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A patient's symptoms of erectile dysfunction usually involve difficulties in ejaculation, orgasm, or sexual desire. Secondary symptoms of erectile dysfunction may include hair loss or gynecomastia. A thorough physical examination of the patient should include palpation of lower extremity pulses and auscultation for bruits in the abdominal and femoral regions. The patient's neurologic function should also be assessed for distal extremity sensation and saddle sensation, and reflexes. Penile implants Penile implants provide a firm, long-lasting erection. They don't affect ejaculation or sexual desire, and are usually not painful. In addition, penile implants rarely need replacement. But some complications can occur. In rare cases, they can become infected or break through the skin. They can also experience erosion or leakage. If you are considering penile implant surgery, it's best to consult your doctor first. Penile implants come in two basic types: flexible rods and