Menu
Your First Penile Implant Consultation: Exactly What to Expect
For most men, the consultation is the step they postponed the longest — often for years. Knowing exactly what happens in that room (or on that video call) is usually what finally makes it easy: it is a conversation and an evaluation. Nothing more is decided that day.
What actually happens, in order
- Your story first. How long ED has been present, what you have tried — pills, pumps, injections — and your medical history: diabetes, heart disease, prostate surgery, medications.
- A brief, focused exam. Minutes, not an ordeal — tissue quality and anything that shapes device choice, like scarring or curvature from Peyronie’s disease.
- The honest options ladder. If a simpler treatment still fits your case, that is the recommendation you will hear. The implant is presented as what it is: the definitive option when the earlier rungs have failed — not the default.
- The devices, in your hands. You hold the actual models — inflatable and malleable — feel how the pump works, and see what will actually be placed. For most men this is the moment the abstraction becomes a decision they can reason about.
- Money, before you leave. Insurance verification and prior authorization start with our team the same day — most plans, including Medicare, cover medically necessary implant surgery — and direct-pay patients get a real quote, not a range.
Questions worth asking any implant surgeon
Ask how many implants the surgeon places and how often; which devices they use and why; how pain and infection are managed; what their revision experience is; and what realistic expectations look like for length and sex afterward. A surgeon confident in his answers will welcome every one of these — and you are entitled to all of them.
If you are not local — or not ready
The consultation happens by confidential video call for out-of-town and international patients, in English, Spanish, or Hebrew. And if you leave and take six months to decide — that is normal. The evaluation and the plan will be waiting.
Frequently asked questions
Do I have to commit to surgery at the consultation?
No. The consultation is an evaluation and a conversation, not a signing. Many men take weeks or months afterward to decide, and some learn that a different treatment fits them better. Nothing is scheduled until you say so.
Should my partner come?
If you want them there, absolutely — partners ask excellent questions, and satisfaction after surgery involves both of you. Men also come alone. Either is completely normal.
Is there an exam at the first visit?
Usually a brief, focused genital exam — checking tissue quality, sensation, and anything relevant to device choice, such as scarring or curvature. It takes a few minutes, and virtual consultations simply defer it to the pre-surgical visit.
What should I bring?
A complete medication list, your relevant medical and surgical history — especially prostate surgery, radiation, or diabetes — your insurance card, and every question you have. Written-down questions are the ones that actually get asked.
Can the consultation be in Spanish?
Yes. Consultations are conducted in English, Spanish, or Hebrew, in person or by confidential video call.
This article is patient education and does not replace a medical consultation. Individual results and experiences vary. Discuss your specific case with your urologist.
The step men postpone longest is a conversation.
Request a confidential consultation with Dr. Gheiler. English · Spanish · Hebrew.
Private and confidential from your first call: these are problems our office treats every day, with discretion and respect.
Request a Confidential Consultation
