Erectile Prosthesis

This is only possible after the phalloplasty operation.

The patient usually finds tenderness at the top of the penis within 12 months of the procedure. He can then ask to be placed an erectile prosthesis which will allow sexual intercourse with penetration. In most cases, stimulation with orgasm will be possible, even without an erectile prosthesis.

The sine qua non for the implantation of an erectile prosthesis is that the sensitivity is restored to the top of the phallus. In the absence of sensation, the risk of traumatic perforation of the prosthesis is high. Most of the time, you have to wait 12 to 18 months after the first operation. There are different models of prostheses..

Semi-rigid or flexible prostheses composed of a single element

One-piece anatomical prostheses are the simplest types of penile prostheses. The prosthesis consists of a cylinder that is placed in the penis during a procedure. A flexible prosthesis consists of a part that you can straighten for penetration, and lower when at rest. This model is very simple, and easy to use. The disadvantage is that the penis remains rigid even at rest, so it is visible, for example, in a tight-fitting swimsuit. Some men find this embarrassing, because it gives the impression of being permanently erect.

Advantages :

Prosthesis completely hidden in the body
Easy to use for you and your partner
Good option for men who are not very skillful
Usually the easiest surgical procedure
Longest life model of all models
The prosthesis can easily be folded to hide it

Disadvantages:

Stays stiff even when not in use, making it relatively visible in tight-fitting clothing
These prostheses were created for older men with erectile dysfunction. More active and younger trans men need to consider the limited “lifespan”.

Flexible erectile prostheses for trans men

Since mid-2016, erectile prostheses specially created for trans men . The other end is a piece of steel and silicone that is attached to the pubis. The prosthesis can be erected or rested with a simple movement.Hydraulic or fillable penile prostheses composed of two parts

The inflatable prosthesis consists of two parts: a cylinder filled with fluid, which is implanted in the penis, and a small pump placed in the scrotum.

You have to squeeze the pump several times and then release it to get an erection. When liquid is pumped into the cylinder, it creates an erection.

Advantages :

Prosthesis completely hidden in the body
Easy to use
Empty in a single gesture
The instrument is inflated to give it rigidity, and emptied to hide it
Mimics a natural erection very well

Disadvantages:

The use of this prosthesis requires some skill
Limited lifespan: 5 to 10 years

Inflatable erectile prostheses composed of three elements

The fluid-filled inflatable prosthesis consists of three parts: a cylinder which is implanted in the penis, a pump placed in the scrotum and a reservoir implanted in the lower abdomen. When the liquid is pumped into the cylinder, it creates an erection (stiffness + increased volume).

Advantages :

Prosthesis completely hidden in the body
Sensation similar to a natural erection
The instrument is inflated to give it rigidity and emptied to hide it
When the instrument is empty, the cylinder is soft and flabby

Disadvantages:

The use of this prosthesis requires some skill
Limited lifespan: 5 to 10 years