Penile Implants Product Guide

Malleable penile implants are comprised of two bendable cylinders. This type of implant always stay firm and provides an erection by bending the penis into an erect position. Benefits of malleable penile implants are that they are the simplest type to surgically implant and because they have fewer mechanical parts compared to inflatable implants, they typically have a long life span and a reduced need for revision surgery. Malleable implants are also a good choice for those with hand dexterity issues or limited reach and range of mobility. Some studies have shown that malleable implants have a higher rate of erosion compared to inflatable implants, highlighting the importance of correct sizing.

Inflatable penile implants consist of two cylinders, a reservoir and a pump. Squeezing the pump moves saline solution from the reservoir into the cylinders to provide an erection. Deflating the cylinders transfers the fluid back to the reservoir and the penis becomes flaccid. In a 2-piece inflatable penile implant, the reservoir is located at the base of the cylinders while in a 3-piece implant the reservoir is a separate part that is implanted in the abdomen. Inflatable implants have the highest patient satisfaction rates and are less likely to erode compared to malleable implants. They provide superior rigidity and are a good choice for people who have a large penis. Inflatable implants are also easier to conceal in a flaccid state compared to malleable implants. However, because they have more parts, they have a higher rate of mechanical failure compared to malleable implants and therefore a greater need for revision surgery to replace the device.

A note on cylinders: A critical difference in penile prosthesis implantation in transgender men compared to cisgender men is the lack of the protective tunica albuginea to contain the implant in the phallus. This causes more movement of the implant under the skin and increases the risk of migration and erosion of the implant through the skin. For this reason, it is common to have only one of the cylinders implanted instead of two.

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Choosing a penile implant can be a complex decision. Several factors need to be considered, such as penis and scrotum size, your age and overall health, history of abdominal surgeries and more. Learn more about the available about brands and models of penile implants in this guide and speak with your surgeon about which penile implant would be right for you.

Also see:

• How Penile Implants Work
• Video: Penile Implant Surgery Explained

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Brands and Models of Penile Implants

Penile Implants Available in the USA

Malleable Penile Implants

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Inflatable Penile Implants

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Penile Implants Designed for Phalloplasty

Zephyr Surgical Implants

The ZSI 100 FTM and ZSI 475 FTM are the first-ever penile implants designed specifically for people who have had gender-affirming Phalloplasty! Zephyr penile implants are not available in the USA and ZSI is not currently seeking FDA approval. At this time, they are available in Canada, Cuba and some countries in Europe and South America.

Other Penile Implants Available Outside the USA

Brand / Model	Type	Country
Promedon Tube Prosthesis	Malleable	Argentina
HR Penile Prosthesis	Malleable	Brazil
Silimed Malleable Implant	Malleable	Brazil
Jonas (ESKA) Prosthesi	Malleable	Germany
Shah Implant	Malleable	India
Virilis I Implant	Malleable	Italy
Virilis II Implant	Malleable	Italy
Coloplast Genesis	Malleable	Denmark
Coloplast Excel Inflatable Penile Prosthesis	2-Piece inflatable	Denmark
Coloplast Titan Inflatable Penile Prosthesis	3-Piece inflatable	Denmark
Rigicon Rigi10	Malleable	Australia, Colombia, Dominican Rep, Greece, Germany, France, Spain, Qatar, Italy, India, Romania, Jordan, Turkey, Ukraine, United Kingdom
Rigicon Infla10	3-Piece inflatable	Australia, Colombia, Dominican Rep, Greece, Germany, France, Spain, Qatar, Italy, India, Romania, Jordan, Turkey, Ukraine, United Kingdom

Last updated: 10/07/23