Malleable penile implant surgery in Busan, Seomyeon

Prosthesis is the Tier 4 (final) ED treatment. Appropriate after failure of: PDE5 inhibitors (Viagra, Cialis), ESWT shockwave therapy, intracavernosal injections, and vacuum pumps. Common indications: post-radical prostatectomy ED, diabetic ED, post-priapism, severe vascular ED, Peyronie's disease with deformity. Dr. Moon confirms appropriateness during consultation.

Inflatable prosthesis: when deflated, penis looks/feels flaccid (3-piece especially). When inflated, looks/feels firm — most partners cannot distinguish from natural erection without being told. Malleable: always semi-rigid — partner aware of bending mechanism. Patient and partner education during consultation manages expectations.

Yes. Prosthesis only affects erection mechanism (corpora cavernosa). Orgasm sensation, ejaculation (if not previously affected by prior prostate surgery), and fertility (if applicable) are preserved. 95%+ of patients report orgasm intensity equivalent to or better than pre-implant (due to ability to engage in intercourse).

Inflatable 3-piece: 10-15 years (5-10% mechanical failure at 10 yr). Inflatable 2-piece: 10-12 years (10-15% failure at 10 yr). Malleable: 15-20+ years (under 1% failure). Device manufacturer (AMS, Coloplast) provides warranty. Revision surgery available if device fails — covered by warranty if mechanical failure.

Mechanical failure: revision surgery to replace failed component. Often covered by manufacturer warranty. Procedure: similar to original implantation but easier (existing channel). Infection: device removal, IV antibiotics, re-implantation 6-12 months later. Dr. Moon handles all revision/salvage procedures at our Busan clinic.

Yes, but removal is not the same as never having had the procedure. Surgical removal possible. However, native erection function does NOT return (the implant displaces erectile tissue). Patients usually only remove for infection or mechanical failure. Dr. Moon ensures realistic expectations before surgery.

Korean pricing reflects lower facility costs, lower device markups, direct-pay model. 3-piece inflatable at Urogyn Busan ($11,111) costs 50-70% less than US ($25,000-$35,000) and 60% less than UK private ($18,000-$25,000). Same devices (AMS 700, Coloplast Titan), same surgical technique, same FDA/KFDA approval. Korea is recognized medical tourism destination.

Hospital stay 1-3 nights. Catheter removed Day 1. Office work resumes Week 2. Light exercise from Week 3. Device activation at 6 weeks (in-person or video call with Dr. Moon). First sexual activity 1 week after activation. Full recovery at 3 months.

Most patients experience slight perceived shortening (under 1cm). Caused by ED-related corporal fibrosis pre-surgery, not the prosthesis itself. Patients who use vacuum device for 8 weeks pre-surgery experience less shortening. Width: inflatable devices can produce slightly less girth than natural maximal erection. Realistic expectations set during consultation.

Yes. All prosthesis surgeries at Urogyn Busan use general anesthesia for patient comfort and surgical precision. Pre-op anesthesia consultation evaluates cardiac risk. Modern anesthesia is very safe — over-65 patients with controlled cardiac conditions can safely undergo. Local anesthesia options (less invasive) being explored for select cases.

Credit card, bank transfer, or crypto accepted. Card descriptor reads "Busan Health Clinic" — not "prosthesis." Payment: 50% deposit on confirmation, 50% on surgery day. Itemized English receipts for insurance reimbursement claims (some Medicare Advantage plans cover prosthesis if medically necessary).

Four reasons: (1) 50-70% lower cost than US ($11,111 vs $25,000+), (2) Same FDA/KFDA-approved devices (AMS 700, Coloplast Titan) as top US centers, (3) Dr. Moon's 200+ prosthesis experience, (4) Combine with Busan tourism for 7-10 day medical vacation. International patients from US, Europe, Middle East regularly choose Busan specifically for prosthesis.