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  • Prof Ates Kadioglu

Penile Prosthesis Surgery


Penile prosthesis surgery is a specialized medical procedure designed to address erectile dysfunction (ED) when other treatments have failed. This surgery offers hope to many men by restoring their ability to achieve and maintain an erection. Below, we delve into various aspects of penile prosthesis surgery, providing a comprehensive guide for those considering this option.


Penile Prosthesis Surgery

What is Penile Prosthesis Surgery?

Penile prosthesis surgery involves implanting a device into the penis to help men with ED achieve an erection. This procedure is typically recommended for men who do not respond to other treatments such as oral medications, injection therapy, or vacuum erection devices. The implant allows for a more natural and spontaneous sexual experience.


Types of Penile Prostheses

There are two primary types of implants used in penile prosthesis surgery:

  1. Inflatable Implants: These consist of two cylinders implanted in the penis, a pump placed in the scrotum, and a fluid reservoir located in the abdomen. The man can achieve an erection by squeezing the pump, which transfers fluid into the cylinders.

  2. Semi-Rigid Rods: These are always firm but can be manually adjusted into an erect or non-erect position. They provide a simpler but less natural erection compared to inflatable implants.


The Surgical Procedure

Penile prosthesis surgery is typically performed under general anesthesia and takes about one to two hours. The surgeon makes an incision at the base of the penis or in the lower abdomen to insert the implant. After placing the device, the surgeon will close the incision with sutures. Most patients can go home the same day or the day after the surgery.


Who is a Candidate for Penile Prosthesis Surgery?

Men who have persistent ED that does not respond to other treatments are prime candidates for penile prosthesis surgery. Ideal candidates are also those who are not suitable for less invasive treatments due to side effects or underlying health conditions. A thorough evaluation by a healthcare provider is necessary to determine candidacy.


Benefits and Risks

Penile prosthesis surgery offers several benefits, including improved sexual performance, enhanced self-esteem, and a high satisfaction rate among patients and their partners. However, as with any surgery, there are risks involved. Potential complications include infection, mechanical failure of the implant, and erosion of the device through the skin. It is crucial to discuss these risks with a healthcare professional.


Post-Surgery Care and Recovery

After penile prosthesis surgery, patients need to follow specific post-operative care instructions to ensure proper healing and functionality of the implant. This includes taking prescribed medications, avoiding strenuous activities, and attending follow-up appointments. Most men can resume sexual activity within four to six weeks post-surgery.


Making an Informed Decision

Penile prosthesis surgery can significantly improve the quality of life for men with severe ED. Understanding the different types of implants, the surgical procedure, and the recovery process is essential for making an informed decision. Consulting with a urologist will provide personalized advice and help determine if penile prosthesis surgery is the best option for individual circumstances.


Penile prosthesis surgery offers a reliable solution for men suffering from ED, allowing them to regain sexual function and confidence. By exploring this surgical option, men can take a proactive step towards improving their overall well-being and intimate relationships. Click here for more information on this topic


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