Why consider penile implants?

The ability to be intimate with a partner is among the most satisfying and gender-confirming experiences for a transman, and penile implants can help make penetration during intercourse a reality for the FTM client.

This surgery is typically performed about 9 months after phalloplasty, and is achieved by inserting a semi-rigid rod or inflatable penile implant into the phallus, along with testicular implants to fill out the scrotum. These implants are entirely invisible to the eye and are fully concealed within the body.

Bottom Surgery with Dr. Safir

There are two main types of implants:

Inflatable

There are two-piece and three-piece implants that are filled with saline fluid from a reservoir within the body. They are inflated by a pump that is typically placed within the scrotum.

Non-inflatable

These are rigid tubes that can be pointed upwards for penetration and then pointed downwards again afterwards. They are generally more cost-effective and easy to use, but there is the disadvantage of a non-flaccid phallus at all times.

Dr. Satterwhite has the best bedside manner out of any doctor I've met. He will never pressure you into doing something risky like other surgeons. He is very professional.

What are some advantages of penile implants?

Can mimic the look and feel of a non-assisted erection
Allows penetration during intercourse
Improves self-confidence and self-image
Gender-confirming procedure
Looks natural in clothing
Totally concealed within the body
Long-lasting, 10-20 years
Easy to use

Who makes the best candidate for penile implants?

According to the World Professional Association for Transgender Health’s Standards of Care, two letters from a mental health professional are required stating the patient’s readiness for gender reassignment surgery. In addition to this, clients should be non-smokers in good mental and physical health with realistic expectations for their outcome based on their consultation with Dr. Gurjala in San Francisco.

What will my recovery be like?

After penile implant surgery, our office will provide you with the necessary prescription pain medications to help ease any discomfort. You will also be given antibiotics to prevent the possibility of infection. Most patients can resume vigorous exercise and sexual activity within around 4-6 weeks post-op. Sutures will be removed in about two weeks.

What fees are associated with penile implants?

There are several types of implants to choose from, so the costs for the procedure will vary. We will discuss the pros and cons of each option with you during your private consultation in San Francisco. You will also receive all the necessary information on insurance coverage and financing from a variety of reputable healthcare lenders, many of which offer instant approval.