What is Penile Prosthesis?
A penile prosthesis or Penile Implant is a surgical treatment for erectile dysfunctions; you might consider penile implants if you aren’t a candidate for other treatments or you can’t get an erection sufficient for sexual activity by using other methods or in some severe cases like Peyronie’s disease.
This procedure involves placing a prosthetic device or penile implant inside the penis and scrotum; so the patient can get a sufficient erection for sexual activities. And it lasts for 45 minutes to 1 hour under general or spinal anesthesia.
This procedure has a low risk of infection and mechanical failure.
Follow the link for more information about Erectile Dysfunction.
Types of penile implants:
The patient should speak with his urologist to determine which implant is the best for him.
-Natural and rigid erection.
-Provides flaccidity when deflated.
-The implant may sometimes not be effective (because of the large number of its parts).
-Requires the presence of a reservoir in the abdomen.
-Provides flaccidity when deflated.
-The fluid reservoir is part of the pump implanted in the scrotum.
-Provides less firm erections than does a three-piece implant.
-Low chance of malfunction (due to the absence of the reservoir and the pump).
-Easy to use.
-Can be difficult to conceal under clothing.
-A penis that is always slightly rigid.
-Possible difficulty with urination.
The inflatable implants required a pump inside the scrotum; so the patient should squeeze the pump to achieve an erection; the pump is located under the loose skin of the scrotal sac, between the testicles.
The device has two chambers, and when the chambers are inflated by the pump; the patient then has an erection.
When the patient is finished, he can deflate the device.
Follow the link for more details about the types of penile implants.
Which type of implant does the doctor choose?
There are several factors that the doctor will need to consider before deciding which implant will be the most suitable, including:
-The age of the man.
-Size of the penis, glans, and scrotum.
-Any history of previous abdominal or pelvic surgery.
-The presence of colostomy.
-A history of a kidney transplant.
-Whether or not the penis is circumcised.
-Health and well-being.
– Uncontrolled diabetes.
– Pulmonary or urinary infection.
– Bladder obstruction.
– When the cause is not medical.
Some TIPS before and after the surgery
Before the surgery you should:
– stop taking aspirin and anti-inflammatory drugs before 7 to 10 days.
– Stop eating or drinking after midnight before your surgery.
– Shave the surgery site.
After the surgery:
Men having this procedure should be able to leave the hospital the same day; and will need to take pain medication to help with discomfort and antibiotics to prevent infection.
The doctor will provide some instructions:
- Resuming a sexual activity after 4-6 weeks.
- When the stitches are removed.
- keeping the penis pointing towards the belly button to prevent it from being curved downward
- When to resume physical activity, work, and exercise.
- Instructions for using the implant.
You should call your doctor if: fresh and ongoing bleeding, significant discoloration of the penis, high fever, unable to urinate, cannot control pain, spreading redness, continuous drainage from the wound, progressive swelling of the penis, scrotum, or incision site.
Is the Prosthesis noticeable?
Men who have undergone the prosthesis surgery can notice the small surgical scar where the bottom of the penis meets the scrotal sac, or in the lower abdomen just above the penis, other people probably will be unable to know that a penile implant exists.
Finally, we believe that the penile implant is effective in its ability to restore the patient’s capacity to engage in sexual activities and regain what was lost due to a medical issue.
And the patient should not forget that ejaculation is not affected by this procedure.