The Last Erectile Dysfunction Treatment You'll Ever Need

A penile implant — also called an inflatable penile prosthesis or IPP — is a surgically placed device that allows you to get a firm, natural-feeling erection whenever you want, for as long as you want. It is the most effective and highest-satisfaction treatment for erectile dysfunction available.

When pills stop working and injections become inconvenient or ineffective, an implant is the gold standard next step. It does not interfere with orgasm, ejaculation, or sensation. When not in use, the device is completely concealed inside the body — no one can tell you have it.

Dr. Kashani completed a dedicated fellowship in Male Sexual Health and Reproductive Medicine at Lenox Hill Hospital in New York City — where penile prosthetic surgery was a core component of his training. He exclusively uses the Coloplast Titan® — his preferred device based on reliability, natural feel, and long-term outcomes.

Patient satisfaction after penile implant surgery exceeds 90% — the highest of any ED treatment available. Most men say they wish they had done it sooner.

Dr. Kashani penile implant consultation Long Island

How Does a Penile Implant Work?

The inflatable penile prosthesis is a three-piece hydraulic system placed entirely inside the body during a single outpatient surgery. Here's how it works in plain language.

Two Cylinders

Flexible cylinders are placed inside the erectile chambers of the penis (the corpora cavernosa) — the same spaces that fill with blood during a natural erection. When inflated, they produce a firm, natural erection.

Fluid Reservoir

A small saline-filled reservoir is placed behind the pubic bone or behind the muscle belly depending on your anatomy and surgical history. This is the fluid supply for the system. It is completely hidden and cannot be felt from outside the body.

Pump in the Scrotum

A small pump is placed inside the scrotum — discreet and easy to locate by touch. Squeezing the pump transfers fluid from the reservoir into the cylinders, creating an erection in about 60 seconds.

To Deflate

Pressing a release button on the pump transfers the fluid back to the reservoir, returning the penis to its natural flaccid state. The entire process is simple and takes seconds.

Nothing is visible from outside the body. The entire device — cylinders, reservoir, and pump — is completely internal. There are no external parts, no wires, and nothing that can be seen or felt by a partner during intimacy.

Why the Coloplast Titan®?

Dr. Kashani exclusively uses the Coloplast Titan® He considers it the best device available for his patients. Here's why:

Hydrophilic coating reduces infection risk — one of the most important safety features
Natural feel — the Titan's polyurethane cylinders closely mimic natural erectile tissue
Proven durability — 15+ year average device lifespan
Backed by Coloplast's industry-leading warranty program
Straightforward pump mechanism — easy for patients to use confidently
Consistent outcomes across thousands of implants worldwide

Dr. Mahyar Kashani penile implant specialist Long Island

The Two Models Dr. Kashani Uses

The right model depends on your anatomy, lifestyle, and preferences. Dr. Kashani will recommend the best fit at your consultation.

Standard

Coloplast Titan® Classic

The original Titan inflatable penile prosthesis. Exceptionally reliable with a long track record of excellent outcomes. Features Coloplast's hydrophilic coating for infection resistance and soft, natural-feeling cylinders. The deflation mechanism uses a standard squeeze-release system that is intuitive and easy to master.

Hydrophilic Coating 3-Piece Inflatable Proven Track Record

Advanced

Coloplast Titan® OTR (One Touch Release)

The OTR features Coloplast's innovative One Touch Release deflation mechanism — a single gentle press deflates the device, making it even easier and more discreet to use. Ideal for patients who want the simplest, most intuitive operation possible. Same proven cylinder and reservoir design as the Classic, with an upgraded pump.

One Touch Deflation Easiest to Use Hydrophilic Coating

Is a Penile Implant Right for Me?

A penile implant is not the first treatment for ED — but for the right patient, it is the best. Here's a clear breakdown of who is and who may not be an ideal candidate.

You may be a great candidate if:

Pills (Viagra, Cialis) have stopped working or never worked well
Penile injections are effective but you want something more spontaneous
You have diabetes and ED that doesn't respond to medications
You had prostate cancer surgery (radical prostatectomy) and have nerve damage
You have Peyronie's disease combined with ED
You want a permanent, on-demand solution with no pills, no planning
Your ED is significantly impacting your relationship or quality of life

Important considerations:

A penile implant permanently removes your ability to have natural erections — this decision should not be taken lightly
Active urinary tract or skin infection must be treated before surgery
Poorly controlled diabetes increases infection risk and should be optimized before surgery
Blood thinners may need to be temporarily stopped before the procedure
A thorough consultation with Dr. Kashani is essential before making this decision

Your Journey — From Consultation to Activation

One of the most common things men say after a penile implant is: "I didn't know what to expect going in — I wish someone had walked me through it." Here's exactly what happens at every step.

1

Before Surgery

Consultation & Evaluation

Dr. Kashani will review your full medical history, your ED history, and which treatments you've already tried. He'll perform a physical exam, review any relevant testing (including penile ultrasound if not already done), and make sure you understand every aspect of the procedure, the recovery, and what to expect long-term. There is no pressure — the decision is entirely yours to make at your own pace.

Your timeline — no rush

2

Before Surgery

Pre-Operative Preparation

Once you decide to proceed, Dr. Kashani's team coordinates all pre-operative testing — blood work, cardiac clearance if needed, and any specialist consultations. You'll receive detailed instructions on what to do the week before surgery: showering with antibacterial soap, stopping blood thinners, fasting the morning of surgery. Patients are advisted to NOT shave prior to surgery. Infection prevention starts before you even arrive at the surgical center.

1–2 weeks before surgery

3

Surgery Day

The Procedure

Surgery is performed under general or spinal anesthesia — you are completely asleep or numb and feel nothing. Dr. Kashani uses the penoscrotal approach — a small incision at the base of the penis where it meets the scrotum. This gives excellent exposure while minimizing visible scarring. The entire three-piece device is placed through this single incision. Most patients go home the same day from our outpatient surgical center; some cases requiring additional medical monitoring are performed at the hospital.

Patients go home with a Foley catheter to a leg bag for 2-3 days post-operatively

4

Week 1–2

Early Recovery

The device will be left partially inflated to reduce swelling and help with healin

Patients are seen 2-3 days after surgery to remove the catheter and dressing. Expect swelling, bruising, and soreness for the first 1 to 2 weeks — this is completely normal and expected. Pain is well-managed with prescribed medication. You'll wear a supportive garment and keep the area dry for the first few days. Most men return to desk work within 10-14 days.

Return to desk work: 10-14 days

5

Weeks 2–6

Continued Healing & Device Cycling

During this period you'll begin gently cycling the device daily — inflating and deflating it — to help the tissue expand properly around the cylinders and ensure the device moves freely. Dr. Kashani will demonstrate exactly how to do this at your first follow-up visit. Physical activity gradually returns: light walking immediately, normal exercise by 4 to 6 weeks.

Full physical activity: 4–6 weeks

6

Week 6–8

Activation — First Use

At your 6-week follow-up visit, Dr. Kashani will clear you to use the device for sexual activity. This is a significant milestone — and most patients describe it as genuinely life-changing. The device is fully functional and ready for use on demand, anytime, without pills, injections, or planning. Orgasm, ejaculation, and sensation are unaffected.

Sexual activity cleared: ~6 weeks

Watch — Patient Education Videos

Dr. Kashani has created a series of patient education videos specifically about penile implants — covering what to expect, how the device works, and what recovery looks like. Watch them here before your consultation.

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Frequently Asked Questions

The questions Dr. Kashani hears most often from patients considering a penile implant — answered honestly.

Will my partner be able to feel the implant?

No. The device is entirely inside the body. When inflated, the penis looks and feels like a natural erection — your partner will not be able to tell the difference. When deflated, the penis looks and feels naturally flaccid. The pump in the scrotum is small and discreet — similar in size to a large grape — and most partners either don't notice or don't find it bothersome.

Will I still be able to have an orgasm and ejaculate?

Yes — completely. A penile implant only replaces the erectile mechanism. It has no effect whatsoever on orgasm, ejaculation, or sexual sensation. The nerves responsible for these functions are not touched during surgery. For most men, the experience of sex after a penile implant is the same as before ED — or better, because performance anxiety is completely eliminated.

What if the device fails or needs to be replaced?

The Coloplast Titan® has an average lifespan of 15 or more years, and many devices last significantly longer. Coloplast backs the device with a comprehensive warranty. If a mechanical issue does occur, the device can be revised or replaced surgically. Dr. Kashani will discuss the revision procedure and what to expect if it ever becomes necessary.

What is the risk of infection?

Infection is the most serious complication of penile implant surgery, occurring in approximately <1% of cases using the No-Touch Technique. Dr. Kashani uses the Coloplast Titan's hydrophilic (antibiotic-impregnated) coating, meticulous surgical technique, and rigorous pre- and post-operative protocols to minimize this risk. Men with diabetes or prior pelvic surgery have a slightly higher risk and are counseled accordingly.

Does the implant affect penile length?

Many men with longstanding ED have experienced some natural shortening of the penis due to lack of erections over time — this is a tissue effect of ED itself, not the implant. The implant restores erections to the best length your current tissue allows. Penile traction therapy before surgery can help maximize length. Dr. Kashani will give you an honest, realistic expectation at your consultation.

Will insurance cover a penile implant?

Many insurance plans — including Medicare — cover penile implant surgery when ED has been properly documented and other treatments have failed. Dr. Kashani's team will verify your specific benefits and assist with prior authorization before surgery is scheduled. Out-of-pocket costs vary by plan.

How do I know Dr. Kashani is experienced enough to do this surgery?

Penile implant surgery requires specialized training. Dr. Kashani completed a dedicated fellowship in Male Sexual Health at Lenox Hill Hospital in NYC, where prosthetic urology was a primary focus of his training. He performs penile implants regularly and has the volume of experience that translates directly into better outcomes and lower complication rates.

I'm nervous about surgery. Is that normal?

Absolutely — and it's one of the most common things men say at their consultation. The idea of surgery on such a personal part of the body is understandably anxiety-provoking. Dr. Kashani takes as much time as needed to answer every question, walk you through the procedure in detail, and make sure you feel fully comfortable before making any decision. There is no pressure to move forward until you are ready.

Why Choose Dr. Kashani for Your Penile Implant?

Penile implant surgery is a specialized procedure — and the surgeon's experience matters enormously. Complication rates, device positioning, cosmetic outcome, and patient satisfaction are all directly tied to surgical volume and training.

Dr. Kashani is one of the few urologists on Long Island with dedicated fellowship training specifically in penile prosthetic surgery. He performs implants regularly, uses a consistent surgical technique, and provides hands-on follow-up care from consultation through activation and beyond.

Fellowship-trained in penile prosthetic surgery at Lenox Hill Hospital, NYC
Exclusively uses the Coloplast Titan® — the gold standard device
Experience in the No Touch Technique to minimize infection risk
Penoscrotal approach to maximize size & cosmetics
Outpatient or hospital setting depending on your needs
Hands-on follow-up from consultation through activation
Private, discreet, judgment-free environment
Two convenient Long Island locations

Dr. Mahyar Kashani Penile Implant Surgeon Long Island

Penile Implant Surgery