Nocturnal erections

The final frontier. Deciding when, if and how.
Goldie1
Posts: 3
Joined: Mon Apr 13, 2026 3:43 am

Nocturnal erections

Postby Goldie1 » Mon Apr 13, 2026 6:26 pm

Hi all . I’m new here and interested in penile implants . Do you still get natural erections ant night with an implant fitted? Are you capable of getting some type of normal erection without pumping?
I’m asking because I suffer from sleep related painful erections where on a bad night I could be woken every 45 minutes by an intense and painful erection , normal daytime erections are not painful. On srpe discussion sites it’s been suggested that implants would cure this, but some suggest erections can still occur .I would love to get feedback from people with experience mplants

LetoMan
Posts: 439
Joined: Tue Apr 09, 2024 1:25 pm

Re: Nocturnal erections

Postby LetoMan » Mon Apr 13, 2026 8:13 pm

You can’t get an “erection” with an implant without inflating the implant, because the implant replaces the corpus cavernosum, which is the spongy tissue that normally fills with blood to give men a natural erection. But, you can still often get some blood flow to other parts of the penis, like along the urethra and your glans. Getting blood flow there can feel like getting an erection, even though it does not mean your corpus is getting erect. Further, in the months following implantation, some guys (including me) report getting a feeling of blood actually in the corpus. The conventional wisdom that some docs share is that there is some spongy tissue left over after the corpus is dissected to make room for the implant that can get some blood flow. But, after a few months that spongy tissue dies off and that feeling goes away.

I’d strongly encourage talking about your particular condition and whether it would be impacted by an implant with an experienced implantation doc, I.e., someone who knows what he is talking about. The rest of us are just guessing.
Born 1974. Implanted 5/21/2024. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

Goldie1
Posts: 3
Joined: Mon Apr 13, 2026 3:43 am

Re: Nocturnal erections

Postby Goldie1 » Mon Apr 13, 2026 11:42 pm

Thanks for the reply. I have spoken to urologist’s that have performed implants and they have said they can’t guarantee that I won’t get sleep related painful erections. The way it was explained to me was the corpus cavernosum is pushed aside and not damaged or taken out and this still cause erections . I’m hoping to get more feed back here as I would get it done if it would guarantee no unwanted erections

LetoMan
Posts: 439
Joined: Tue Apr 09, 2024 1:25 pm

Re: Nocturnal erections

Postby LetoMan » Tue Apr 14, 2026 1:35 am

If you have talked to multiple urologists and you came away from the talk with all of them with that understanding, I’d respectfully suggest the problem is with what you are hearing rather than what they are saying. I’m not sure what advice to give you to help with that.
Born 1974. Implanted 5/21/2024. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

daddel
Posts: 174
Joined: Wed Sep 02, 2020 6:47 am

Re: Nocturnal erections

Postby daddel » Tue Apr 14, 2026 3:10 am

Hold on. You‘re considering an implant because you get intense natural erections? Usually you should consider getting an implant when you are suffering from ED, so the opposite of what you’re telling us here.

That is a total contra indication here. You would destroy your healthy and functioning corpus cavernosum tissue and replace it with plastic. That’s not what you want.
Last edited by daddel on Tue Apr 14, 2026 8:37 am, edited 1 time in total.
42y/o, VL due to Finasteride use 17 years ago, PDE5i lost effect over the years, nothing worked anymore.
Implanted 18 Aug 2023 (while I was 40y/o), Titan 20cm + 1cm RTE, Germany
Implant journal: viewtopic.php?t=22715

Goldie1
Posts: 3
Joined: Mon Apr 13, 2026 3:43 am

Re: Nocturnal erections

Postby Goldie1 » Tue Apr 14, 2026 4:05 am

Sleep related painful erections are not normal erections. They are painfully hard and in the last 7 years I haven’t slept more than 2 or 3 hours at a time .often an hour at a time. I’m exhausted all day and would do anything to sleep all night. Most meds offered are anti psychotics that make me feel like crap or anti seizure drugs that leave me feeling hungover . Srpe forums discuss this procedure but most people are younger than me and unsure of doing it . I’m 70 and would gladly do anything for a decent sleep. Do you have any form of natural erection?

daddel
Posts: 174
Joined: Wed Sep 02, 2020 6:47 am

Re: Nocturnal erections

Postby daddel » Tue Apr 14, 2026 8:47 am

Goldie1 wrote:Sleep related painful erections are not normal erections. They are painfully hard and in the last 7 years I haven’t slept more than 2 or 3 hours at a time .often an hour at a time. I’m exhausted all day and would do anything to sleep all night. Most meds offered are anti psychotics that make me feel like crap or anti seizure drugs that leave me feeling hungover . Srpe forums discuss this procedure but most people are younger than me and unsure of doing it . I’m 70 and would gladly do anything for a decent sleep. Do you have any form of natural erection?


I understand your issue but an implant is not the solution to that kind of problem. You would destroy your functioning and still healthy tissue with plastic cylinders. An implant is a treatment for ED issues, not for increased erections. You should talk to other doctors who would subscribe other kind of medications. Maybe Finasteride? This is at least the stuff which castrated me and which is why I ended up in this ED situation. Some men react less drastically than me so maybe it would bring down your nocturnal erections. This is not a medical advice, just guessing.

Of course I don’t have nocturnal erections anymore since I have an implant which replaces the natural tissue in the corpus cavernosum with plastic cylinders. Sometimes, on the urethra and glans side there is a bit of engorgement in the morning, but this is not a natural, full erection anymore.
42y/o, VL due to Finasteride use 17 years ago, PDE5i lost effect over the years, nothing worked anymore.
Implanted 18 Aug 2023 (while I was 40y/o), Titan 20cm + 1cm RTE, Germany
Implant journal: viewtopic.php?t=22715

LetoMan
Posts: 439
Joined: Tue Apr 09, 2024 1:25 pm

Re: Nocturnal erections

Postby LetoMan » Tue Apr 14, 2026 2:39 pm

There are medical solutions to getting erections if that is what you are looking for. Just remove the corpora. That’s what docs do when they implant you, despite your confusion on that point.

I’ll go back to the idea that you seem sufficiently confused here that maybe getting medical advice for your very rare condition is not something this board can help you with. You should talk to medical professionals, and take their advice.
Born 1974. Implanted 5/21/2024. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.


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