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Penile Implants Product Guide

ZSI 475 FTM Hydraulic Penile Implant

ZSI 475 FTM Hydraulic Penile Implant The ZSI 475 FTM is the first-ever hydraulic penile implant designed specifically for trans men!

Made by Zephyr Surgical Implants of Switzerland, the ZSI 475 FTM Hydraulic Penile Implant is designed to provide excellent stability and cosmetic results.

The ZSI 475 FTM is made of NUSIL silicone which is manufactured at a density that is ideal for longterm durability, malleability and providing a lifelike erection. The reinforced nickel-titanium rod interior increases the lifespan of the implant.

Important note: Zephyr penile implants are not available in the USA and ZSI is not currently seeking FDA approval. At this time, they are available in Canada, Cuba and some countries in Europe and South America.

Other features of the ZSI 475 FTM:

  • One cylinder instead of two, providing excellent cosmetic results when inflated and deflated.
  • Available in three sizes: 120mm, 150mm, 170mm in length.
  • A 25mm wide, realistically shaped glans "stopper" is affixed to the tip of the implant. The glans is shaped with a small indentation that serves as a passage for the urethra, easing implantation.
  • The proximal part of the implant has a plate made from stainless steel and silicone which is fixed securely to the pubic bone.

ZSI 475 FTM Hydraulic Penile Implant

 

The implant functions like other hydraulic implants to obtain an erection:

ZSI 475 FTM Hydraulic Penile Implant

Studies on the ZSI 475 FTM

The Frontier of Penile Implants in Phalloplasty: Is the ZSI 475 FTM what we have been waiting for? [FULL TEXT]
Preto, M., Blecher, G., Timpano, M. et al. Int J Impot Res, January 2021.
Unfortunately, the perfect prosthesis, particularly in phalloplasty, eludes us. Ideally it would be completely inert and remain free from infection. It would also provide perfect rigidity and stability when erect and be easily incorporated into the pelvis. It would remain permanently free from mechanical damage and would never find its way eroding through local tissues. So what is the reality for trans-males undergoing PP implantation in a phalloplasty? The incidence of postoperative complications are dramatically higher in phalloplasty, compared to a native phallus. While the phalloplasty surgical community has long awaited dedicated technologies and implants, the ZSI-475 FTM appears to claim some benefits. However, little can be solidly concluded at this early stage as we eagerly await further objective, well planned trials to assess both surgical complications, implant survival, and patient reported outcomes.

Implantation of the Zephyr ZSI 475 FTM erectile device in cis- and transmen after phalloplasty: initial experience and prospective analysis of surgical outcome
Wesley Verla, MD, Dept. of Urology, Ghent University Hospital, AUA Virtual Conference presentation, May 15, 2020.
46 patients with a median (IQR) age of 35 (27-43) years were included for analysis, comprising 7 cismen and 39 transmen. Median (IQR) follow-up was 12 (8-18) months. Postoperative complications comprised infection of the prosthesis in 5 patients (11%), prosthesis malpositioning in 2 patients (4.3%), mechanical failure in 2 patients (4.3%) and distal cilinder protrusion in 1 patient (2.2%). All complications required revisional surgery. Implantation of the Zephyr ZSI 475 FTM erectile device in patients after phalloplasty is feasible and safe. Early surgical outcome is promising, though future analyses with longer follow-up are required to confirm these findings.

First Outcomes of the ZSI 475 FtM, a Specific Prosthesis Designed for Phalloplasty
Paul Neuville, et al. The Journal of Sexual Medicine, January 2019.
This is the first study to report data on the ZSI 475FtM, a new prosthesis that has recently been specifically designed for FTM Phalloplasty patients. It has several advantages: a large base for pubic bone fixation, realistically shaped hard glans, and a pump shaped like a testicle. Complications after 21 implantations included 2 (9.5%) infections that were medically treated (Clavien II), 1 (4.7%) infection treated by explantation (Clavien IIIb), 2 (9.5%) mechanical failures (Clavien IIIb), and 1 (4.7%) malpositioning (Clavien IIIb). 13 of 14 patients (92.8%) who answered a satisfaction questionnaire were satisfied or very satisfied with the prosthesis. Preliminary results for the ZSI 475 FtM are encouraging. Safety seems to be satisfactory, and patient satisfaction is high. Long-term studies are needed.

O.R. LIVE: Penile Implant Surgery with the ZSI 475

Here's video explaining implantation of the ZSI 475 from the team in Belgium (Lumen, Spinoit, Hoebeke.)


Zephyr also have a malleable penile implant for trans men, the ZSI 100 FTM Malleable Penile Implant.

(Images courtesy of Zephyr Surgical Implants, Switzerland.)

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Last updated: 02/04/21