For refractory ED. Same FDA-approved device as the US. Lifetime warranty. USD $9,200–$11,500 all-in vs. $20,000–$28,000 in the US for the same device.
AMS 700 CX or Coloplast Genesis. 60–90 min under general/spinal anaesthesia. Day surgery for most patients. Sexual activity from week 6–8. 92–95% patient satisfaction at 5 years. Lifetime warranty on device. All-in USD $9,200–$11,500 vs. $20,000–$28,000 for same device in the US.
| Factor | AMS 700 CX | Coloplast Genesis |
|---|---|---|
| Manufacturer | Boston Scientific | Coloplast |
| FDA approved | Yes | Yes |
| Warranty | Lifetime | Lifetime |
| Satisfaction (5yr) | 92–95% | 90–93% |
| Price at clinic | $9,200–$11,500 | $8,600–$10,500 |
| Discharge | Same day or 1 night |
| Minimum Busan stay | 10–14 days |
| Long-haul flight | Day 12–14 |
| Desk work | Week 2 |
| Gym | Week 8 |
| Sexual activity | Week 6–8 |
Free 20-min video call. Dr. Hwang explains the procedure, confirms candidacy, and provides fixed USD quote before you book flights.
WhatsApp Dr. Hwang →Busan Men's Health Clinic is an authorised implant facility for both AMS (Boston Scientific) and Coloplast penile prosthesis devices. Dr. Hwang presents both options at consultation — the choice is made jointly based on anatomy, lifestyle, and patient preference.
| Factor | AMS 700 CX | AMS 700 LGX | Coloplast Genesis |
|---|---|---|---|
| Manufacturer | Boston Scientific (USA) | Boston Scientific (USA) | Coloplast (Denmark) |
| FDA Approval | Yes | Yes | Yes |
| Warranty | Lifetime (device), 3yr (cylinder) | Lifetime | Lifetime (device), 3yr (cylinder) |
| Girth expansion | Circumferential | Circumferential + length | Circumferential |
| Length expansion | Minimal | Up to +2 cm | Minimal |
| Reservoir required | Yes (3-piece) | Yes (3-piece) | Yes (3-piece) |
| Pump location | Scrotum | Scrotum | Scrotum |
| Satisfaction rate (5yr) | 92–95% | 88–92% | 90–93% |
| USD at Busan Men's Health | $9,200–$11,500 | $9,800–$12,000 | $8,800–$11,000 |
| USA private equivalent | $20,000–$28,000 | $22,000–$30,000 | $18,000–$25,000 |
The AMS 700 CX is Dr. Hwang's primary recommendation for most patients due to its longer clinical track record and the highest published 5-year satisfaction data. The Coloplast Genesis is preferred for patients with prior pelvic surgery or scarring due to its narrower pump profile.
Final IIEF-5 confirmation, cardiovascular clearance, antibiotic prophylaxis prescription. Dr. Hwang reviews anatomy with patient using Doppler ultrasound images. Device size and configuration confirmed.
Spinal or general anaesthesia. Penoscrotal approach. Corporal dilation to measure cylinder length. Reservoir placement in retropubic space. Pump placement in dependent scrotum. Watertight closure.
Vital sign monitoring. Catheter placed during surgery removed before discharge in most cases. Compression dressing applied.
English discharge briefing from Dr. Hwang. Wound care instructions. Antibiotic prescription. 24/7 WhatsApp emergency contact.
Dr. Hwang conducts device activation training by video for foreign patients who have returned home. Written photo-illustrated guide provided at discharge.
| Milestone | Timeline |
|---|---|
| Leave clinic | Same day or 1 night |
| Minimum Busan stay | 10–14 days |
| Short-haul flight clearance | Day 10–12 |
| Long-haul flight clearance | Day 12–14 |
| Return to desk work | Week 2 |
| Device activation (first time) | Week 4–6 |
| Sexual activity | Week 6–8 |
| Gym / physical activity | Week 8 |
Scrotal swelling and bruising peak on day 2–3 and resolve by week 2. This is expected and does not indicate complication. The device is NOT inflated during the first 4–6 weeks — this is not a malfunction. Dr. Hwang confirms by WhatsApp at day 3, 7, and 14.
The following data is from Dr. Hwang's implant series at Busan Men's Health Clinic (2012–2024, n=318 procedures).
| Side Effect / Complication | Rate | Timing | Management |
|---|---|---|---|
| Scrotal swelling and bruising | 100% | Day 1–14 | Expected — resolves spontaneously |
| Penile shortening (flaccid) | ~15% | Permanent | Pre-op counselling; traction therapy from week 6 |
| Device infection requiring removal | 1.2% | Week 2 – Month 3 | Device removal, 6-month wait, reimplantation |
| Mechanical failure (cylinder) | 2.1% at 5yr | Any time | Warranty replacement — no surgeon fee |
| Pump malposition (corrected) | 0.8% | Intraoperative | Corrected before wound closure |
| Erosion (rare) | 0.3% | Any time | Device removal required |
| Revised for dissatisfaction | 3.1% | Within 12 months | Configuration change or device upgrade |
Penile shortening in the flaccid state is an expected consequence of the anatomical changes of severe ED — not a complication of surgery. Stretched penile length and erect length are typically preserved or improved with the implant. Dr. Hwang discusses this at pre-consultation with realistic expectation setting.
Korea vs. Home Country
| Device | Busan (USD) | USA Private | UK Private | Australia | Same Manufacturer? |
|---|---|---|---|---|---|
| AMS 700 CX | $9,200–$11,500 | $20,000–$28,000 | £14,000–£20,000 | AUD 22,000–32,000 | ✓ Boston Scientific |
| AMS 700 LGX (length-girth) | $9,800–$12,000 | $22,000–$30,000 | £16,000–£22,000 | AUD 24,000–34,000 | ✓ Boston Scientific |
| Coloplast Genesis | $8,800–$11,000 | $18,000–$25,000 | £12,000–£18,000 | AUD 20,000–28,000 | ✓ Coloplast |
The AMS 700 CX implanted at Busan Men's Health Clinic is the identical device implanted at Johns Hopkins or the Cleveland Clinic. Same model number, same manufacturing plant, same lifetime warranty terms. The cost difference is structural, not qualitative.
Surgical Protocol Detail
Surgical site clipped (not shaved — reduced infection risk). 10-minute betadine preparation. IV antibiotic (cefazolin 2g) administered 30 minutes before first incision.
Approximately 3–4cm transverse penoscrotal incision. No visible scarring above pubic hairline.
Sequential Hegar dilators to establish cylinder channel bilaterally. Cylinder length measured with Furlow introducer.
Cylinders loaded with rear-tip extenders to achieve optimum length. No-touch technique — gloves changed before device contact.
Single retropubic reservoir (65ml or 100ml) placed via penoscrotal approach. No separate abdominal incision in standard anatomy.
Cobra nose pump placed in dependent scrotum, secured with 3-0 PDS suture. Pump cycling confirmed before closure.
3-layer wound closure: tunica albuginea, dartos fascia, skin. Betadine-soaked dressing. Foley catheter placed if required.
Expectations Setting
| Timepoint | Penile Appearance | Function | Patient Experience |
|---|---|---|---|
| Day 1–3 | Swollen, bruised — alarming but expected | Device deflated — do not attempt inflation | Pain 4–6/10 → responds to OTC analgesics |
| Day 7–14 | Swelling 60% resolved, bruising yellow | Device still deflated — this is correct | Walking normally, desk work possible |
| Week 4–6 | Near normal appearance in clothing | First activation training with Dr. Hwang | Learning inflation/deflation — takes 2–3 attempts |
| Week 6–8 | Normal appearance — partner cannot tell | Sexual activity cleared | Full function restored |
| Month 3 | Final flaccid appearance established | Confident with device | Satisfaction survey completed with Dr. Hwang |
| Month 6–12 | Scar fully matured and flat | Confident routine use | 97% of patients report satisfaction |
The implant does not increase penile size or restore ejaculatory function. It restores rigidity only. If ejaculation was absent before surgery (e.g., post-prostatectomy), it remains absent after implant. Orgasmic sensation is typically preserved.
Post-Op FAQ