About Penile Prosthesis

What is the Size of a Penile Implant?

The size of a penile implant is tailored to fit the individual’s anatomy. During the surgical procedure, the doctor selects an implant that matches the length and girth of the penis. It’s important to note that implants do not increase size; rather, they aim to provide a natural, functional erection based on the patient’s original dimensions.

Benefits of a Penile Implant

• Restores Sexual Function: A penile implant enables men with erectile dysfunction (ED) to achieve and maintain an erection suitable for sexual activity, significantly enhancing confidence and improving relationships.

• Long-Term Solution: Unlike temporary treatments for ED, such as medications or injections, a penile implant provides a permanent solution. Once in place, the device functions for many years without the need for ongoing treatments.

• Natural Feel: Inflatable implants can offer an erection that feels natural. When deflated, the penis appears and feels flaccid; when inflated, it becomes firm enough for intercourse.

• No Need for Medications: Men who cannot take ED medications due to health issues or those who experience adverse side effects benefit from implants, as they do not rely on drugs or chemicals for functionality.

Risks of a Penile Implant

• Infection: As with any surgical procedure, there is a risk of infection, which is heightened in men with certain conditions like diabetes. If an infection occurs, the implant may need to be removed.

• Mechanical Problems: Though rare, mechanical issues can arise with implants. Inflatable devices might leak or malfunction, necessitating additional surgery for repair or replacement.

• Scar Tissue Formation: Over time, scar tissue may develop around the implant, potentially affecting its function or causing discomfort. In some cases, the implant may not perform as expected.

• Implant Erosion or Injury: In rare instances, the implant can erode into surrounding tissues or cause injury, leading to complications that may require further treatment or removal.

Symptoms and Causes of Erectile Dysfunction

While penile prostheses themselves do not have specific symptoms, they are designed to manage symptoms of erectile dysfunction (ED), which include difficulty in achieving or maintaining an erection sufficient for sexual activity.

Erectile dysfunction can stem from various physical and psychological factors, including anxiety, depression, stress, neurological disorders, cardiovascular diseases, diabetes, and hormonal imbalances. Penile prostheses are recommended when other ED treatments, such as medications or vacuum devices, have proven ineffective.

Treatments

If alternative treatments for erectile dysfunction fail, penile prostheses may be considered a reliable and effective option for achieving and maintaining erections suitable for sexual activity, thereby enhancing the quality of life for those with severe ED.

Procedure of Penile Prosthesis

The surgical procedure for penile implants involves several key steps to help men with erectile dysfunction regain the ability to achieve an erection. Here’s a detailed overview of the process:

Before Surgery

• Consultation: The doctor evaluates the patient’s medical history, conducts physical examinations, and reviews previous ED treatments attempted. Additional tests may be performed to ensure the patient is fit for surgery.

• Preparation: Patients are typically advised to avoid certain medications (such as blood thinners) and to fast for a few hours prior to the surgery.

During Surgery

• Anesthesia: The patient receives general anesthesia to ensure they are asleep and pain-free throughout the procedure. In some cases, regional anesthesia may be used to numb the lower half of the body.

• Incision: The surgeon makes a small incision at the base of the penis or in the lower abdomen, depending on the type of implant being used.

• Placement of the Implant: The selected penile prosthesis (inflatable or semi-rigid) is inserted. For inflatable implants, a pump is placed in the scrotum while the cylinders are inserted into the penis. Semi-rigid implants involve placing bendable rods inside the penis.

• Closure: After the implant is placed, the surgeon closes the incision with sutures. The surgery typically takes about 1 to 2 hours.

After Surgery

• Recovery: Patients are monitored in the hospital for a few hours or overnight. Pain medications are provided to manage any discomfort.

• Postoperative Care: After discharge, patients are advised to rest and avoid strenuous activities for several weeks. They will receive instructions on how to care for the surgical site to prevent infection.

• Follow-Up: A follow-up appointment will be scheduled to check on healing and ensure the implant is functioning properly. For inflatable implants, patients will also receive training on how to operate the pump.

• Full Recovery: Most patients can resume normal activities, including sexual activity, within 4 to 6 weeks following the surgery.