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Category: Urology

How to Increase Your Odds for a Successful Vasectomy Reversal 

Posted on by Nannan Thirumavalavan, MD

There are numerous reasons why a man or a couple decides to have a vasectomy. There are just as many reasons someone decides to reverse the procedure.

Remarriage, improved financial stability, or just a change of heart are all common reasons to decide on a vasectomy reversal procedure. If you are considering this, certain factors affect the success of a reversal, so you may want to look at how to increase your odds for a successful outcome.

Both Partners Should Be Evaluated for Fertility

The age of your partner can affect whether they will get pregnant. The closer they are to 40 years of age, the more difficult it can be to become pregnant and carry to term. If they have never had a child or if there were issues with fertility in the past, this can also be a problem. In this case, an exam by a gynecologist can help to determine the state of your partner’s fertility.

Healthy sperm is essential for a successful vasectomy reversal. You can increase your odds by:

  • Maintaining a healthy weight
  • Reducing alcohol consumption
  • Exercise
  • Stopping smoking, vaping, or chewing tobacco
  • Stopping testosterone therapy

Consider the Time Between Procedures

Almost 90% of vasectomy reversals are successful if they are done within 10 years of the initial vasectomy procedure. The success rate declines when the time between is 15 or more years.

Have You Had Other Surgeries in the Groin Area?

You are more likely to have a successful vasectomy reversal if you have NOT had any other surgeries in the groin area, like an inguinal hernia repair. Some surgical procedures increase the chances of a blockage that makes reversals more difficult.

Find an Experienced Surgeon

Vasectomy reversal is a highly specialized procedure. Find a surgeon highly trained in microsurgery techniques and fellowship trained in fertility like Dr. Nannan Thirumavalavan This should be a regular surgery they have performed successfully many times. The expertise of the surgeon may be the greatest factor in increasing your odds for a successful vasectomy reversal.

Speak with Dr. Nannan Thirumavalavan, MD is a board-certified urologist based in Cleveland if you are considering a vasectomy reversal and whether you would be a good candidate.

What to Expect During Sex with a Penile Implant

Posted on by Nannan Thirumavalavan, MD

If you’re considering a penile implant to treat erectile dysfunction (ED), you likely have one big question: What will sex be like afterward? The good news is, for many men and their partners, intimacy not only returns, it improves!
Below, we’ll walk through what to expect during sex with a penile implant, plus how the procedure works, what recovery looks like, and why satisfaction rates are so high.

First, What Is a Penile Implant?

A penile implant is a medical device placed inside the penis during a surgical procedure. It’s designed to help men with ED achieve and maintain an erection strong enough for intercourse, even when other treatments like medication haven’t worked.

There are two main types of implants:

  • Inflatable implants, which use a fluid-filled system you activate with a small pump hidden in the scrotum.
  •  Malleable (or semi-rigid) implants, which you position manually.

Both types of implants are internal, discreet, and tailored to your lifestyle and needs. Remember: Your doctor can help you determine which choice is right for you!

 What to Expect During Sex

One of the biggest advantages of a penile implant is that it offers on-demand control. When you’re ready for intimacy, you simply activate the implant—and when you’re done, you deactivate it (in the case of an inflatable device).

Here’s what many men report after healing:

  • Natural-feeling erections: The implant gives you a firm, reliable erection that feels similar to a natural one—for you and your partner.
  • No interference with orgasm or sensation: A penile implant doesn’t affect your ability to climax or feel pleasure. If anything, knowing you can perform reliably may even enhance your experience.
  •  Spontaneity returns: No waiting for pills to kick in, no worrying about timing. That freedom brings confidence back into your sex life.

What About Your Partner?

Studies show high partner satisfaction rates after a penile implant. Open communication helps, your partner may need time to adjust, but most couples appreciate the renewed sense of connection and spontaneity.

In fact, for many couples, restoring the ability to be intimate on their own terms strengthens emotional closeness. And because the implant is discreet, most partners say they can’t tell the difference!

The Procedure and Recovery

Penile implant surgery is a routine, outpatient procedure that typically takes under an hour. It’s performed under general or spinal anesthesia, and most men return home the same day or the next.

After surgery, you’ll likely experience:

  • Mild soreness, swelling, or bruising in the groin area
  • Pain that improves steadily over the first week or two
  • Restrictions on heavy lifting, sexual activity, and strenuous movement for about 4–6 weeks

Your healthcare provider will schedule follow-up visits to monitor healing and teach you how to use the device. Most men can return to normal sexual activity within 6 to 8 weeks, depending on individual healing.
While every person’s recovery is different, the vast majority find the discomfort manageable and temporary, especially when compared to the long-term benefits.

Why Satisfaction Is So High

Penile implants have one of the highest satisfaction rates of any ED treatment, both for patients and their partners. Here’s why:

  •  Long-lasting results: Once implanted, most devices work well for 10 to 15 years or longer.
  • Predictability: Unlike pills or injections, you don’t have to guess whether it’ll work. The implant gives you reliable results every time.
  • Discretion: The implant is completely internal—nothing is visible from the outside, and no one will know unless you tell them.
  • Confidence boost: Many men report feeling younger, more in control, and more connected to their partner after the procedure.  

Most importantly, it restores a part of life that feels personal, powerful, and affirming. And that can have positive ripple effects on mood, relationships, and overall well-being.

The Bottom Line

Sex after a penile implant can feel freeing, empowering, and deeply satisfying. If ED has been holding you back, this solution may be the key to a confident, fulfilling sex life.
Curious about your options? Contact Dr. Nannan Thirumavalavan   at (216) 285-5036 today to learn more about whether a penile implant is right for you!

The Truth About Penile Implants: Myths and Facts

Posted on by Nannan Thirumavalavan, MD

For many men, the idea of a penile implant can seem intimidating. In large part, this is due to common misconceptions and misinformation. While penile implants are a proven and effective solution for erectile dysfunction (ED), myths surrounding the procedure can still cause unnecessary hesitation.
Below, we’ll separate fact from fiction to help you make an informed, empowered decision about this life-changing treatment!

Myth 1: Penile Implants Feel Unnatural

Fact: One of the biggest concerns men have is whether an implant will feel artificial or uncomfortable. In reality, modern penile implants are created to replicate the look and function of a natural erection. Since they are completely internal, there are no visible components, and once activated, they feel similar to a natural erection.

Myth 2: The Procedure is Risky and Complicated

Fact: While any surgery comes with some level of risk, penile implant procedures are considered safe with a high success rate. The procedure is performed by experienced urologists and typically takes under an hour. Most men return to normal activities within a couple of weeks. The risk of complications is low when post-operative care instructions are followed.

Myth 3: Penile Implants Cause Reduced Pleasure and Sensation

Fact: Some men are concerned that an implant might lessen their ability to experience pleasure. However, penile implants do not interfere with sensation or orgasm. Because the implant is placed within the existing structure of the penis, it allows for normal sensitivity and function. Many men and their partners report increased satisfaction due to the restored confidence and reliability.

Myth 4: Penile Implants Are Only for Older Men

Fact: ED affects men of all ages, and penile implants are not limited to any specific demographic. Younger men who have experienced ED due to injury, medical conditions, or failed previous treatments may find implants to be a life-changing solution that restores intimacy and self-assurance.

Myth 5: Penile Implants Are Noticeable to Others

Fact: One of the advantages of penile implants is that they are entirely concealed inside the body. When not in use, they remain discreet, and no one will be able to tell that a man has an implant. Unlike external devices or medications that require planning, an implant allows for spontaneity and confidence in intimate situations.

Myth 6: Recovery Takes a Long Time

Fact: Recovery from penile implant surgery is typically faster than many patients expect. Most men can resume light activities within a few days and can return to sexual activity within 4-6 weeks, following their doctor’s guidance. Pain is generally mild and manageable with prescribed medication.

Penile Implant for Erectile Dysfunction in Cleveland, OH

If myths and misconceptions have been holding you back from considering a penile implant, it’s time to separate fact from fiction. These implants offer a safe, reliable, and discreet solution for ED, helping men regain confidence and enjoy a fulfilling intimate life.
Contact Nannan Thirumavalavan, MD at (216) 285-5036 to schedule a consultation today to learn more and see if a penile implant is the right choice for you!

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