One of the main benefits of phalloplasty is relief from physical and emotional challenges. Results include a natural-looking penis that may be capable of erections. When part of transgender surgery, phalloplasty helps you achieve your desired gender identity. A catheter will be inserted through the penis into your bladder at the start of the operation. The prosthesis may be either a malleable (self-bending) one or an inflatable one which requires mechanical pump activation. Although not all patients are suitable for both types, this will have been discussed in detail with you before the procedure. The incision is usually made at the junction of the penis and scrotum. A second incision may be used to insert the balloon reservoir, which is part of the inflatable prosthesis, into the abdomen. Although this can be done through the first incision, your surgeon may feel is safer to perform this through a separate incision, especially if you have had previous abdominal surgery. What happens immediately after the procedure?

A complete construction or reconstruction of a penis can be performed on patients who: [ citation needed] A penile prosthesis is another treatment option for men with erectile dysfunction. These devices are either malleable (bendable) or inflatable. The simplest type of prosthesis consists of a pair of malleable rods surgically implanted within the erection chambers of the penis. With this type of implant the penis is always semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sex. This type of implant is a good choice for men with spinal cord injuries and/or limited hand strength. Today, many men choose a hydraulic, inflatable prosthesis, which allows them to have an erection when they choose, and it's easier to conceal. It is also more natural.Three days prior to the procedure, a patient is placed on oral fluoroquinolone, an antibacterial drug. During this time, the patient scrubs the lower abdomen and genitals daily with chlorhexidine soap. On the day of the surgery, vancomycin and gentamicin are administered intravenously one to two hours prior to the procedure. The lower abdomen and genitals are shaved, scrubbed for five minutes with a chlorhexidine sponge and prepped with chorhexidine/alcohol applicator. The area is then draped with a surgical drape and a Vi Drape over the genitalia. Before the incision is made, a Foley catheter is inserted in the bladder through the urethra. Arrange for a ride home. Ask your health care provider when you'll be able to go home after surgery. Penile implant surgery might involve an overnight stay.

Wassersug R, Wibowo E. Non-pharmacological and non-surgical strategies to promote sexual recovery for men with erectile dysfunction. Transl Androl Urol. 2017 Nov;6(Suppl 5):S776-94. doi:10.21037/tau.2017.04.09. The urologist may insert a catheter into your bladder through your penis. A catheter is a soft, hollow tube that allows urine (pee) to flow out of your body. Your urologist will usually remove a catheter after the surgery.

Segal RL, Camper SB, Burnett AL (2014). "Modern utilization of penile prosthesis surgery: a national claim registry analysis". Int J Impot Res. 26 (5): 167–71. doi: 10.1038/ijir.2014.11. PMID 24830674. S2CID 205152894. People may wish to have a list of questions about the procedure, aftercare, and what to expect after surgery, such as: Mulcahy, John J. (2010). "Current approach to the treatment of penile implant infections". Therapeutic Advances in Urology. 2 (2): 69–75. doi: 10.1177/1756287210370330. PMC 3126071. PMID 21789084.