Clinical Lead
Meva Clinic Clinical Care Team
Penile Prosthesis (Implant)
Meva Clinic Clinical Care Team
Meva Clinic Clinical Care Team
Patient Care Information
Patient Care Information
"Our clinical approach prioritizes patient safety, individualized treatment planning, realistic expectations, and long-term follow-up throughout the international care journey."
About This Procedure
Why Choose Meva Clinic?
Meva Clinic Clinical Care Team
Meva Clinic Clinical Care Team
Patient Care Information
Meva Clinic Clinical Care Team
Clinical Governance & Specialist Pathway Standards
This content is maintained by Meva Clinic’s Clinical Care Team for patient guidance and clinical transparency. Final treatment suitability, operating physician assignment, surgical planning, and medical decisions are confirmed only after medical history review, in-person consultation, diagnostic tests, anesthesia evaluation, and doctor availability.
Is This Treatment for Me?
Severe ED not helped enough by tablets or other treatments
ED after prostate surgery
Diabetes-related ED
Comprehensive International Patient Care Plan
Private airport transfer according to the confirmed care plan
Bosphorus-view partner hotel, according to the confirmed care plan
24/7 nursing care during your hospital stay
Dedicated patient support during the confirmed care pathway
Aftercare guidance or materials according to the confirmed treatment plan
Follow-up guidance according to individual medical recommendations
The Clinical Procedure
3-piece inflatable device placement.
Specialist Assessment
A urologist reviews your ED history, previous treatments and general health, including diabetes control, and explains the implant options.
Pre-operative Preparation
Pre-op tests and an anaesthesia review; strict infection-prevention measures are followed, as preventing infection is a priority with any implant.
Implant Surgery
Under general anaesthesia, a three-piece inflatable device is placed entirely inside the body: cylinders in the penis, a small pump in the scrotum and a reservoir in the lower abdomen.
Hospital and Hotel Recovery
1–2 nights in hospital, then around seven hotel nights with a wound check before flying home. The device is used only after surgeon clearance.
Recovery & Transformation Journey
Phase 1: Hospital Stay
The three-piece inflatable device is placed under general anaesthesia, followed by 1–2 nights at the partner hospital with pain relief and wound checks.
Phase 2: Hotel Recovery & Wound Checks
About seven hotel nights allow dressing care and a final wound check before you fly home. Swelling and tenderness in the scrotum and around the incision are expected; the device is not used yet.
Phase 3: Healing at Home
Work often resumes after 2–4 weeks, depending on the job. Avoid heavy lifting, strenuous exercise and any sexual activity; follow-up continues remotely.
Phase 4: Activation After Clearance
Before you fly home, the team shows you how the pump works. Full use of the device (activation) usually starts at around 4–6 weeks, once the surgeon has confirmed from your follow-up photos and questions that healing is complete, with step-by-step guidance on inflating and deflating it. Sexual activity can resume from that point.
The Meva Advantage
Three-piece inflatable implants from established manufacturers (e.g. AMS 700 / Coloplast Titan), chosen with the surgeon.
Medical Guidelines & Safety Protocols
Hospital-based procedures are coordinated through accredited partner hospitals, including JCI-accredited institutions where clinically appropriate. Below are the clinical guidelines, safety protocols, and medical reference documentation for this procedure.
Indicated / Suitable For
- Men with severe erectile dysfunction in whom tablets, injections or vacuum devices have not worked well enough, are not tolerated or are not suitable.
- Men with ED after prostate surgery or pelvic radiotherapy, once the urologist has confirmed that natural recovery is unlikely.
- Men with diabetes-related ED whose blood sugar is well controlled before surgery.
- Men with Peyronie's disease and significant ED, in whom the implant may also help straighten the penis, after specialist review.
- Men who understand that implantation is an irreversible step that replaces the natural erection mechanism, and who are able to operate a small pump in the scrotum.
Contraindications / Not Suitable
- Active infection anywhere in the body, especially urinary, skin or genital infections, which must be fully treated before surgery.
- Poorly controlled diabetes, as a high HbA1c is linked to a higher risk of implant infection; surgery is postponed until control improves.
- ED that has not yet been assessed or treated with less invasive options, or that may still recover naturally, for example soon after prostate surgery.
- Health problems that make general anaesthesia unsafe, or reduced hand function or understanding that would prevent safe use of the pump.
- Expectation of a noticeably longer penis, since an implant restores rigidity but does not increase length.
Pre-Operative Evaluation & Diagnostic Checks
Urology Consultation: Review of ED history, previous treatments, prostate or pelvic surgery, penile curvature and the type of implant that suits you.
Infection Screening: Urine tests (urinalysis and culture), a genital skin check and treatment of any infection before surgery, as infection prevention is a priority with any implant.
Blood Tests: Full blood count, clotting tests, kidney function and blood sugar (HbA1c) to confirm that diabetes is well controlled.
Anaesthesia Assessment: ECG and, where indicated, chest X-ray or cardiology review to confirm fitness for general anaesthesia.
Informed Consent Discussion: A detailed explanation of how the device works, its irreversibility, possible complications and realistic expectations, including penile length.
Potential Risks & Complications
In compliance with transparent clinical reporting, Meva Clinic ensures patients are fully informed of the physiological risks associated with surgical procedures through accredited partner-hospital safety protocols where clinically appropriate.
The most serious complication, and it may require removal of the device; the risk is reduced with antibiotic prophylaxis, antibiotic- or hydrophilic-coated implants, careful skin preparation and good diabetes control.
Over the years a fluid leak or pump malfunction can occur and may require revision surgery to replace part or all of the device.
Rarely, a component can wear through the tissue of the penis, urethra or scrotum; prompt review of new pain or skin changes helps detect it, and revision is usually needed.
The cylinders occupy the erectile tissue, so natural erections are generally no longer possible if the device is ever removed; this is discussed in depth before consent.
Scrotal swelling and tenderness are expected in the first weeks; drains or compression may be used, and a larger haematoma may need treatment.
Some men feel the penis is shorter than their natural erections were, or that the glans is softer; the surgeon explains this beforehand to set realistic expectations.
Realistic Expectations & Outcomes
A penile prosthesis is designed to create rigidity on demand; sensation, orgasm and ejaculation usually stay the same. It does not restore natural erections and does not add length. A 2024 meta-analysis of 83 studies with 12,132 men reported long-term satisfaction of about 83% (Corona et al., Andrology); partner satisfaction was also high, though somewhat lower than that of patients. Swelling and scrotal tenderness are normal in the first weeks. The device is activated only after surgeon clearance, typically at 4–6 weeks, with guidance on using the pump. It takes a few weeks of practice for inflation and deflation to feel natural, and the result is judged once healing is complete.
Revision & Follow-Up Policy
Follow-up continues remotely with reviews at around 1, 3, 6 and 12 months and then yearly, focusing on wound healing, pump use and device function. Any sign of infection, pain or malfunction should be reported straight away. If a mechanical problem or another complication occurs, revision surgery is assessed individually by the urologist; it is planned only after proper evaluation and, where possible, once the tissues have fully healed. For 12 months after your treatment you can also send photos to the medical team whenever you wish and receive their feedback, and your questions are answered remotely.
Authoritative Medical References & Studies
- [1]Corona G, Santi D, Cocci A, et al. Long-term penile prosthesis couple's satisfaction: A systematic review and meta-analysis. Andrology. 2025;13(3):610-623 (Epub 2024).View Source
- [2]Menshchikov K, Menshchikov M, Yurasov D, Artamonov A. Risk factors for penile prosthesis infection: An umbrella review and meta-analysis. Arab J Urol. 2024;22(2):96-101.View Source
- [3]Mandava SH, Serefoglu EC, Freier MT, et al. Infection retardant coated inflatable penile prostheses decrease the incidence of infection: a systematic review and meta-analysis. J Urol. 2012;188(5):1855-60.View Source
- [4]Swanton AR, Munarriz RM, Gross MS. Partner Involvement Reduces Postoperative Care Burden Following Penile Prosthesis Placement. Urology. 2023;178:91-97.View Study
- [5]Braun AE, Swerdloff D, Sudhakar A, et al. Defining the incidence and management of postoperative scrotal hematoma after primary and complex three-piece inflatable penile prosthesis surgery. Int J Impot Res. 2025;37(1):82-86 (Epub 2023).View Study
Medical Disclaimer: This information is educational and does not replace a urological consultation. A penile prosthesis is an irreversible surgical treatment; suitability, device type and timing are decided only after specialist assessment, infection screening, blood tests and a detailed consent discussion with the operating urologist.
Frequently Asked Questions
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Procedure Details
Hospital Stay
1-2 Nights
Hotel Package
7 Nights
Return to Work
2-4 Weeks
Anaesthesia
General