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Exploring the Benefits of Penile Implant Surgery

penile prosthesis

Penile implants represent a groundbreaking solution for men struggling with severe erectile dysfunction (ED). In use since 1973, these remarkable devices are strategically placed inside the penis to facilitate achieving a firm and functional erection.
For many of these men, the journey to penile implant surgery follows previous attempts with oral medications such as PDE-5 inhibitors (such as tadalafil and sildenafil). These medications may not have produced the desired results, leading individuals to explore the effectiveness of penile prosthesis.
Interestingly, penile prosthetics may also serve as a valuable treatment option for patients dealing with Peyronie’s disease, a condition characterized by penile curvature and ED. When used in such situations, these devices can effectively address both concerns, improving sexual health and overall well-being.
The satisfaction rates associated with penile implant surgery are truly remarkable. Studies have shown that nearly 90% of men and an impressive 95% of their partners report high levels of satisfaction with the use of these devices. This success in patient and partner satisfaction underscores the profound impact of penile implants in restoring not only physical function but also the quality of intimate relationships.
Penile implant surgery offers a renewed sense of hope and confidence for people struggling with severe ED, improving their overall condition.

Is Penis Implant Surgery Suitable for You?

Penile implant surgery becomes a viable option when other oral treatments have not produced satisfactory results in addressing erectile dysfunction (ED). When faced with persistent ED that does not respond to alternative treatments, a penile implant may offer a permanent and effective solution.
Elements of a Comprehensive Medical Evaluation
Before proceeding with penile implant surgery, a comprehensive medical evaluation is essential to determine the suitability of this intervention. The key components of a comprehensive assessment are:
1. International Index of Erectile Function (IIEF) or Validated Questionnaires: Objective assessments of the severity of ED are very important. IIEF and other validated questionnaires provide valuable information about the impact of the condition and provide a basis for measuring postoperative outcomes.
2. Combined Injection-Stimulation Testing: This diagnostic test helps evaluate penile sensitivity and function, helping to determine the most appropriate treatment approach.
3. Penile Color Doppler Sonography: Using intracorporeal pharmacological injection, this imaging procedure provides a detailed image of blood flow in the penile arteries. It plays a crucial role in diagnosing and evaluating the causes of ED.
A comprehensive medical evaluation that includes these elements ensures that penile implant surgery is performed with a clear understanding of the patient’s condition and tailored to their specific circumstances.

Types of Implants Used for Erectile Dysfunction Treatment

Exploring Flexible Implants: BOSTON SCIENTIFIC TACTRA
Flexible implants like Tactra offer a unique solution for individuals seeking to relieve erectile dysfunction. These implants are designed with two bendable rods that are surgically implanted within the erection chambers of the penis.
A distinctive feature of these implants is their adaptability during sexual activity. Flexible rods can be stretched to the desired position, allowing erection to be achieved and maintained. This flexibility allows individuals to have satisfying sexual experiences with ease.
However, it is important to note that with this type of implant, the penis remains semi-erect even when sexual activity is not engaged in. This semi-rigidity may be less discreet and more difficult to conceal than other types of implants.

Flexible implants like BSCI’s Tactra provide a valuable option for individuals looking to regain their sexual confidence and functionality, providing both reliability and adaptability when it’s needed most.

Unveiling Inflatable Penile Implants: Boston Scientific LGX
Inflatable penile implants, exemplified by LGX, represent a remarkable advance in addressing erectile dysfunction. These sophisticated devices are designed to provide a discreet and effective solution for individuals seeking to regain their sexual function.
The key components of the Boston Scientific LGX are:
– Two Inflatable Cylinders: These cylinders placed within the erection chambers of the penis serve as the core of the implant.
– Hand Controlled Pump: Strategically placed in the scrotum, this pump allows the user to initiate and control the inflation process.
– Fluid Reservoir: A vital component that stores fluid and ensures optimum functionality when the penis is not erect.
The LGX’s mechanism is elegantly simple yet extremely efficient. To achieve an erection, the user squeezes the pump several times. This action moves fluid from the reservoir to the cylinders, creating a firm and functional erection. After sexual activity, the pump is once again used to transfer fluid from the cylinders back into the reservoir.
Inflatable penile implants, exemplified by LGX, improve overall quality of life by providing individuals with a discreet, reliable and highly responsive solution to overcoming erectile dysfunction.

Internal Penile Prosthesis Pump™ During Sexual Activity
Understanding its functionality

When a man experiences sexual arousal, the Internal Penile Prosthesis Pump™ offers the perfect solution to achieve a natural and responsive erection. The process is elegantly simple and increases both trust and intimacy.

Here’s how it works:

1. Activation: At the moment of sexual excitement, all a person has to do is gently squeeze the pump discreetly located between the thumb and index finger.

2. Erection Induction: This action triggers the pump to activate, causing the implant to swell. The result is a firm and fully functional erection that is very similar to a natural erection. Remarkably, with our minimally invasive surgical scrotal technique, the penis looks and feels so normal that many patients report that their partners fail to notice the presence of the Internal Penile Prosthesis Pump™.

3. Enhanced Privacy: Our surgical approach allows us to conceal all components of the penile pump within the scrotal sac. The incision is cleverly concealed by the midline raphe of the scrotal skin, providing an inconspicuous appearance.

4. Control Over Erection Duration: One of the outstanding features of the Internal Penile Prosthesis Pump™ is that the patient maintains complete control throughout the erection. When the erection is no longer desired, the patient squeezes and holds the pump.

5. Transition to Limp: This action effectively releases fluid back into the reservoir, gradually bringing the penis into a flaccid state. The patient has the autonomy to determine the ideal timing for this transition.
6. Prolonged Pleasure: More importantly, if the patient experiences an early orgasm, the erection does not disappear. The patient can continue this until both partners are completely satisfied, promoting a satisfying and fulfilling sexual experience.
Internal Penile Prosthesis Pump™ offers both functional and aesthetic benefits by seamlessly integrating into individuals’ intimate moments. It allows users to regain their sexual confidence and enjoy satisfying relationships without compromise.

Preparation for Penile Implant Treatment: What Awaits You?

Embarking on the journey towards penile implant treatment is an important decision that involves several important steps. Here’s a look at what you can expect:
1. Comprehensive Medical History:
Your healthcare provider will conduct a confidential discussion about your medical history. This includes questions about past and current health conditions, previous surgeries, medications you take, and previous treatments for erectile dysfunction. These discussions provide a basis for personalized treatment planning.
2. Comprehensive Physical Examination:
A comprehensive urological examination is an important part of the process. This examination helps determine whether penile or penile prosthesis is the most appropriate treatment option. Patients considering prosthesis should not have active skin diseases, especially in the genital area, before surgery.
3. Pre-Surgery Preparation:
Some preparatory steps may be recommended before surgery:
– Ensuring proper control of blood sugar levels for diabetic patients.
– Encouraging smoking cessation, as smoking can affect surgical outcome.
– Adjustment of medications, especially blood thinners, under the supervision of a healthcare professional. Alternative medications can be prescribed when necessary.

– Hospitalization for surgery, including intravenous antibiotic administration to prevent preoperative infections.
– Thorough cleaning of the genital area immediately before the procedure to minimize the risk of infection.
These pre-operative precautions are necessary to optimize your overall health and ensure the safest and most effective outcome for your penile implant treatment.
The journey to penile implant treatment includes careful evaluation of your unique medical history, a comprehensive examination, and necessary preparations to maximize the success of the procedure.

Penile/Prosthesis Surgery: What to Expect?

When it comes to penile or penile prosthesis surgery, it is very important to understand the procedure and post-operative care. Here’s a step-by-step overview:
1. Anesthesia Selection:
The type of anesthesia used for surgery—general anesthesia or regional (spinal anesthesia)—is typically determined collaboratively by the surgical team, taking into account medical necessity, patient preferences, and input from the anesthesiologist and surgeon.
2. Surgical Duration:
The surgery usually takes 45 minutes to 1 hour. Following the procedure, patients may be fitted with urinary tract catheters and surgical drains. The catheter is typically removed the day after surgery, while the surgical drain is usually removed within 2-3 days.

3. Length of Hospital Stay:
Expect to stay in hospital for a maximum of 2 days, allowing for a short but monitored recovery period.
Surgical Steps:
Post-Operative Care:
Medications and Pain Management: After discharge, you will receive prescriptions for antibiotics and painkillers, which are crucial for post-operative comfort.
Initial Healing: During the initial healing phase, the penis or penile prosthesis will remain semi-inflated for about a week as recommended by your healthcare provider.
Device Usage Instructions: At your one-week follow-up appointment, your doctor will give detailed instructions for using the pump. You will practice inflating and deflating the device to prepare for future sexual activity.
Supportive Clothing: Athletic suspender briefs should be worn for the first 10 days after surgery to provide support and comfort.
Bathing: You can usually continue taking a bath 2-3 days after surgery.
Stitches: You don’t have to worry about removing stitches; The stitches are designed to dissolve on their own.
Post-Surgery Discomfort: Mild pain and swelling in the penis and scrotum may persist for 1-2 weeks. During this time, it is recommended to avoid strenuous exercise and heavy lifting for the first 6 weeks after surgery.
Resuming Sexual Activity: After undergoing penile prosthesis surgery, sexual intercourse can typically be resumed after 4-6 weeks. The prosthetic device allows ejaculation and orgasm similar to normal sexual experiences.

FREQUENTLY ASKED QUESTIONS (FAQ)

WILL MY PENIS LOOK DIFFERENT TO ME OR WILL OTHERS NOTICE MY PENIS IMPLANT?

Once in place following your ED surgery, your implant will be completely undetectable. It is completely hidden inside the body. No one will know unless you tell them – not even in the locker room.

To inflate your penile prosthesis, you squeeze the pump in your scrotum, which sends fluid into cylinders in the penis. This requires good dexterity but should not be painful. If you feel pain, contact your doctor.

When inflated, the implant makes the penis hard and rigid, similar to a natural erection. Your erection will last as long as you desire. And you will still share the same intimate experience. Typically, ejaculation and sensation will be felt similarly to what they felt before the implant.

You can learn about the unique causes of ED and begin researching surgery for ED with any doctor, but eventually you will need to see an ED specialist. At first, you can talk to your primary care doctor about erectile dysfunction treatments. You will then discuss the situation with an ED specialist or our clinic who has experience with all types of treatments for ED, including penile implants.

Prosthetic surgery usually takes about an hour. Typically, it is performed on an outpatient basis.76 While under anesthesia, a small incision is made at the base of the penis or scrotum and the implant is inserted through this incision. Pain should not be severe during the recovery period following ED surgery.

Most men return home within a day after ED implant surgery and return to all normal activities within a week, typically having sexual intercourse about 6 weeks after surgery.

It is impossible to predict how long a particular implant will work in a particular patient. Like any medical device, penile implants are subject to wear and mechanical failure over time. A recent study of more than 39,000 patients showed that the 7-year mechanical survival of the Boston Scientific penile implant was 91-94%.37 Follow your urologist’s recommendations to extend the life of your implant.

Because each type of implant offers unique features, you will want to discuss the risks and benefits of each device with your doctor before planning your penile implant surgery. Then choose the option that’s right for you.

Do you have questions?