Penile Prosthesis: The most successful treatment
for ED
A penile implant or penile prosthesis is a medical device designed to help gain and maintain an erection. It is placed into a man’s body and is designed to help him get an erection. This is a saline (liquid with water and salt) fluid-filled device that is placed inside the penis and helps expand the penis to gain an erection. The penile implant consists of three components: Two cylinders or tubes that are placed inside the penis, a pump placed inside the scrotum, and a reservoir (or bag) that contains the fluid, which is transferred by the pump into the cylinders, causing the penis to expand and become rigid.
What are the benefits of a Penile Implant?
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Reliable: For men who have erectile dysfunction, the penile implant provides a reliable option to gain an erection. Sometimes oral medications or penile injections cause undesirable side effects, are inconvenient, or simply do not work. The penile implant has no side effects when used and gives you a reliable erection that will assure you to have sexual intercourse.
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Durable: Studies show that most penile implants last more than 10-15 years.1,2
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Natural: The penile implant feels natural for both the patient and his partner.
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Prevents Penile Shrinkage: The penile implant occupies the entire space within the penis, therefore preventing shrinkage. Erectile dysfunction causes penile atrophy or shrinkage. The penile implant will occupy the space within the penis, and will give the resting penis a fuller, ‘longer’ looking shaft.
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Convenient: There is nothing to carry with you, nothing to take by mouth or by needle, nothing to forget at home, and most importantly, it is ready when you are.
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Corrects Curvature: Patients who have Peyronie’s Disease or penile curvature, are likely to have less curvature with the presence of a penile implant. The penile implant is strong enough to overcome many curvatures. If you have severe curvature, Dr. Kadioglu will discuss with you if you need any additional procedure to make your penis look normal again.
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Maintains Erection After Orgasm: With the penile implant, once you reach orgasm, the penis remains erect until it is no longer desired. The penis will remain erect as long as you want it erect. Premature ejaculation is no longer an issue. You may even have a second orgasm during the same sexual encounter.
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High Satisfaction Rate: When compared to other treatment options, the penile implant provides the highest satisfaction rate, approximating 94-97%, and far outpacing satisfaction levels for oral medications (51.6%) and injection therapy (41%).
Why Choose Andrology Excellence?
Preventing Infection and Complications
The most common complication after penile implant surgery is infection. In the hands of an experienced surgeon, that complication rate is less than 2-3%. The most common source of infection is bacteria in the skin. For this reason, Dr. Kadioglu prevents contact with the skin by using the “No-touch Technique (NIT)”. By avoiding contact between the penile prosthesis and the skin, we reduce the incidence of contamination of the penile implant with the bacteria in the skin.
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To prevent complications, Dr. Kadioglu believes the management before the surgery is just as important as the care after the surgery. Dr. Kadioglu will provide you with specific instructions on what to do and what to expect before and after the surgery to prevent infection and other complications such as reservoir herniation and hematoma (postoperative bleeding) formation.
High-volume practice with more than 2000 Penile Implant Surgeries
Dr. Kadioglu is a consultant for both Boston Scientific and Coloplast, and an expert in the implantation and revision of both devices. He will discuss with you which implant is best suited specifically for you. Men from all over the world seek Dr. Kadioglu to make sure they have the best outcome possible. With more than 150 implants per year, our Andrology Excellence is the highest volume practice in prosthetic penile implants in the city of Istanbul and one of the highest volume practices in Turkiye and the world!
Incision of Penoscrotal Penile Implant Surgery
Incision of Infra-Pubic Penile Implant Surgery
How is the penile implant placed?
There are different approaches to placing the penile implant, all of which have their advantages and disadvantages.
Penoscrotal Advantages
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Provides better exposure of the corporal bodies in case there is fibrosis (scar tissue).
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Low risk of dorsal nerve injury.
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The incision is not visible.
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Allows fixation of the prosthetic pump inside the scrotum.
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Gives the surgeon the ability to perform adjunct procedures (ventral phalloplasty, vasectomy, etc) if needed.
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Allows for the “No-Touch Technique”
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Penoscrotal Disadvantages
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Possible complications associated with pump and tubing since the wound can be over these parts.
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Possible difficulty in placing the reservoir or might require a counter incision.
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Larger incision than infra-pubic
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Infrapubic Advantages
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The reservoir is placed under direct vision.
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Shorter surgical time
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Possible quicker recovery and shorter delay for patients to start cycling the implant.
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Infrapubic Disadvantages​
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Higher risk of injury to the dorsal nerve bundle.
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Possible suboptimal pump placement.
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Limited Exposure to complex revisions.
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May be technically challenging for obese patients.
What are the different types of Penile Implants?
AMS 700™ Penile Implant
The AMS 700 Penile Implant is the most popular Boston Scientific inflatable penile prosthesis line. It most closely mimics a natural erection, provides rigidity when inflated and a natural, flaccid appearance when deflated.
It is the only penile implant pre-treated with antibiotics (Inhibizone™) proven to reduce infection. Inhibizone™ is an antibiotic surface found only on the AMS 700 that has been shown to reduce infection rates to 1.1%.
AMS 700 LGX
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Currently the ONLY penile implant on the market with cylinders that expand in girth and length.
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Firm, rigid erection that lasts as long as desired.
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Natural flaccid appearance when deflated.
AMS 700 CX
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Controlled expansion which provides maximum rigidity and optimizes girth expansion.
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Firm, rigid erection that lasts as long as desired.
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Natural flaccid appearance when deflated.
For what type of patients is it intended?
Coloplast® Titan® Touch
The Coloplast Titan is a 3-piece (has 3 components) inflatable penile prosthesis made from Bioflex and silicone. Bioflex is a durable, biopolymer material that makes the implant emulate the look and performance of a natural erection. This implant is surrounded by a hydrophilic coating which aids in surgical placement and absorbs antibiotic solution.
The Titan Touch Offers the Following Features
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Mechanical Reliability Rates: Recent studies show the Coloplast Alpha 1 and Titan to have mechanical reliability rates of 97.5% after five years on first time implants.2
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Concealable: When implanted, the Coloplast Titan penile implant is not visibly noticeable. The penis appears relaxed and normal in the flaccid state, and it is not obvious by looking at a man that he has an implant.
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Lifetime Replacement Policy: Coloplast provides a lifetime replacement policy with all of its penile implants. Coloplast will replace the inflatable implant, or any component, for any reason during the lifetime of the patient
What should I consider Andrology Excellence?
Dr. Ates Kadioglu is a board-certified urologist and men’s health specialist in Istanbul, Turkiye. Dr. Kadioglu is an expert in both inflatable (commonly referred to as the pump) and mechanical implants (Semi-rigid). Dr. Kadioglu has emerged as one of the leaders in penile prosthesis surgery and implant revision surgery in the city of Istanbul and Turkiye. Performing more than 150 penile implants per year, Dr. Kadioglu has performed the most prosthetic urology procedures in the state of Istanbul in 2023 and is currently one of the highest-volume implanters in the world. Dr. Kadioglu will discover the best penile implant option for you and your lifestyle. Call +90 541 385 16 16 to learn more and call to schedule your appointment with Dr. Kadioglu.
What should I expect after surgery?
You will be taken to the recovery room and will remain there until the doctors take a decision, generally within 24 hours. You will leave the operation room with a urinary catheter (which you will keep for approximately 2 days) and a drain (removed before you leave the hospital). During the hospital stay, we will adjust the need for analgesics. The average stay is two days.
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At discharge, we will explain how to take care of your wounds, of the bladder catheter and how to inject heparin to prevent blood clots in the legs (deep vein thrombosis).
