What Is a Penile Prosthesis?
Penile prosthesis implantation is considered one of the most effective treatments for erectile dysfunction and is associated with some of the highest patient satisfaction rates among ED treatment options.
Why Is a Penile Prosthesis Implanted?
A penile prosthesis is generally recommended when other treatment options are ineffective or unsuitable.
Conditions that may require a penile prosthesis include:
- Severe erectile dysfunction
- Diabetes-related erectile dysfunction
- Vascular erectile dysfunction
- Erectile dysfunction following prostate cancer surgery
- Spinal cord injuries
- Erectile dysfunction associated with Peyronie’s disease
- Failure to respond to oral medications or other therapies
The decision to proceed with penile prosthesis surgery is made after a comprehensive urological evaluation.
How Is Penile Prosthesis Surgery Performed?
Penile prosthesis surgery is typically performed under general or spinal anesthesia.
During the procedure, prosthetic cylinders are placed within the erectile chambers of the penis. Depending on the type of prosthesis selected, additional components may also be implanted.
The surgery usually takes between one and two hours. Most patients can return to their normal daily activities within a relatively short period.
What Are the Types of Penile Prostheses?
Penile prostheses are generally classified into two main categories.
Malleable Penile Prosthesis
Malleable prostheses consist of bendable rods that remain firm at all times and can be manually positioned when needed. They are easy to use and have a low risk of mechanical failure.
Inflatable Penile Prosthesis
Inflatable prostheses consist of cylinders, a fluid reservoir, and a pump system. They allow the patient to achieve an erection when desired and provide a more natural appearance when deflated.
Today, inflatable penile prostheses are among the most commonly preferred options.
Advantages of a penile prosthesis include:
High patient and partner satisfaction
Ability to achieve an erection whenever desired
Long-term and reliable solution
Improved sexual quality of life
Concealed system that is not noticeable ex
No significant impact on daily activities
Potential risks include:
Infection
Bleeding
Pain and tenderness
Mechanical malfunction
Device displacement
Rarely, the need for additional surgery
These risks may vary depending on the type of prosthesis used and the patient's overall health condition.
Recommendations after penile prosthesis surgery include:
Attending regular follow-up appointments
Taking prescribed medications as directed
Avoiding strenuous physical activities during the first few weeks
Maintaining proper surgical site hygiene
Avoiding sexual intercourse for the period recommended by your physician
Not missing scheduled follow-up visits