Should an infection occur after the prosthesis is inserted, the patient will need to be hospitalized and the device removed entirely. A salvage procedure may or may not be possible with simultaneous re-insertion of another device immediately at the same time that the infected device is removed. This is performed in order to prevent shrinkage and scarring of the penis, which occurs after penile prosthesis infection. If the type of bacteria causing the infection is not identified, the patient will require 2-3 weeks of intra-venous antibiotics. If a device is not immediately re-inserted another implant may be placed in the future however in addition of resulting in a much shorter penis the surgery is much more difficult and at a higher risk of urethral perforation and patient dissatisfaction. Given the fact that infections are rare, surgery and a scarred penis very difficult, re-implantation after an infection should only be performed by very experienced physicians and not generalists with little to no experience.

Possible surgical, medical and device related risks and complications includes infection, erosion of the implant through the skin, urethra and small bowel intestine, colon, or injury to artery or vein of lower extremity, temporary severe pain in the surgical area and mechanical failure of the implant.
Loss of remaining spontaneous erectile ability will also occur after an implant and patients who have spontaneous functional erections should be aware of this occurrence.
Other risks of a general nature inherent in any type of surgical procedure such as bad reaction to anesthesia, contracting pneumonia if the procedure is performed under general anesthesia, phlebitis, or other dangers arising from existing heart problems are also potential complications.
Possible need for further surgery if a complication or dissatisfaction occurs following the initial implant.

In our hands diabetic men have fewer infections than non-diabetics. The reason for this observation is unknown. One explanation is perhaps that diabetics have decreased blood flow to the penis and therefore bleed less during surgery. Collection or accumulation of blood (hematoma) in the cavity of the scrotum increases the risk of infection and this is less likely to occur in patients with poor circulation.

Erection, orgasm and ejaculation are three independent functions. Men who are impotent from vascular causes continue to have an orgasm and ejaculation with a soft penis. Therefore, restoring erections with prosthesis in that individual will result in a patient that continues to have an orgasm and ejaculation. Patients have fathered children with an implant.

A patient suffering from ED following radical prostatectomy or radiation therapy loses the ability to have erections and ejaculation. Therefore, an implant in that scenario will result in a patient that has an erection and orgasm but no ejaculation.

Generally, you will be able to participate in all physical activities without any limitations whatsoever. Obviously, some caution is advised as would be with any other procedure. If cycling is involved, the positioning of the pump is crucial. You will need to change your bicycle seat to a wider one with a gap in the middle. Swimming is not an issue either.

Sensation is preserved after the insertion of the Internal Penile Pump. You will have the same feeling you had before the procedure, which means that you will have a normal orgasm as well.