Concierge andrology · UK
Penile implant - the operation, done properly.
A concealed prosthesis that restores a reliable, on-demand erection when tablets, injections and vacuum devices have failed. A high-volume prosthetic urologist, a strict infection-prevention protocol, and an honest sizing conversation before you consent.
Why patients choose us
- 01
A high-volume prosthetic urologist, every time
Implant outcomes track surgeon volume more than almost any other factor. We only introduce andrological surgeons who implant regularly - never an occasional operator.
- 02
Every alternative tried, or ruled out, first
Tablets, injections, vacuum devices - an implant is the right answer only when the simpler options genuinely are not. We check that honestly before you consent to surgery.
- 03
Independent, and free
We are paid by no clinic, so the recommendation - including the advice to wait, or to try a vacuum device first - is impartial and costs you nothing.
Indicative pricing
What a private penile implant costs in the UK.
Indicative ranges across our partner andrology units, including the device itself. Send the details and we quote firm figures across two or three options, with cover checked.
In short
Three-piece inflatable implant in our network: £14,000–£20,000, home day-case or one night.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Three-piece inflatable penile implant | £14,000–£20,000 | 60–120 min | Day-case or 1 night |
| Two-piece inflatable penile implant | £11,000–£16,000 | 60–90 min | Day-case or 1 night |
| Malleable (semi-rigid) penile implant | £8,000–£13,000 | 45–75 min | Day-case |
| Implant with Peyronie’s correction | £15,000–£22,000 | 90–150 min | 1 night |
| Revision or replacement implant surgery | £14,000–£24,000 | 90–180 min | 1–2 nights |
| Andrology consultation only | £250–£450 | 30–45 min | Same visit |
Prices vary by hospital, by the consultant, and - more than anything - by the device: a three-piece inflatable prosthesis costs several thousand pounds more than a malleable one before a scalpel is lifted. Revision surgery and combined Peyronie’s correction sit at the top of the range. We come back with a firm quote within one working day.
The problem
The right device, the right surgeon, and expectations set honestly.
Implant surgery is where occasional operators, skipped alternatives and unspoken sizing realities cause the regret. We deal with all three before you consent.
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Have the alternatives really been exhausted?
Tablets at full dose, injections taught properly, a vacuum device given a fair trial. An implant is irreversible - we check the ladder was actually climbed.
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Volume matters more than brand
Infection and revision rates track the surgeon, not the device logo. We only introduce urologists who implant regularly, with published-comparable outcomes.
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Sizing, said out loud, before consent
Most men notice modest length loss compared with memory. Hearing it beforehand is the difference between satisfaction and regret - so we make sure it is said.
The journey
From enquiry to activation - what happens, in order.
One team from first message through theatre, healing, device teaching and long-term follow-up.
Phase 1 · Before your surgery
Consultation, work-up and infection screening
Phase 2 · On the day
Theatre and recovery
Phase 3 · After
Healing, activation, teaching
- 01
Before
You tell us what is going on
A short, confidential form. How long erectile dysfunction has been present, what you have tried - tablets, injections, vacuum device - and any prostate surgery, diabetes or Peyronie’s disease.
- 02
Before
We come back with a recommendation
Within one working day: whether an implant is genuinely the next step, which device type fits your anatomy and dexterity, a named surgeon, and an indicative price.
- 03
Before
Andrology consultation and work-up
Examination, review of your ED history and medication trials, glucose and hormone checks where needed, and a frank conversation about sizing, sensation and what an implant can and cannot do.
- 04
Before
Infection screening and preparation
Urine culture, skin preparation and glycaemic control if you are diabetic - infection is the complication that matters most, so the preparation is deliberately strict.
- 05
On the day
Admission and surgery
General or spinal anaesthetic. A single penoscrotal or infrapubic incision, 60–90 minutes. The cylinders, pump and reservoir are placed through the one incision with a no-touch technique.
- 06
On the day
Recovery and discharge
Day-case or one night. A dressing, oral antibiotics and analgesia. The device is left deflated and untouched while everything heals.
- 07
After
Activation and follow-up
Wound review at 1–2 weeks. Device activation and teaching at 4–6 weeks, when you learn to inflate and deflate. Sexual activity usually restarts at 6 weeks.
Typical end-to-end: 3–5 weeks from enquiry to surgery. Device activation: 4–6 weeks after the operation.
When it helps
When a penile implant is the right step.
The situations we see most, plus the one red flag that means surgery must wait rather than be booked.
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ED unresponsive to tablets
Sildenafil, tadalafil and the rest tried at full dose, properly, without a reliable response - the commonest route to an implant.
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ED after prostate surgery
Erectile dysfunction persisting two or more years after radical prostatectomy, when rehabilitation, tablets and injections have not recovered function.
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Injections and vacuum devices exhausted
Alprostadil injections or a vacuum device tried and abandoned - too painful, too unreliable, or simply unworkable for you and your partner.
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Peyronie’s disease with ED
Significant curvature alongside erectile dysfunction - an implant can straighten and restore rigidity in one operation.
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Diabetic erectile dysfunction
Long-standing diabetes with vascular and nerve involvement that no longer responds to medical treatment.
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Priapism damage
Corporal fibrosis after ischaemic priapism, where the erectile tissue is scarred and medical options cannot work.
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Pelvic trauma or radiotherapy
Erectile failure after pelvic fracture, spinal injury or radiotherapy, once nerve- and vessel-sparing options are ruled out.
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Red flag: untreated urinary infection or skin sepsis
Active infection anywhere near the operative field means surgery waits. Implant infection is the one complication we refuse to gamble with.
Procedure options
Device and approach both depend on you.
What each option involves - the device (malleable, two-piece, three-piece) and the surgical approach (penoscrotal or infrapubic, with or without straightening).
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Three-piece inflatable implant
Two cylinders, a scrotal pump and an abdominal fluid reservoir. The most natural flaccid and erect states - the device most UK implanters recommend first.
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Two-piece inflatable implant
Cylinders and pump only, with the fluid held in the pump unit. Useful when prior pelvic surgery makes reservoir placement difficult.
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Malleable (semi-rigid) implant
Bendable rods positioned by hand. The simplest device to use - often right for limited hand dexterity - at the cost of a permanently firm penis.
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Penoscrotal approach
A single incision where the penis meets the scrotum. The workhorse approach - excellent exposure for cylinders and pump through one small wound.
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Infrapubic approach
An incision just above the penis. Allows reservoir placement under direct vision; some surgeons prefer it for revision or complex cases.
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No-touch technique
The implant never contacts the skin during insertion. Alongside antibiotic-coated devices, it has pushed infection rates to historic lows.
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Implant with straightening
For Peyronie’s disease, the implant is combined with modelling, plication or grafting to correct curvature at the same sitting.
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Revision surgery
Replacement of a worn or failed device, usually 10–15 years after the first. Technically harder, so surgeon volume matters even more.
Our vetted UK network
A small panel of prosthetic urologists, we picked them.
Consultant andrological urologists across London and the major UK cities. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every implant surgeon in our network.
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Consultant urologists with a dedicated andrology and prosthetic practice, implanting regularly
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Antibiotic-coated devices and a strict no-touch protocol as standard, not an option
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Full medical-therapy pathway on site - tablets, injections and vacuum devices tried first
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Structured device teaching and long-term follow-up after activation
Safety and recovery
What to expect afterwards - honestly.
Penile implant surgery is a mature, well-audited operation with very high satisfaction. The things worth planning are infection prevention, device choice, and honest expectations.
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GA or spinal, in a proper theatre
The operation takes 60–120 minutes under general or spinal anaesthetic. Day-case discharge is realistic for most first-time implants.
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Infection is the complication that matters
Around 1–3 percent for first implants with modern coated devices; higher in diabetes and revision surgery. An infected implant must usually be removed, so prevention is strict.
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Bleeding, bruising and swelling
Scrotal bruising and swelling are normal for two to three weeks. Significant bleeding needing a return to theatre is rare - under 1 percent.
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Mechanical failure over the years
These are machines. Roughly 80–90 percent of inflatable devices are still working at ten years; failure means a revision operation, not a catastrophe.
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Erosion and migration
Rarely a cylinder or the pump can erode through tissue, particularly after radiotherapy or in revision cases. It presents as pain or exposure and needs prompt review.
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Perceived length loss
The implant restores rigidity, not the length you may have lost to ED or prostate surgery. Most men notice the erect penis is slightly shorter than memory. We say this before consent, always.
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Sensation and orgasm are preserved
The implant replaces the erectile cylinders only. Skin sensation, orgasm and ejaculation - where present before - are unchanged.
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The decision is irreversible
Placing cylinders removes the natural erectile tissue. Tablets and injections will not work afterwards - which is why we insist they are genuinely exhausted first.
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Red flags after surgery
Fever, spreading redness, wound discharge, severe or worsening pain, or any part of the device becoming visible need the surgical team the same day, not a routine call.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever device was placed - malleable, two-piece or three-piece - the note the urologist sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly - we translate it for you.
If you would like us to talk you through the operation note and the activation plan before your review, just ask.
- 01 Header
Indication, device and approach
Why the operation was done, which device was implanted - make, model and cylinder sizes - and whether the approach was penoscrotal or infrapubic.
- 02 Technique
Sizing, reservoir and adjuncts
Corporal measurements, where the reservoir was placed, and whether any straightening or modelling was done for curvature.
- 03 Findings
Tissue quality and any difficulties
Fibrosis, scarring from priapism or prior surgery, and anything that affects revision planning years from now.
- 04 Impression
Activation date and follow-up plan
Read this first: when the device will be activated, the teaching appointment, antibiotic course and when sexual activity can restart.
Recognised by major UK insurers
Cover for penile implant surgery varies - many policies fund it after prostate cancer treatment but exclude it otherwise. We confirm cover, and any excess, before booking.
Frequently asked
Everything we get asked about penile implants.
Quick answers on how the device works, recovery, infection risk, cost and NHS availability.
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How does a penile implant actually work?
Two soft cylinders replace the erectile tissue inside the penis. With an inflatable device, squeezing a concealed pump in the scrotum moves fluid from a reservoir into the cylinders, producing a rigid erection in seconds; a release valve returns the penis to a natural flaccid state. A malleable implant is simpler - bendable rods you position by hand.
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Who is a penile implant suitable for?
Men with established erectile dysfunction that has not responded to tablets, injections or a vacuum device - most commonly after radical prostatectomy, in long-standing diabetes, or with Peyronie’s disease alongside ED. It is a last-line treatment precisely because it is irreversible: the natural erectile tissue is removed to make room for the cylinders.
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How long is recovery after penile implant surgery?
Most men go home the same day or after one night. Expect scrotal bruising and swelling for two to three weeks, desk work within one to two weeks, and device activation with teaching at four to six weeks. Sexual activity usually restarts at six weeks once the surgeon is happy with healing.
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What are the main risks?
Infection is the one that matters - around 1–3 percent for first implants with antibiotic-coated devices and a no-touch technique, higher in diabetes and revisions; an infected device usually has to be removed. Mechanical failure accumulates slowly, with roughly 80–90 percent of devices still working at ten years. Sensation and orgasm are preserved, but many men notice modest length loss compared with memory.
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How much does a private penile implant cost in the UK?
Typically £14,000–£20,000 for a three-piece inflatable device, £11,000–£16,000 for a two-piece, and £8,000–£13,000 for a malleable implant, including the device, hospital fees and routine follow-up. Combined Peyronie’s correction or revision surgery runs higher. We confirm a firm all-in figure within one working day.
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Can I get a penile implant on the NHS?
Yes - penile prosthesis surgery is commissioned on the NHS for refractory erectile dysfunction, but it is delivered through a small number of specialist centres, with strict criteria requiring medical therapies to have failed, and waits are often a year or more. Many men we help have an NHS listing and choose to go privately for speed or surgeon choice.
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How satisfied are men with penile implants?
Satisfaction rates are among the highest of any ED treatment - consistently above 90 percent for men and around 85 percent for partners in published series - largely because the erection is reliable, on demand, and lasts as long as wanted. The men least satisfied tend to be those with unrealistic expectations about length, which is why we address it so directly before surgery.
Related treatments
Looking for something else?
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Penile implants compared
Malleable vs two-piece vs three-piece - choosing a device.
Learn more -
Penis pump (vacuum device)
The non-surgical option worth trying first.
Learn more -
Erectile dysfunction clinic
The full treatment ladder, from tablets up.
Learn more -
Peyronie’s disease
Curvature assessment and correction.
Learn more -
Prostatectomy recovery
Erectile rehabilitation after prostate surgery.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more