Who Should Consider a Penile Implant?

When it comes to successful treatment of erectile dysfunction, knowledge is power and we believe our patients should be empowered.

Patients at Perito Urology will usually undergo a quick study of the penile vascular system called a penile duplex.  With this study, we can immediately start and expedite the algorithm to restore sexual health and function without bouncing the patient back and forth between treatments demonstrating little or no efficacy. The pragmatic work-up allows the patient the convenience to target treatments that will be successful.  For example, many patients exhibit a vascular abnormality that they never would have guessed they had:  veno-occlusive disease

This process can only be treated by high dose injection therapy or a penile implant. Many patients believe they are not candidates for penile implant surgery because they consider themselves a “high risk” for any surgery.  Thankfully this 15-minute procedure can be performed with any form of anesthesia available:  local with IV sedation, spinal or general.

Patients on anticoagulant therapy can be safely treated with the penile implant without stopping their therapy at Perito Urology.  This is especially important in patients who have undergone cardiac stent placement.  Considering the age range of our patients who have undergone a penile prosthesis (21 to 95) and the co-morbidities of our patients (transplant, diabetics, dialysis, etc.) few patients are considered unsafe for this minimally invasive procedure.

Duplex penile implant

Typical duplex finding on a candidate for penile implantation with “leak”

Related Blogs:

Rigicon Launches First U.S. Research Fellowship in Prosthetic Urology in Collaboration with Perito Urology

CORAL GABLES, FL — Rigicon, an emerging leader in urological prosthetics, is proud to announce the launch of its first U.S.-based research fellowship dedicated to advancing penile implant technology and the surgical treatment of erectile dysfunction (ED). In collaboration with, Perito Urology, the #1 global name in penile prosthetics for the past 16 years, this … Read more
April Training at Perito Urology

“Implants, Insights & International Legends” – A Blockbuster Week at Perito Urology

What do you get when you mix a group of rising-star urologists, world-renowned surgeons, complex cases, and a splash of Miami sun? Just another unforgettable week at Perito Urology! From April 1st through April 4th, our Coral Gables campus turned into a global hub for high-level IPP (Inflatable Penile Prosthesis) and UroFill® training—where knowledge met … Read more
MTP 99

MTP 99: The Great Pull Down: Keeping Your Pump in Place for Optimal Comfort

If you’ve ever wondered how to keep your penile implant pump in the right position for maximum comfort and function, this episode is for you! Dr. Perito and the team break down “The Great Pulldown”—a key technique ensuring your pump stays where it belongs. Tune in now and learn why positioning is EVERYTHING when it … Read more
MTP 98

MTP 98: The $412 Million Dollar Mistake

As the year winds down and the holiday season approaches, we want to take a moment to reflect on an important message from Dr. Paul Perito’s recent episode of Meet the Penis (MTP #98): “The $412 Million Dollar Mistake.” This episode highlights the critical need for specialized, ethical care when it comes to men’s health … Read more
MTP 82

MTP 82: Mechanical Failure of Penile Implants

This episode of MTP answers a long-standing and frequently asked question: What happens when a penile implant fails? As Dr. Paul Perito explains, penile implants have a 1-2% annual failure rate, placing them in the higher-performing echelon of stable and secure medical devices. As long as a patient undergoes the procedure at a dedicated clinic, … Read more
Penile Implant Tubing Placement

MTP 79: Penile Implant Tubing Placement

In this episode of MTP, Dr. Perito answers a question from a doctor about the appearance of tubing following penile implant placement. Well-trained expert implanters will do everything within their ability to conceal tubing in their patients. That being the case, the two main approaches to penile implants are infrapubic and penoscrotal; depending on which … Read more