
04 Dec Penile Prosthesis and Conceiving: Things To Know
A penile prosthesis is a device implanted to help men with erectile dysfunction (ED) achieve and maintain an erection. For those considering or already using a penile implant, questions may arise about how the implant might affect fertility and the ability to conceive. While penile implants help with achieving an erection, it’s important to understand how they relate to conception and reproductive health. Here are key insights into how penile implants impact conceiving and what to consider when planning for a family.
How a Penile Implant Affects Ejaculation and Semen Quality
A penile prosthesis primarily helps with achieving and maintaining an erection. There are two primary types of penile implants: inflatable and semi-rigid (malleable) implants.
The cylinders of an inflatable penile implant are inserted within the two corpora cavernosa chambers (the erectile tissue of the penis), allowing the device to mimic a natural erection when filled with fluid. The implant includes two additional components: a pump placed in the scrotum, which the patient activates to transfer fluid, and a reservoir in the lower abdomen, which holds the fluid when the implant is deflated. Semi-rigid implants, on the other hand, are composed of malleable rods, typically made from silicone or other flexible materials, which are surgically inserted into the penile shaft, allowing the penis to be manually positioned for intercourse or rest as needed.
It is important to keep in mind that penile implants do not directly affect ejaculation or semen quality, as it does not interfere with the structures involved in sperm production or ejaculation. The implant is inserted into the penis and works separately from other reproductive organs, like the testes, prostate, and seminal vesicles. These organs are in charge of making and releasing semen, so the implant doesn’t affect semen production or ejaculation. Therefore, men with penile implants can ejaculate and produce semen as they would without the implant. However, some patients with ED may also have underlying medical conditions that can affect semen quality, such as hormonal imbalances or diabetes, thus requiring further assessment.
Fertility and ED
Erectile dysfunction and infertility are separate issues, though they can sometimes occur together. It is important to keep in mind that a penile implant can address the physical limitations related to ED; however, it does not treat the underlying medical condition related to fertility, such as low sperm count, poor sperm motility, or hormonal imbalances.
Therefore, patients experiencing both ED and fertility issues should undergo a detailed consultation with a specialist to assess sperm health and address any contributing factors. This consultation process involves performing a semen analysis and the recommendation of necessary fertility treatments, ensuring the prosthesis supports erection function without masking other fertility concerns.
Impact on Natural Conception
For couples trying to conceive naturally, penile implants help men with ED to maintain and achieve an erection necessary for intercourse, which is important for natural conception or pregnancy. Unlike medications or external aids, penile implants allow couples to plan intercourse around ovulation, thus increasing the chances of conception. However, couples with underlying fertility issues may need additional assessment and assistance from a specialist, as penile implants do not enhance fertility itself.
For couples who are having difficulty achieving natural conception, they may consider assisted reproductive techniques (ART) such as intrauterine insemination (IUI) or in vitro fertilisation (IVF). A penile implant can support ART by facilitating sperm collection through intercourse or manual retrieval for laboratory use.
Reasons to Choose Dr Campbell for Penile Implant Surgery in Gold Coast
Dr Alistair Campbell is one of the highest-volume penile prosthesis implanters in Australia, having performed over one thousand implants. To increase the success rate of his penile implant surgeries, he conducts thorough pre-surgical evaluations at the Erectile Dysfunction Clinic. This includes assessing the patient’s overall health, identifying any underlying conditions, and managing potential risk factors such as diabetes, heart disease, or other medical conditions that could increase the likelihood of complications. His experience and attention to detail help ensure patients receive a treatment plan tailored to their specific needs and health status.
Dr Alistair Campbell takes the time to consider how a penile prosthesis might affect a patient’s plans for having children. While a penile implant facilitates the ability to achieve and maintain an erection, it does not affect semen production or ejaculation. Dr Campbell ensures patients understand this distinction and discusses any additional evaluations needed for those planning to conceive. He collaborates with patients to explore whether additional reproductive assistance, such as semen analysis or fertility treatments, might be necessary depending on their medical history and goals.
Dr Campbell’s commitment to patient education extends to detailed discussions about implant types, surgical risks, recovery expectations, and how the prosthesis may work with their overall health and lifestyle. For patients focused on starting or expanding their families, he provides guidance on how the prosthesis supports natural conception or assists with fertility procedures. His personalised approach ensures that patients at the Gold Coast Erectile Dysfunction Clinic receive comprehensive care.
Read more:
Dr Campbell’s Penile Prosthesis Page (Penile Implants)
Dr Campell’s Penile Implant Surgery Page
Dr Campbell’s blog: Penile Implant Surgery: Things To Consider Before Procedure
Dr Campbell’s blog: Penile Implant Surgery Recovery Tips


