Peniflex malleable penile prosthesis implantation is surgery in which two bendable rods are placed inside the erectile chambers, keeping the penis permanently firm; it is positioned upward by hand for intercourse and downward at other times. It is an option when medical treatments have failed, and its aim is to provide rigidity sufficient for intercourse with a simple, easy-to-use device.
The operation is done under spinal or general anaesthesia through a small incision below the glans, at the base of the penis or at the top of the scrotum. The surgeon dilates and measures the erectile chambers, chooses the correct size, inserts the rods and closes the wound, under strict sterile technique and preventive antibiotics. There is no pump or reservoir, so the surgery is simpler than an inflatable implant.
Surgery usually takes under an hour to about an hour and a half, and discharge may be the same day or after one night. Swelling and discomfort are expected in the first weeks, and intercourse and strenuous effort are avoided for the period set by the surgeon. The final result is usually clear after about four to six weeks, once the wound has healed and the surgeon allows use.
The final cost is set after a medical consultant reviews your case and photos.
Assoc. Prof. Dr. Zülfü Sertkaya is an Istanbul urologist who focuses on andrology. He graduated from Gazi University Faculty of Medicine in 2008, completed his urology residency at Haydarpaşa Numune Training and Research Hospital in 2014, and holds the FEBU title (2017). He worked at state, university and private hospitals, including Memorial Diyarbakır and Başakşehir Çam and Sakura City Hospital. Since 2022 he has run his own clinic in Zeytinburnu, focusing on penile prosthesis, Peyronie's disease, premature ejaculation and male infertility.
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It is simple to place and to use, needs no pump and has fewer parts that can fail mechanically, which suits men who would find operating a pump difficult.
Men with severe erectile dysfunction not helped by tablets or injections, particularly those who prefer a simple device or have limited hand dexterity, after a full medical assessment.
Blood, sugar and urine tests to exclude infection are usual, and good diabetes control and stopping smoking are advised. Never stop any medicine, such as blood thinners, on your own; the doctor decides.
Through a small incision the erectile chambers are dilated and measured, a bendable rod is inserted into each, and the wound is closed, usually with dissolvable stitches.
There is no pain during surgery thanks to anaesthesia; afterwards pain is usually moderate, controlled with painkillers and easing over a few weeks.
Most men resume light activities within days to a week, with wound care, supportive underwear and no vigorous sport until the surgeon allows it.
Use is usually allowed after four to six weeks. The rods are designed to last many years but may need replacement if a component breaks or a complication occurs.
Infection that may require removal, erosion of skin or tissue, displacement, persistent pain in a small number of men, and bleeding. No result can be guaranteed.
A malleable implant is simpler and less prone to failure, but the penis stays firm at all times and is slightly harder to conceal, whereas an inflatable device gives a more natural soft state. Neither usually affects sensation or ejaculation.
A stay of about one week is generally advised for follow-up and wound checks before travelling; your doctor confirms when it is safe to fly.
