Surgical technique
How the operation is carried out
The operation is usually done through one small incision in the upper scrotum or just above the base of the penis. The surgeon gently widens each erection chamber, measures its length, and places cylinders of the right size. The pump sits in the scrotum and, for a three-piece device, a small reservoir is placed behind the abdominal wall.
Before closing, the device is tested to check that it inflates evenly and gives a straight erection. It is then left partly inflated to help the tissues heal around it.
Throughout the operation the team follows the non-touch technique, which keeps the implant away from the skin at every step. It is combined with intravenous antibiotics, careful skin preparation and an antibiotic-coated or antibiotic-impregnated device.
The operation, step by step