Two complex erectile dysfunction cases were successfully managed with malleable penile implant surgeries. Both patients recovered well, demonstrating the effectiveness of modern implant technology and expert surgical planning.

Faculty:
Dr. Punit Bansal – Director & Head, Institute of Urology
Dr. Yugam – Senior Consultant, Anaesthesia

Case 1: Rigicon Malleable Penile Implant
A 43-year-old NRI male presented with persistent inability to perform sexual activity despite a normal penile colour Doppler and no evidence of vasculogenic impotence. He was diagnosed with Erectile Dysfunction. After multiple unsuccessful trials of medical therapy, he opted for a penile prosthesis.

Diagnosis:
Erectile Dysfunction – Non-vasculogenic

Treatment Performed:

• Rigicon Malleable Penile Prosthesis with hinge
• Procedure performed under General Anaesthesia
• Smooth intraoperative course
• Catheter removed on Post-operative Day 2

Key Highlights:

• Implantation performed with meticulous surgical planning
• Excellent postoperative recovery
• Patient discharged in stable and satisfactory condition

Case 2: TUBE Malleable Penile Prosthesis
A 42-year-old male with a past history of priapism treated via distal corporo-cavernosal shunt presented with inability to perform sexual intercourse. He was diagnosed with Erectile Dysfunction and planned for a malleable penile implant.

Diagnosis:
Erectile Dysfunction secondary to prior priapism management

Treatment Performed:

• TUBE Malleable Penile Implant with hinge
• Procedure performed under General Anaesthesia
• Catheter removed on Post-operative Day 3

Key Highlights:

• Implantation performed successfully despite altered corporal anatomy from prior shunt
• Patient recovered well with no postoperative complications
• Discharged in stable condition

Key Features:

• Silver twisted wire core for optimal axial rigidity and controlled malleability
• PTFE-covered core enhances structural safety and durability
• Biocompatible silicone outer layer for comfort and stability
• High axial rigidity (>1500 g load) is linked to improved patient satisfaction
• Soft distal tip to minimise irritation or erosion
• Customizable length with radiopaque rear-tip extenders to ensure anatomical precision

These successful implant procedures reinforce RG Hospitals, Ludhiana’s leadership in advanced andrology. With precise surgical planning and modern prosthetic technology, the team continues to deliver safe and reliable outcomes for patients with complex erectile dysfunction.