If other treatment options fail, some men will need surgery to treat
impotence. A surgeon can implant a device that inflates or unbends to create an erection. For the inflatable device, a pump is also implanted under the skin. This pump fills two rods (inserted inside the penis) with fluid to cause an erection.
It's important to know that implanted devices do not interfere with the way sex feels.
This operation cannot be reversed. Once a man has a penile implant, he must use the device to have an erection. When considering your
erectile dysfunction treatment options, be sure to talk with your doctor about the advantages and possible drawbacks of having a penile implant.
Artery Reconstruction and Vein Blockage Surgery
Surgery to repair arteries can treat impotence caused by obstructions that block the flow of blood. The best candidates for such impotence treatment are young men with a distinct blockage of an artery due to an injury to the crotch or fracture of the pelvis. This treatment is almost never successful in older men with widespread blockage.
With vein blockage surgery, blocking off the veins (ligation) can reduce the leakage of blood that diminishes the rigidity of the penis during erection. However, experts have raised questions about the long-term effectiveness of this treatment for impotence, and it is rarely done.