Men with erectile dysfunction offered penile prostheses have high satisfaction rates when properly counselled. These devices have undergone significant advancements in design, surgical techniques, and perioperative management, enhancing patient outcomes, satisfaction, and safety. This review summarizes the latest innovations, including novel non-antimicrobial prevention strategies and disposable surgical tools that may reduce infection risks. Furthermore, advances in operative techniques, including safer alternative reservoir placement, have minimized the complications. Additionally, innovations in postoperative management, such as multimodal analgesia and nerve blocks, have improved patient recovery and comfort. Lastly, emerging technologies, including shape-memory alloys and electronic-controlled devices that represent potential future breakthroughs are described.

Keywords: advances; erectile dysfunction; innovation; penile prosthesis