Phalloplasty Patient Seeking an Implant

Yes, two years on testosterone, have already had top surgery
Specific_Questions: It’s hard to find information about phalloplasties and sex. I’m just wondering, for phalloplasties, once the surgery is successful with an erectile device and is fully healed.. 1. what percent (estimate of course) of guys have complications with the device during sex? is there a big risk in the phalloplasty ripping or the device coming out…is it really suitable for sexual intercourse? 2. does the phalloplasty last long-term?  Nelson

Hi Nelson, 

It has been touted the incidence of revision surgery with an inflatable implant for FTM men is about 50%.   For genetic men, we tell them on average they may need a revision every 6 to 8 years.  Rarely a problem can become manifest in 3 months and recently revised one that had lasted 16 years.

Like a set of tires for you car, they don’t last indefinitely.

Semi-rigid rods may never require a replacement but there is a concealment problem (sometimes) and the continued pressure may lead to erosion.

We have done a few implants for FTM patients and the patient satisfaction rate has been good.  Most inflatable
implant manufacturers do warranty their product for life, bit the surgery and associated costs are not funded. 

If you have a friendly relationship with your urologist, usually he’ll understand you are not a money tree and charge token fees for revision to cover expenses only.  Please look at photographic examples of our work on penisdoctor.com   http://www.penisdoctor.com/prosthesis.htm

Have a restful weekend,

Harold M. Reed, M.D.

305-865-2000

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