Penis prosthesis
In this site you will find information related to a specific treatment against erectil dysfunction, which is the implantation of penile prosthesis, being this option very little diffused in our environment.
If you have any questions, we are at your disposal, thank you for visiting us.
What is a penile prosthesis?
The penile prosthesis is a solution for erectile dysfunction. It is a mechanical device composed of cylinders biologically compatible with the body and especially with the penis. These cylinders surgically replace the interior of the corpora cavernosa, through which the erection is performed naturally by concentrating the blood inside. This prosthesis allows to have the penis in flaccidity or in erection according to the will of the patient.
When is Peneal Implant surgery indicated?
When the patient suffers from erectile dysfunction or impotence and has already performed without success other types of treatments such as pharmacological therapy, injectables or in cases of failure of psychotherapy. That is, patients suffer from impotence or severe erectile dysfunction. We must consider the implantation of the penile prosthesis as the last option within the protocol of action.
Reasons to consider a penile implant
Patient satisfaction rates
Studies indicate that 93.8% of men were moderately or completely satisfied with their choice of penile prosthesis, far exceeding the levels of satisfaction with Sildenafilo (51.6%) or with the treatment of injections (40.9%).
A discrete treatment for erectile dysfunction
Minimum recovery time
Innocuous
Insurance coverage
Types of implants
Inflatable or three-component penis prosthesis
The inflatable penile implant is a surgical insertion device that allows an impotent man to have an erection by transferring fluid from one part of the implant to another. The three-piece penile implant contains three components: cylinders, pump and a reservoir. Generally, all the components are hidden inside the body and are not visible on the outside.
The cylinders of the penile implant lodge in the penis on both sides. No tissue is removed to place the cylinders, but the cylinders simply fill the spaces that previously filled the blood, when the man was powerful, with saline (sterile salt water) that provides a physiological erection. The cylinders do not interrupt the flow of urine or of ejaculation. Neither do they alter the sensation of the penis nor affect the turgidity of the glans (ie, the head) of the penis.
The saline solution needed to fill the cylinders is housed in a reservoir located behind the muscles of the abdominal wall. Unless the patient is previously undergoing pelvic surgery, the reservoir can be palpable and even visible as is a small pacemaker, if the patient is thin.
The penile implant allows the patient to maintain an erection for as long as he wants. The patient can have an orgasm and continue with the sexual relationship if he wants. He is the one who determines when he wants the penis to be flaccid. The penile implant, once inflated, can only deflate voluntarily. This is done by pressing a deflation bar on the pump while the penis is compressed, allowing the saline solution to be transferred from the penis to the reservoir.
By applying the same principles of the minimally invasive penile implant technique, we can insert all of the aforementioned components through a 2.5 cm (1 inch) incision at the base of the penis. The procedure can be performed safely with general or spinal anesthesia at approximately 1hr. The procedure can be performed with outpatient or hospitalized during the night, according to what is safest and convenient for the patient.
Normally, patients can resume sexual activity after 4 to 6 weeks.
Semirigid or Malleable Penis Prosthesis
The malleable penile implant is a surgical insertion device that allows the impotent man to have an erection. The malleable implant consists of two cylinders that are always rigid but are foldable. All the components are hidden inside the body and are not visible on the outside.
The cylinders of the penile implant lodge in the penis on both sides. No tissue is removed to place the cylinders, but the cylinders simply occupy spaces that previously filled the blood when the man was powerful. The cylinders do not interrupt the flow of urine or of ejaculation. Neither do they alter the sensation of the penis nor affect the turgidity of the glans (ie, the head) of the penis.
Unlike the inflatable penile implant, a pump is not required to start an erection. Like a gooseneck lamp, the penis can be manipulated to position itself “erect” for sexual activity. The malleable penile implant can be kept in that position for as long as the patient wishes. The patient can have an orgasm and continue with the sexual relationship if he wants. He is the one who determines when he wants the penis to go to a resting state.
Normally, patients can resume sexual activity after 4 to 6 weeks.
Do you have any questions or queries?
Surgery and Postoperative
The surgical intervention will be performed under general anesthesia or spinal anesthesia, being generally 24 hours the time of hospitalization. It is advisable to maintain a fast during the first 3 hours after the operation. Between 12 and 24 hours after the surgery and after the evaluation of the treating doctor, patients are usually discharged. However, there are cases in which it is recommended to wait 48 hours as it is in the case of people suffering from diabetes.
At 4 or 5 weeks , as a rule, you can resume sexual relations normally after receiving all this time analgesic and healing treatments.
Only by following a strict control of their habits during the postoperative period can we ensure a full and satisfactory recovery of the patient after the operation.
One of the biggest setbacks associated with implanting a prosthesis is infection and the consequent need to remove the device. This problem has been minimized over time, until it is practically non-existent in the latest versions of the product.
Some use an impregnation system, with which commercialized prostheses include an antibiotic bath. In other cases it has been chosen to introduce a hydrophilic material that allows the device to be bathed in a physiological solution with the antibiotic chosen by the surgeon.
This, together with a decalogue of preoperative, intraoperative and strict postoperative measures, has caused infections to be reduced to less than 1%.
The most important factor is to maintain calm and calm during the first two weeks on a day-to-day basis. Avoid activities that cause stress and maintain a balanced diet.
From the second day on, the patient must begin to move slowly, avoiding sitting and being immobile for many hours.
In these first weeks it is important that the patient carries the penis stuck to the belly to facilitate lymphatic drainage and get less inflammation.
Wound care:
Mainly you should keep in mind that you have to keep the bandages clean and dry . That is to say that after each bath you should change them during the first week once your doctor allows you to bathe. You can clean wounds with care using soap and water.
Tracing:
During the first months avoid wearing tight underwear and jeans or tight pants. You must go to all appointments that your doctor proposes. They tend to be from 8 days, around 15 days and finally to the month or month and a half depending on the personal state of each patient and their evolution.
If after several weeks from the operation you feel pain, there are several techniques to relieve it. During the process of regeneration and healing, scrotal supports are usually very effective if you want to avoid taking pain medications.
Frequent questions
Will I lose length after the penis implant?
Will I be able to have spontaneous erections with a penile implant?
What is the recovery time?
Are you covered by the social work or prepay the cost of the penile implant?
What makes the malleable prostheses of inflatables different?
Are there any risks associated with the penile implant?
Will someone notice that I have an implant?
Can I have an orgasm with a penis implant?
About the doctor
Medico: Mat 16.827
General Surgeon.: R.E.: 008/0583
Urologist: R.E.: 052/0149
Doctor of the Faculty of Medical Sciences of Rosario – Argentina (UNR-2005). University Surgeon General (UNR-2010). Urologist Faculty of Medical Sciences of Rosario – Argentina (2013). Formative instance by Puigvert Foundation (Barcelona-2014). Professor Assigned to the Chair of Urology of the FCM of the UNR. Staff of the Renal Transplant Service of the Hospital Centenario de Rosario. Author of a large number of scientific publications.
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