Chronic difficulty in having or maintaining an erection is known as erectile dysfunction (E.D.) or impotence, and there are a myriad of reasons for this.  Tens of millions of men suffer with this, and many become frustrated and depressed, as a result.  Impotence typically worsens as time passes, particularly in those with cardiovascular disease and/ or diabetes.  Some medications may also impede the ability to develop an erection. 

E.D. is a functional issue (not a cosmetic one) and there are different types of treatment which may be employed to address it.  This may include implantable erection devices (insufflatable penis implants).

Whilst I have experience in this area, patients shall be best served by being managed by a urologist.  Indeed, haemodynamic studies (assessment of blood-flow) shall be required as part of pre-surgical work-up, and this is best overseen by a urologist in co-ordination with a general practitioner.

As a general rule, I do not perform cosmetic procedures on patients who have penile implants.  This is because the greatest risks to penile implants are infection and perforation (compromise of structural integrity), and both may necessitate revision (replacement) or even removal of the device.  Since ‘all’ medical interventions involve risk, it is strongly ill-advised to potentially compromise a functioning, functional device with then having a cosmetic procedure.

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