may notice a small incision scar on the underside of your penis where it meets your scrotal sac. With the inflatable prosthesis, the prosthesis makes the penis stiff and thick, which may be preferred for a more natural-looking erection.

A penile prosthesis implant is only recommended in cases of irreversible erectile dysfunction (ED). Dr. Gousse may recommend alternative treatments, including medications and lifestyle modifications, before suggesting a penile prosthesis implant.

In most cases, you lose the erection reflex when a penile prosthesis is implanted. If the implant is removed, you may not be able to achieve an erection naturally. Dr. Gousse reviews the risks and benefits of the procedure with you to determine if you’re a candidate.

To set up a consultation for a penile prosthesis implant, call Bladder Health & Reconstructive Urology Institute or book online now.

Play Video

AMS 700™ Penile Implant Overview

  • Currently the ONLY penile implant on the market with cylinders that expand in GIRTH and LENGTH
  • Answers the #1 complaint of men who have ED – loss of penile length – with up to 25% in length expansion depending on patient’s anatomy46
  • Firm, rigid erection that lasts as long as desired
  • Natural flaccid appearance when deflated
  • Controlled expansion provides maximum rigidity and optimizes girth expansion
  • Firm, rigid erection that lasts as long as desired
  • Natural flaccid appearance when deflated
  • All the benefits of the AMS 700 penile implant series including girth expansion for patients who may require narrower cylinders (e.g., those with scarred corporal bodies)
  • Controlled expansion provides maximum rigidity and optimal girth expansion
  • Firm, rigid erection that lasts as long as desired
  • Natural flaccid appearance when deflated


  • Only penile implant pre-treated with antibiotics proven to reduce infection
  • InhibiZone™ is an antibiotic surface treatment found only on the AMS 700 that has been shown to reduce infection rates to 1.1% or 1 out of 100 men32
  • Historically, infection rates with penile implants are low – 3 out of 100 men (3%) will experience an infection; however some men may be at higher risk for infections38


  • Once activated, maintain an erection for as long as desired
  • Broad range of lengths provide custom fit for patients


  • Operate with one-touch button for deflation
  • Lock-out valve designed to reduce auto-inflation


  • Parylene coated to enhance long-term durability37
  • A permanent treatment option for ED

*Available without antibiotics for those with tetracycline allergies.

Real People. Real Results.

Gousse Urology is one of the best clinics for penile prosthesis implants in South Florida. Dr. Angelo Gousse has been an expert in male erectile dysfunction for over 25 years. His credentials make him a highly sought-after urologist in his field. Men come to him whenever they have trouble sustaining an erection and wish to improve their sex lives.

Medications are always recommended first. Sometimes erectile dysfunction results from a chemical imbalance that needs correction in the body. When Dr. Gousse performs the initial examination on you, he’ll look to see if a simple prescription can help you form or maintain an erection. But if it turns out that you have irreversible erectile dysfunction, then surgical procedures will be recommended. 

Are you interested in scheduling an appointment for an examination with Dr. Gousse? If so, please call us at (305) 606-7028 or contact us here to make an appointment.

About the Penile Prosthesis Implant Procedure

 Irreversible erectile dysfunction can be treated with a penile prosthesis implant. It is a prosthetic surgical device that gets implanted into the penis or groin area. The device offers assistance for establishing and maintaining an erection.

One type of penile prosthesis implant uses malleable plastic rods that let you lift your erect penis and adjust it into a comfortable position. Another type of penile prosthesis implant features a pump and reservoir implanted under the groin muscles. This implant procedure is much more sophisticated, but patients usually like it better because they have improved control over their erections.

The reservoir is connected to the two erection chambers through a series of tubes. When you wish to have sex, you must turn on the pump to send fluids from the reservoir through the tubing and into the two erection chambers of your penis. After you’re done having sex, you activate the deflate valve to drain the fluids from the erection chambers and send them back to the reservoir.

When the implantation procedure is finished, most of the immediate redness will disappear after a few weeks. You’ll only be left with a small incision scar underneath your penis.

Medications and Lifestyle Changes

If you’re a male under 50 years old with erectile dysfunction, you can probably find relief with medications or lifestyle changes. Sometimes little things like a person’s diet or level of stress could be causing their erectile dysfunction. If you were to change your diet, exercise more, and find a way to reduce your stress level, it could probably do wonders for your erectile dysfunction problem.

Dr. Gousse will be the one to make that determination after your initial examination. Every patient has a different level of health and wellness, so your eligibility for the penile prosthesis implant depends on your current physical condition. You can trust Dr. Gousse to make the proper diagnosis and treatment recommendations for your condition. 

Book Your Appointment Today

We know that penile prosthesis implant surgery sounds like a scary procedure. But it has helped thousands of South Floridian men with their erectile dysfunction problems. Perhaps it can do the same for you if that’s what is needed.

Our office enforces a strict NO DISCRIMINATION policy. When you visit Health Care of South Florida, we will make you feel welcomed and comfortable. There is no need to feel ashamed or embarrassed because there are many men in your situation. We never pass judgment on anybody for any reason.

Book your appointment with us today by calling (305) 606-7028 or contact us here. After your initial examination, you are under no obligation to get the surgery. Dr. Gousse will explain all the options available for treating your erectile dysfunction, including the pros and cons of the treatments available.