Young patient considering IPP – confusion about ejaculation and sensation after surgery

[Husseinmohamud]

Hello everyone,

I’m in my early 20s and currently considering a penile implant (IPP). My situation is mainly related to psychological issues rather than physical disease, and I do not have conditions like diabetes or prior prostate surgery.

I’ve been reading many posts here, and I feel confused because I see different experiences:

- Some men say their ejaculation and sensation are normal after surgery
- Others say ejaculation becomes delayed or difficult, and sensation changes

From surgeons like , I often hear:

«“If you could ejaculate before, you will ejaculate after — nothing changes.”»

But forum experiences seem mixed, so I would really appreciate honest clarification.

My questions:

1. Is the change in ejaculation or sensation only temporary (first months after surgery)?
Does it improve over time and return to normal?

2. Are negative experiences (delayed ejaculation, reduced sensation) mostly related to other conditions?
For example:

- Prostate surgery (prostatectomy)
- Diabetes
- Older age

3. Since most implant patients are older,
is it different for younger, healthy men with no underlying disease?

4. For those who had normal ejaculation before surgery:

- Did your orgasm feel the same, better, or worse?
- Did your ejaculation timing change long-term?
- Did your sensation is change?

5. Do psychological factors (anxiety, overthinking) after surgery affect ejaculation control?

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I am trying to make a serious and informed decision, so I really value real experiences from patients.

Thank you very much for your help.