Penile prosthesis, often referred to as a penile implant, is a medical device surgically implanted into the penis to aid men with erectile dysfunction (ED) who have not responded to other treatments like medication, vacuum devices, or lifestyle changes. This solution is particularly beneficial for individuals whose ED stems from medical conditions such as diabetes, Peyronie’s disease, or post-prostate cancer surgery.
Types of Penile Prostheses
There are two primary types of penile implants: inflatable and malleable.
- Inflatable Penile Prosthesis (IPP):
Inflatable implants are the most popular due to their natural look and feel. They consist of three components: cylinders implanted in the penis, a fluid reservoir placed in the abdomen, and a pump Mutluluk çubuğu fiyatları located in the scrotum. To achieve an erection, the patient squeezes the pump, transferring fluid from the reservoir to the cylinders, inflating them. The erection is deflated by pressing a release valve on the pump, returning the fluid to the reservoir. - Malleable (Semirigid) Penile Prosthesis:
Malleable implants are simpler devices made of bendable rods placed inside the penis. They provide a firm penis that can be manually positioned for sexual intercourse. While less natural than inflatable implants, they are easier to use and are often recommended for individuals with limited dexterity or those seeking a lower-maintenance option.
Who is a Candidate for a Penile Prosthesis?
Penile implants are typically considered when other ED treatments fail. Ideal candidates include men with severe ED due to:
- Chronic medical conditions like diabetes or cardiovascular diseases.
- Neurological conditions like spinal cord injuries.
- Structural deformities such as Peyronie’s disease.
- Psychological trauma or complications post-pelvic surgery.
Candidates must have realistic expectations and understand that the implant does not affect sensation, ejaculation, or the ability to orgasm, as these functions depend on other physiological factors.
The Surgical Procedure
The surgery to place a penile prosthesis is typically outpatient, lasting about 1-2 hours. It involves making a small incision at the base of the penis or in the scrotum to insert the device. Recovery includes a few weeks of abstaining from sexual activity and avoiding strenuous physical activities. Post-operative care includes managing pain, preventing infection, and learning how to operate the device.
Benefits and Risks
Benefits:
- Reliable solution for ED.
- High satisfaction rates among patients and their partners.
- Enables spontaneous sexual activity without relying on medications or external devices.
Risks:
- Infection: Though rare, infections may require removal and replacement of the implant.
- Mechanical failure: Over time, components may wear out, necessitating repair or replacement.
- Scar tissue formation, leading to complications in future surgeries.
Advances in Penile Prosthesis Technology
Recent innovations have improved the durability, functionality, and comfort of penile prostheses. Modern materials reduce the risk of infection and mechanical failure, while enhanced designs mimic the natural erection process. Additionally, minimally invasive surgical techniques have shortened recovery times and improved outcomes.
Penile prostheses provide a life-changing solution for men with severe ED, restoring sexual function and confidence. While the decision to undergo surgery is significant, the benefits often outweigh the risks for those who have exhausted other options. Consulting with a urologist and thoroughly understanding the procedure can help patients make informed decisions tailored to their needs and lifestyles.