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What Really Happens
During Penile Implant Surgery

Presented by Jay Richard Author | Helping Couples Face ED With Courage and Connection

(https://jayrichard.com) | (239) 350-3365

The weeks leading up to my penile implant surgery felt like the longest countdown of my life. My mind filled in the blanks with worst-case scenarios because I couldn’t find honest, detailed accounts of what the experience was actually like.

If you’re facing this surgery, here’s the real story—not medical textbook information, but what it’s genuinely like from someone who’s been through it.

Pre-Surgery Preparation

About three weeks before surgery, the preparation checklist felt overwhelming at first. Blood tests, medication adjustments, lifestyle modifications—but having tasks to focus on actually helped with the anxiety.

The strangest part was the shower routine. For two days before surgery, I had to shower with special antibacterial soap that smells like a hospital. I felt ridiculous, but it significantly reduces infection risk.

Practical tip: Set up your recovery space ahead of time. A comfortable recliner saved me during the first few nights when getting into bed was challenging.

Surgery Day

My procedure was scheduled for 8:00 AM, which meant arriving at 6:00 AM after that early morning antibacterial shower. The hospital staff was incredibly kind, explaining every step and keeping my anxiety manageable.

When the surgeon stopped by for final check-in, I almost asked to postpone everything—not because I’d changed my mind, but because suddenly it felt too real. His reassurance that this was routine for him and that my case was straightforward was exactly what I needed to hear.

Waking Up

The first thing I remember was a nurse saying my name and asking how I felt. My initial instinct was to check that everything was still attached and working.

When I finally looked under the blanket, I was shocked. My penis and scrotum were easily twice their normal size and colored like I’d been in a boxing match. The nurse saw my expression and quickly said, “That’s completely normal. It looks much worse than it feels.”

She was right. It looked horrifying but felt more like a deep, dull ache than sharp pain.

The First Week: Day by Day

Day 1: Getting home required strategy—every bump in the road felt magnified. Once settled in my recliner with ice packs and pain medication, things became manageable.

Day 2: The catheter came out. My first attempt at urination was an exercise in humility—unpredictable direction, weak flow, and it took forever. Pro tip: sitting down for the first few tries saves cleanup time.

Day 3: Probably my lowest day emotionally. The swelling seemed worse, I was tired of being immobilized, and having hardware inside my body felt strange. Calling the doctor’s office for reassurance helped enormously.

Days 4-7: Each day brought noticeable improvement. I could move around more easily, sleep better, and the pain was manageable with just over-the-counter medication.

Week Two: Turning the Corner

The dramatic swelling subsided enough that I could see my actual anatomy again. I could walk normally, sleep in bed, and concentrate on things other than recovery.

The psychological adjustment was harder than physical healing. Every bathroom visit reminded me of the hardware inside—not painful, just different.

Learning to Use the Device

At four weeks, the surgeon taught me how to operate the implant. Finding the pump felt like locating a small, soft walnut in my scrotum. The first inflation was surreal—watching my penis grow longer and harder through mechanical assistance felt like magic.

Learning deflation took several tries, but gradually I got comfortable with the technique.

The Reality Check

The whole experience was far less terrible than I’d imagined. Yes, the first week was uncomfortable. Yes, waiting for clearance was frustrating. But compared to years of ED anxiety and failed attempts at intimacy, a few weeks of recovery was nothing.

The hardest part wasn’t physical discomfort—it was the psychological adjustment to having a medical device inside my body. But that became as normal as any other part of my anatomy.

What I Wish I’d Known

  • The anticipation is worse than the reality
  • Trust the process and follow all instructions
  • Be patient with yourself during recovery
  • Each day genuinely does get better
  • The fear of surgery is typically worse than the actual experience

If you’re facing this surgery, know that thousands of men have walked this path successfully. The temporary discomfort is an investment in years of restored confidence and intimacy.

This is one person’s experience. Always discuss your specific situation and concerns with qualified healthcare providers.

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