There are two basic types of penile implant: malleable and inflatable. According to Dr. Paul Perito, each has its benefits; it is up to the individual undergoing the penile implant surgery to choose which one is best for him. The inflatable implant is a device that allows the penis to rest in a natural state when not in use, whereas the malleable implant effectively offers a permanent erection that is manually positioned for sexual intercourse. The two devices are controlled differently, but both offer the same outcome – a functional sex life.
Dr. Perito utilizes Coloplast penile implants. The Titan OTR (one touch release) is a three-piece inflatable penile prosthesis. This device is comprised of a biopolymer material and filled with a sterile saline solution. The implant works by pumping the solution from a reservoir into two separate chambers that are located inside of the shaft of the penis. The pump mechanism is located in the scrotum and can be operated with one hand for ease of use, and also features a lockout mechanism which prevents unintentional inflation. This device is Dr. Perito’s implant of choice for his minimally invasive penile implant surgery. The Titan OTR shows significant improvement over previous, similar penile prosthesis designs and offers a controlled girth and a natural looking rigidity.
The Genesis is Coloplast’s flexible (malleable) implant. The Genesis penile implant consists of 2 rods that are surgically implanted into the penile chambers. The penis remains firm at all times and the patient simply needs to position the penis manually for intercourse. When an erection is not needed, the patient must return the penis to its original, resting position. This penile implant may be positioned by either the patient or his partner.
Both penile implants have withstood the test of time and offer the patient favorable results. It is a completely personal decision as to which device is chosen for the patient’s penile implant surgery. The pros and cons of each will be explained prior to scheduling the surgery. Historically, penile implants have a failure rate of 5% or less and both devices offer a lifetime warranty. Dr. Perito suggests careful research and numerous candid conversations between the patient and his partner as to which device fits into their lifestyle the best.