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Medically reviewed by Dr. Edward Gheiler, MD, FACS — August 29, 2026
Home › Penile Implants › Surgery in Miami
Penile Implant Surgery in Miami
If you are considering a penile implant and you live in South Florida, the surgery does not require a trip to a distant academic center. Dr. Edward Gheiler, MD, FACS performs more than 400 inflatable penile implant procedures a year for the greater Miami area, with consultations and follow-up at his Happy Urology office in Hialeah and the outpatient operation at the affiliated surgical center, in English and Spanish.
Outpatient · Hialeah / Miami Lakes · English y EspañolWhy men in Miami choose Dr. Gheiler
- Volume. More than 400 inflatable penile implant procedures a year, and over 8,000 prosthetic-urology cases in his career. For this operation, how often the surgeon does it matters.
- He teaches the operation. Dr. Gheiler teaches penile implant surgical technique to other urologists in Boston Scientific physician-education programs.
- The Concealed-Scar Scrotal Technique™. A 15–20 minute outpatient surgery through a single scrotal incision, with the scar concealed in the natural scrotal skin. See how the implant works.
- Revision experience. He also repairs implants placed elsewhere — the harder redo cases other urologists refer out.
- Both languages. The consultation and every visit after it happen in English or Spanish; the full Spanish-language site is urofeliz.com.
What having the surgery here looks like
It starts with a consultation at the office at 2140 W. 68th St. #200 in Hialeah, minutes from Miami Lakes and the rest of Miami-Dade. Dr. Gheiler examines you, confirms the implant is the right step (it is the option for men whose erectile dysfunction no longer responds to medication), and answers every question, including the ones men are embarrassed to ask. The team verifies your insurance before anything is scheduled. The surgery itself is outpatient, performed at the affiliated surgical center: you go home the same day, and recovery follow-up happens at the same Hialeah office with the same surgeon.
Coming from outside South Florida?
Men travel to Miami for this procedure from across the United States, Latin America, and the Caribbean. If that is you, start with our guides on traveling to Miami for penile implant surgery and for international patients.
This page is patient education and does not replace a medical consultation. Individual results vary. Discuss your specific case with your urologist.
Inflatable or malleable: which implant men in Miami choose
Dr. Gheiler offers both inflatable and malleable penile implants in Miami and recommends the device that fits your anatomy, health, and priorities, not a one-size-fits-all answer. Most of his 400+ implant procedures a year are inflatable AMS 700 devices: Boston Scientific’s three-piece inflatable prosthesis, with two cylinders in the penis, a pump in the scrotum, and a fluid reservoir placed inside the body. Squeezing the pump moves fluid into the cylinders to create an erection; releasing the valve returns the fluid to the reservoir and the penis becomes soft again. Nothing is visible from the outside, and you control it entirely yourself. The AMS 700 LGX, which expands in both length and girth, is the most common choice for first-time cases; the CX expands in girth only, and the CXR is a narrow-base version used in revision cases or anatomically smaller patients. Your surgeon selects and sizes the device during surgery to fit your anatomy exactly.
A malleable implant is the simplest prosthesis there is: two bendable rods, no pump, nothing to operate. Bend it up for intercourse, bend it down to conceal. It is always firm and positioned by hand, which makes it simpler to use, and it suits men with arthritis, tremor, or limited hand strength. Most men choose inflatable, because it looks natural both flaccid and erect; for the right patient, the simpler, less expensive malleable rod is the better choice. Both are outpatient procedures through a small incision, and in many cases a malleable implant can be switched to an inflatable one later. At the consultation Dr. Gheiler examines you, explains both devices plainly, and tells you which he would choose in your situation. See how the inflatable implant works.
Is a penile implant noticeable?
When deflated, the implant is hidden inside the body and the pump sits discreetly in the scrotum, indistinguishable in appearance from normal anatomy. Most partners cannot tell a properly placed three-piece implant is present, even during intimacy. With very deliberate contact the small pump in the scrotum can be felt by touch, something most partners never notice unless you mention it. Skin sensation does not change, because the device does not interfere with the nerves responsible for sensation, and the erection it produces is comparable in firmness to a natural one.
The scar is the other half of the question. With the Concealed-Scar Scrotal Technique™, the incision sits in the natural scrotal fold, so the scar stays concealed and is minimally visible once healed, with no scar visible above the beltline and no visible tubing. Whether to tell your partner is your decision: some men talk about it openly and others keep it private, and both are valid. On size, the worry is usually backwards. In Dr. Gheiler’s experience a correctly sized inflatable implant restores essentially your full natural (stretched) length at surgery, and for most men length keeps increasing over the years that follow; only a small minority see any decrease. Individual results vary. Read what to expect for size and whether an implant makes you shorter.
Safety and infection prevention
Infection is the most serious complication of implant surgery, which is why prevention gets this much engineering. No surgeon can honestly promise zero infections. What a surgeon can do is control every controllable factor, every time, and this is the protocol Dr. Gheiler’s team runs for every penile implant: pre-operative antibiotics dosed and timed so tissue levels are right when the incision is made, consistent with AUA guidance on prosthesis prophylaxis; chlorhexidine (Hibiclens) washes at home before surgery and a final chlorhexidine pass in the pre-operative area; all-disposable plastic drapes with no outside linen in the operating room; low operating-room traffic and a small team for the duration of the case; a no-touch technique, so the implant never contacts skin or anything that has touched skin before it enters the body; and meticulous control of bleeding before closing, with a drain when indicated, so fluid cannot pool around the prosthesis. Every AMS 700 Dr. Gheiler implants carries InhibiZone: the device surface is impregnated with two antibiotics, minocycline and rifampin, during manufacture.
Infection remains a recognized risk of any implant surgery. Dr. Gheiler’s practice co-authored a multicenter investigation of the organisms involved in penile prosthesis infection (Gross et al., J Sex Med 2017), and it publishes its own tracked infection rate, with its full methodology and honest caveats, on the outcomes and safety page, where the numbers live in context. Revision and removal-and-replacement surgery carries different, generally higher risk than first-time surgery. The full step-by-step protocol is in our infection-prevention article.
Individual results vary; infection and complication rates depend on patient-specific factors, and revision cases carry different risks than primary surgery. Not a guarantee of outcome.
Surgery day in Miami: the affiliated surgical center and the recovery window
Consultations and follow-up happen at the Hialeah office; the operation itself takes place at the affiliated surgical center, with Miami International Airport about 20 minutes from the Hialeah/Miami Lakes surgical center. You arrive in the morning. Primary cases typically take 15 to 20 minutes through a single scrotal incision with no scar visible above the beltline, and you go home the same afternoon, with pain controlled by oral medication. The implant stays deflated while the tissues heal.
In the first week, discomfort and scrotal swelling are normal; light walking is encouraged, lifting stays under 10 lbs, and showering is allowed after 48 hours. Most men return to desk-based work in 1 to 2 weeks, and heavy lifting is restricted for the first month. Once healing is confirmed at follow-up, Dr. Gheiler teaches you to inflate and deflate the device (cycling), a simple skill every patient masters before being cleared for sexual activity, which is permitted at 5 to 6 weeks. Out-of-town patients plan on a stay of about five to seven days, with a post-operative visit before flying home and later follow-ups, including device teaching, by video call. The week-by-week detail is on the recovery timeline.
Timelines reflect typical courses in Dr. Gheiler’s practice; individual healing varies and your surgeon’s instructions for your case always come first.
Frequently asked questions
Who performs penile implant surgery in Miami?
Dr. Edward Gheiler, MD, FACS of Happy Urology in Hialeah performs penile implant surgery for the greater Miami area, with the outpatient operation at the affiliated surgical center. He performs more than 400 inflatable penile implant procedures a year and teaches the operation to other urologists in Boston Scientific physician-education programs.
How much does a penile implant cost in Miami?
Medicare covers inflatable penile implant surgery when ED has a documented medical cause that has not responded to conservative treatment, and many commercial plans do as well, subject to each plan’s exclusions and prior authorization. Coverage is not guaranteed until verified: the practice checks your individual coverage before anything is scheduled. For self-pay pricing and financing, see the cost and insurance page.
Where is the office located?
The office is at 2140 W. 68th St. #200, Hialeah, FL 33016, serving patients from Hialeah, Miami Lakes, and the greater Miami area. Call (305) 822-7227 to schedule a consultation.
Is the surgery done as an outpatient procedure?
Yes. Dr. Gheiler places the implant through a single scrotal incision in a 15–20 minute outpatient operation at the affiliated surgical center, and most men go home the same day. Follow-up care happens at his Hialeah office.
Do you see Spanish-speaking patients?
Yes. Dr. Gheiler and his team see patients in English and Spanish, and his full Spanish-language site is urofeliz.com. Patients also travel from Latin America and the Caribbean for surgery with him.
Will insurance cover a penile implant?
Often, yes. Medicare covers inflatable penile implant surgery when ED has a documented medical cause that has not responded to conservative treatment, and many commercial plans do as well, subject to each plan’s exclusions and prior authorization. Coverage is not guaranteed until verified: Happy Urology accepts most major plans, checks each patient’s individual benefits, and processes the prior-authorization paperwork before anything is scheduled. Self-pay arrangements and financing options are reviewed openly at consultation.
Are penile implants worth it?
For men whose erectile dysfunction has not responded to oral medication, injection therapy, or vacuum devices, the three-piece inflatable prosthesis remains, in Dr. Gheiler’s experience, the most natural-feeling and most durable of the surgical options. Because the implant is a mechanical device, it works regardless of the cause of ED. Across published series, men who are properly selected and well-counseled before surgery report high satisfaction and meaningful improvement in quality of life. The implant can be surgically removed, but doing so does not restore prior erectile function, so consider it a permanent solution and decide with that in mind. Read what men say after penile implant surgery.
How long will a penile implant last?
The implant is a mechanical device, so it can eventually fail and need replacement, but most men go many years before needing one. Modern three-piece inflatable prostheses have published five-year device-survival rates above 90%, and many last well over a decade. If a component fails, revision surgery can replace the affected part, and revision is a routine part of Dr. Gheiler’s practice. See how long a penile implant lasts.
Can a woman tell if a man has a penile implant?
In the great majority of cases, no. When deflated, the implant is hidden inside the body and the pump sits discreetly in the scrotum, indistinguishable in appearance from normal anatomy. Most partners cannot tell a properly placed three-piece implant is present, even during intimacy. The incision is concealed in the natural scrotal fold, and skin sensation does not change. What a partner usually notices is the result: an erection that is there when you both want it.
How long does the surgery take?
15 to 20 minutes for primary cases in Dr. Gheiler’s hands, reflecting more than 400 cases per year of focused experience with the scrotal-only technique. Revision and complex cases take longer depending on what needs to be repaired. The operation is outpatient at the affiliated surgical center: you arrive in the morning and go home the same afternoon.
Do I need to stay in Miami after surgery?
Plan on roughly 5 to 7 days. Surgery is outpatient, you recover at your hotel that same day, and Dr. Gheiler sees you for a post-operative visit before you fly home. Later check-ins, including teaching you to use the device when healing allows, happen by video call. The exact stay is set for your case at the consultation; see our guide on traveling to Miami for penile implant surgery.
Which implant brands does Dr. Gheiler use?
For inflatable implants, the Boston Scientific AMS 700 family (LGX, CX, and CXR), every one carrying the InhibiZone antibiotic surface; he selects the model and size during surgery to fit your anatomy. For men who want the simplest device, he also places malleable (semi-rigid) implants. Dr. Gheiler is a paid trainer and physician educator for Boston Scientific, the manufacturer of the AMS 700, and he is a Boston Scientific AMS 700 Center of Excellence. Read more about the AMS 700.
Not sure the implant is your next step? See every ED treatment, in order — and what to do when each stops working.
Talk to Miami’s high-volume implant surgeon
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