On this page, you are given answers to all the questions you wonder about penile prosthesis surgery. Penile prosthesis surgeries are the last treatment option for individuals who have tried primary treatments for erectile dysfunction and failed to achieve satisfactory results.
A penile prosthesis, an effective treatment option for severe erectile dysfunction, eliminates the necessity of performing applications such as medication, vacuuming devices, or intraspinal injection before each sexual intercourse.
At the same time, it increases patients’ quality of life and provides a permanent solution. These prostheses, also known as penile implants among the public, have varieties with different characteristics, and the most accurate type of prosthesis is preferred considering both the findings to be obtained as a result of the examination by the urology specialist and the expectations of the patient.
Then, the surgical operation is planned for the prosthesis that is permanently placed on the body, and the process is started.
How is Penile Implant Surgery Performed?
In planning penile prosthesis surgery, which is a permanent solution in treating severe erectile dysfunction, the type of prosthesis you will prefer is decided first. There are two types of penile prosthesis: inflatable and malleable penile prosthesis. The most suitable type of inflatable penile prosthesis or one-piece (malleable) prosthesis consisting of two or three parts is determined in the light of your physician’s examinations and your opinions.
You will not feel pain during penile prosthesis surgery performed under general anesthesia or local (spinal) anesthesia. After the anesthesia procedure is completed, the surgeon makes a small incision in the area between the penis and testis, and the operation is started.
The penile prosthesis is placed in the place of the spongy penile tissue with the use of techniques and special tools suitable for the type of prosthesis selected and the patient’s anatomical structure. After this procedure, if the inflatable prosthesis is preferred, a reservoir should be placed in the posterior part of the abdominal wall, and a pump must be placed in the posterior part of the testicles, unlike other prostheses, depending on whether it is two or three parts.
This reservoir will contain a serum fluid to be used for the erection of the penis before intercourse; A button on the pump will allow this liquid to be emptied after intercourse and soften the penis. After all the procedures are completed, the penile prosthesis surgery is terminated after all parts of the prosthesis are connected with the help of connectors.
Sutures are placed on the opened incision, and after the wound area is cleaned, the patient is taken to the room, where he will be kept under surveillance after penile prosthesis surgery.
After Penile Prosthesis Surgery
After penile prosthesis surgery, in which inflatable prostheses are used, your prosthesis is usually left inflated for the first 24 hours, thus ensuring a better placement of the prosthesis into the channels.
However, after penile prosthesis surgery, it may be necessary to insert a drain to drain the accumulated blood in the operation area. In some cases, a urinary catheter may be required to be used for a few days. These are among the applications made if deemed necessary by considering factors such as the techniques used in operation, the type of prosthesis, and the patient’s health status.
In patients with a urinary catheter and a drainage tube, these instruments should be removed in the process deemed appropriate by the physician. Apart from such procedures specific to penile prosthesis surgery, the risk of post-operative infection is the most common complication.
In addition, as in all surgical operations, applications such as dressings and various drugs may be required against pain or complications. Patients can get the necessary information about such issues from their physicians in the postoperative period.
Patients kept under observation for a few days are discharged on the date deemed appropriate by the physician. A control appointment is given to the patients for a certain period. Thus, the hospital process is completed after penile prosthesis surgery.
Patients who have erection problems and want to get information about penile prosthesis surgery and whether they are suitable for this treatment; can have information about the subject by consulting a urologist. If you want to learn the conditions for penile prosthesis surgery, you can contact us via the “Contact Form” on rigicon.com and send your questions.