For men, erectile dysfunction (ED)—the chronic inability to get or keep an erection firm enough for satisfying sexual activity—can be a very worrying and frustrating disease. Although millions of men worldwide suffer from this widespread problem, the good news is that ED is treatable. For men with severe ED who have not responded well to alternative forms of treatment, penile implant surgery is a dependable and efficient solution.
This thorough guide explores the topic of penile prosthetic treatment options. Our goal is to enable men with ED to investigate this treatment option and make knowledgeable decisions regarding their sexual health by responding to often-asked questions and concerns.
What is a penile implant?
A surgically inserted device called a penile implant is used to help people with erectile dysfunction (ED) get an erection.
Two varieties of penile prosthetic treatment implants, such as:
- Inflatable penile implant: You can obtain an erection anytime you’d want with the help of a pump located in your scrotum, the skin pouch behind your penis.
- Non-inflatable penile implant: You can extend the bending silicone rods into an erect position within the erection chambers of your penis.
Penile prosthesis and penis implant are other terms for a penile implant.
The Goal of Surgery for Penile Implants
Restoring erectile function is the primary objective of penile implant surgery, enabling men with severe ED to get and keep an erection for fulfilling sexual activity. Successful implant surgery can significantly enhance a man’s emotional and psychological health and physical benefits.
Anxiety, despair, and feelings of inadequacy can result from ED, which can have a detrimental effect on relationships and self-esteem. Men who can regain sexual function may feel more powerful and develop closer bonds and self-assurance in their relationships. Penile implants present an opportunity for those with severe ED who have not reacted well to previous treatments to resume a satisfying sexual life.
Who would be a suitable fit for this procedure?
In the following situations, you might benefit from penile implant surgery:
- Persistent ED that interferes with your sexual life;
- You’ve already taken ED medication
- Tried using a vacuum-constriction device, or penis pump.
- Haven’t seen any improvement with penile injection drugs
- A disorder that is unlikely to get better with current therapies, such as Peyronie’s disease
- A history of prostate cancer or a history of prostatectomy
You may not be a good candidate due to the following:
- There’s a possibility of reversing ED
- ED results from emotional problems
- You don’t feel or have any sexual desire.
- If you have an Urinary tract infection (UTI).
- You have skin issues on your penis or scrotum, such as inflammation, lesions, or other issues.
How is a penile implant surgical procedure carried out?
The implant operation is frequently carried out as an outpatient treatment.
1. A) Pre-operative Assessment:
A comprehensive evaluation by a urologist with competence in penile implants is essential before surgery. Usually, this assessment entails:
- Review of medical history: Talking about any underlying diseases and prescription drugs.
- Physical examination: Evaluating the penis’ eligibility for implant insertion as well as general health.
- Psychological assessment: Handling any possible fears or exaggerated hopes.
During this session, your urologist will discuss the various kinds of implants, review the surgical procedure, and answer any questions you may have.
2. B) Procedure:
The majority of the time, penile implant surgery is an outpatient process carried out either under local or general anaesthesia. Depending on the type of implant selected, the exact surgical strategy will vary but often entails:
- Start by making a small incision in the scrotum or lower abdomen.
- Inserting the selected gadget within the penis cylinders.
- Putting a pump in the scrotum for inflatable implants.
- Lastly, the wound is sealed, and bandages are put on.
3. C) Recovery
- You may spend one night in the hospital or return home the same day if there are no problems.
- You should anticipate bruising, swelling, and soreness around the penis and scrotum for a few days after surgery. Your urologist will provide you with comprehensive instructions following surgery, usually consisting of:
- Care for wounds: Change dressings and clean wounds properly to avoid infection.
- Antibiotics and painkillers could be given to you to prevent infection.
- After surgery, doctors typically advise against sexual activity for four to six weeks. Your urologist will advise you on how to get used to the implant and when it’s safe to resume intercourse.
- To prevent your penis from curling downward, avoid pointing it upward toward your belly button.
- To allow the tissue inside the penis to stretch, inflate and deflate the implant daily.
4. D) Care and Activities During Recovery Phase
Physical therapy or exercises are frequently advised to maximise patient happiness and optimise implant function. These activities could concentrate on:
- Sustaining penile length: Consistent stretching exercises can help stop the penis from getting shorter as a result of the production of scar tissue.
- Sensation restoration: Light massage methods can increase blood flow and enhance penile sensitivity.
- Operating the (inflatable) implant: For comfortable and efficient usage of the implant, practise operating the pump for inflation and deflation under the supervision of your urologist.
- Depending on the patient and the type of implant, recovery times vary. Usually, 6 to 12 weeks after surgery, you will see a full recovery with resumed sexual function and unrestrained activities.
What is the potential risk of having a penile implant?
Although they are uncommon, penile implant surgery complications can include:
1. A) Mechanical malfunction
Occurs when an inflatable prosthetic fails to inflate or stops working.
This malfunction usually happens years after treatment; changing the device can fix it.
2. B) Virus Infection
Infections are uncommon, but they can appear six weeks after surgery.
Antibiotics are typically useless for these kinds of illnesses. The implant must be removed and replaced. This can revoke sexual function in about 75% of instances.
3. C) A mismatch in size
An implant that is too lengthy may result in tissue deterioration, whereas an implant that is too short may cause the penile head to droop.
Revision surgery is necessary for size errors.
Results and Success Rates Pemil Prosthetic Treatment Cases
According to statistics, the success rate of penile implant surgery is high, with patient satisfaction levels reaching 90%. After a successful procedure, the majority of men can resume a fulfilling sexual life because these implants are made to last.
The following are some variables that affect how well penile implant surgery goes:
- Experience of the surgeon: For best results, select a urologist with a track record of success who specialises in penile implant surgery.
- Patient selection: Treating any underlying medical issues and comprehending the fundamental reasons for ED can help ensure a positive outcome.
- Reasonable expectations: To ensure long-term satisfaction, be honest with your urologist about your desires and objectives.
Selecting a Clinic and Surgeon
To get the best results from penile implant surgery, choosing the correct surgeon and clinic is essential. Here are some things to think about:
- Experience and surgeon credentials: Look for a urologist on penile implant surgery and urologic prosthesis. Experience with the implant type of your choice and board certification are prerequisites.
- Accreditation of surgical centres or hospitals: Select a well-known medical centre with a solid safety record and a history of performing urologic procedures.
- Evaluations and testimonies from patients: Examining feedback from previous patients can provide important information about the doctor’s surgical skills, bedside manner, and general patient experience.
- Multidisciplinary Team: Ideally, the clinic will have a team of nurses with post-operative care experience and rehabilitation professionals who can help you with recovery exercises.
Final Words
If alternative treatments have not been successful for men with severe ED, penile implant surgery provides a dependable and efficient solution. These implants can significantly enhance the quality of life and overall well-being of a man since they facilitate gratifying sexual relations and restore erectile function.
Consider penile implant surgery if you are experiencing ED symptoms and conventional treatment methods are not working for you. Set up a consultation to review your choices with a licenced urologist specialising in ED. It is possible to take back control of your sexual well-being and lead a satisfying, intimate life.