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Erectile Dysfunction Treatment

Penile Prosthesis

At Z Urology, we offer penile prosthesis implantation surgery for men struggling with erectile dysfunction (ED). Our expert urologists use cutting-edge techniques to provide effective, long-lasting solutions for treating sexual function and improving self-confidence.
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What is a Penile Prosthesis?

A penile prosthesis, also known as a penile implant, is a surgically placed device designed to help men with erectile dysfunction achieve an erection suitable for sexual intercourse. This treatment is typically considered when other ED treatments have been unsuccessful.

Benefits of this treatment include:

  • High patient satisfaction rates (98% for inflatable implants)
  • Allows for spontaneous sexual activity
  • Long-lasting solution for ED
  • Discreet treatment option
  • Cost-effective over time compared to other treatments

The penile prosthesis is surgically implanted into the penis. There are two types of penile prosthesis: inflatable implants and semirigid implants.

Semirigid Penile Implant

Semirigid penile implants are implants that remain permanently firm. 

You will maintain an erection at all times and will have to adjust the position of the penis as needed:

  • Straightening the penis will allow for intercourse.
  • Pointing the penis down will conceal the erection.

Inflatable Penile Implant

Inflatable implants must be pumped up prior to having sexual intercourse. Usually, the inflatable penile implants will consist of three  components:

  • A reservoir under the abdominal wall that will store fluid.
  • A pump and release valve inside of the scrotum move the fluid to and from the cylinders which will be used for inflation. 
  • Inflatable cylinders in the shaft of the penis produce the erection.

Erectile Dysfunction Signs and Symptoms

Erectile dysfunction (ED) is a condition that affects men of all ages and can significantly impact their quality of life. Here are some of the common symptoms of ED:

  • Difficulty Achieving an Erection: Men with ED may have difficulty achieving an erection sufficient for sexual activity.
  • Reduced Sexual Desire: Men with ED may experience a decrease in sexual desire or interest.
  • Trouble Maintaining an Erection: Men with ED may have difficulty maintaining an erection during sexual activity.

Erectile dysfunction can have a variety of causes, including physical conditions such as heart disease, high blood pressure, and diabetes. It can also be a result of psychological factors such as anxiety, stress, and depression. 

With the right diagnosis and treatment, many men can regain their sexual function and enjoy a better quality of life. Contact Z Urology to talk with a specialist who understands and cares about your treatment. 

What Happens During a Penile Prosthesis Procedure? 

The procedure for penile prosthesis takes 1-2 hours in an outpatient setting. Here are the steps involved in penile prosthesis surgery.

  1. Anesthesia: You'll receive either general anesthesia or spinal anesthesia to ensure you're comfortable during the surgery.
  2. Preparation: The surgical area is shaved and cleaned with an antiseptic solution. A catheter may be inserted to collect urine during the procedure.
  3. Incision: The surgeon makes a small incision below the head of the penis, at the base of the penis, or in the lower abdomen.
  4. Tissue preparation: The surgeon opens the erectile tissue in the penis that normally fills with blood during an erection.
  5. Implant placement: For inflatable implants, the surgeon will insert the cylinders into the penis, place the pump into the scrotum, and position the fluid reservoir in the pelvis near the bladder. For semirigid implants, they’ll insert the semirigid rods into the penis.
  6. Testing: The surgeon tests the device to ensure proper function.
  7. Closure: The incisions are closed with dissolvable stitches.
  8. Dressing: A sterile dressing is applied to the surgical site.

After the procedure, you'll be moved to a recovery area where medical staff will monitor you as you wake up from anesthesia. Most patients can return home the same day, but you'll need someone to drive you.

Recovery time varies, but most men can resume normal activities within 4-6 weeks. Your surgeon will provide specific instructions on caring for the surgical site, managing pain, and when you can safely use the implant.

Life and Intimacy with a Penile Prosthesis

Living with a penile prosthesis can significantly improve the quality of life for men with erectile dysfunction. This implanted device allows for on-demand erections, enhancing sexual function and confidence.

You can expect living with a penile prosthesis to be:

  • Discreet: The prosthesis is not visible under clothing or during daily activities.
  • Customizable: An inflatable prosthesis allows you to adjust inflation levels for personalized erections.
  • Comfortable: Penile prosthesis is designed for long-term use and comfort.
  • Convenient: A penile prosthesis allows for spontaneous and empowered sexual activity.

At Z Urology, we support patients through every step of their journey. Our expert consultation and personalized care equip you to make informed decisions about treatment and lifestyle options. You’ll receive comprehensive pre- and post-operative support as well as ongoing follow-ups to ensure optimal device function.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment Today

Erectile dysfunction doesn’t have to control your life. Contact Z Urology today to schedule a consultation and learn if a penile prosthesis is the right solution for you.
Schedule an Appointment
or Call (954) 714-8200
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