Penile Implants & Prosthetics
In Glens Falls, NY

Penile Prosthesis Implant

A penile prosthesis implant is a safe, effective surgical treatment for men with erectile dysfunction (ED) that does not respond to oral medications, injections, or vacuum devices. This procedure involves placing a device inside the penis to allow for controlled, natural-feeling erections.

At our Glens Falls practice, Dr. Friedman specializes in the placement of the three-piece inflatable penile prosthesis, the most advanced and commonly used type.
 

What Is a Penile Implant?

The three-piece inflatable penile prosthesis consists of:

• Two inflatable cylinders placed inside the penis

• A pump placed in the scrotum

• A fluid reservoir placed in the lower abdomen

When the pump is squeezed, fluid moves from the reservoir into the cylinders, creating a firm, natural erection. Pressing a release valve allows the fluid to return to the reservoir, deflating the device.

This device is completely internal, undetectable to others, and provides on-demand erectile function with high satisfaction rates.

Who Is a Candidate for a Penile Implant?

Penile implants are typically recommended for men with:

• Moderate to severe erectile dysfunction

• Failure or intolerance of oral medications (PDE5 inhibitors), injections, or vacuum devices

• Peyronie’s disease with erectile dysfunction

• Desire for a permanent, reliable solution

Preoperative Optimization

To minimize the risk of complications, especially infection, patients are carefully evaluated and optimized before surgery. This includes:

• Lowering A1C levels in diabetic patients to under 8.0%

• Weight loss if BMI is elevated

• Addressing smoking cessation, urinary infections, or other medical issues

• Reviewing all medications and ensuring proper skin hygiene

Dr. Friedman will work with you to ensure you’re in the best possible health before proceeding with surgery.

The Procedure

• Performed under general anesthesia

• Outpatient or overnight stay depending on health and complexity

• Small incisions are made in the scrotum and lower abdomen

• The device is placed entirely within the body

• Patients are given antibiotics to reduce infection risk

Recovery Timeline

• Days 1–3: Swelling and discomfort managed with pain medications and scrotal support

• 1 week: Return to light activity; avoid sexual activity and heavy lifting

• 3–4 weeks: Most patients feel significantly improved; swelling subsides

• 4–6 weeks: Follow-up with Dr. Friedman for device activation and teaching

• 6 weeks and beyond: Patients may begin using the device for intercourse

Dr. Friedman provides step-by-step guidance on how to use and maintain your device once healing is complete.

Risks and Potential Complications

While satisfaction rates are high, penile implant surgery carries certain risks:

• Infection – most serious complication; may require device removal

• Bleeding or hematoma

• Device malfunction (rare; may require revision)

• Erosion or mechanical failure over time

To minimize these risks, we follow strict surgical protocols and provide clear post-operative instructions. Infection rates are low with proper patient optimization and technique.

Long-Term Outcomes

• The device is invisible and fully under your control

• Most men report high satisfaction and restored confidence

• The implant does not affect orgasm or sensation

• The average lifespan of a device is 10–15 years, with revision possible if needed

Expert, Respectful ED Treatment Close to Home

Choosing a penile implant is a deeply personal decision. Dr. Friedman takes time to educate, listen, and empower patients throughout the process. You’ll have the opportunity to review all treatment options and ask questions in a supportive, private setting.

We proudly serve men in Glens Falls, Saratoga Springs, and the greater Capital and Adirondack Regions—offering expert ED solutions without the need to travel far.

If you are struggling with ED and want to explore a long-term, reliable option, contact us today to schedule your consultation.