Penil Protez

Penile Implants

Penile implants are devices that are placed inside the penis to provide erection and it is a type of treatment that is recommended after all other treatment methods fail. If the patient has tried all of the other treatment methods but still couldn’t regain sufficient erection for sexual activity, penile implants should be considered.

Even though penile prosthesis implantation is the least preferred method for the treatment of erectile dysfunction since it requires an incision on the penis, most men and their partners report that they are satisfied with the treatment.

Types of Penile Implants

Penile implants mainly consist of two types: inflatable and semirigid. Inflatable implants, which are the most common type of penile prosthesis, can be inflated to create an erection and deflated after intercourse. A three-piece inflatable implant consists of a water reservoir placed under the abdominal wall, a pump placed into the scrotum, a release valve and two inflatable cylinders placed into the penis. All parts are located inside the body. Three-piece inflatable implants provide the most natural and hardest erections, but they have more parts, which can malfunction, than any other prosthesis. A two-piece inflatable implant doesn’t require a reservoir, but it provides a lower level of hardness than a three-piece inflatable implant. A semirigid prosthesis consists of fewer parts and it requires an easier surgical process. However, the implanted penis is always half erect, which may be difficult to hide. In order to hide the erection, it needs to be bended towards the body.

Pre-op

In order to make sure that a penile implant is the best treatment option, the urologist carries out a full physical exam including a urological exam to confirm the existence of erectile dysfunction and that it cannot be treated with any other method.

Also, the doctor determines the probability of complications due to penile implantation surgery. Since certain types of penile implants require more manual dexterity, the doctor also checks whether the patient is able to use the implant.
The patient should be sure of the extent of the procedure and that he chooses the type of penile implant that is most suitable for him. It is important to know that the operation is permanent and irreversible.

Penile Prosthesis Implantation

During the penile prosthesis implantation, a catheter is placed into the bladder to collect urine. Then, the surgeon (a urologist) makes an incision below the penile glans or on the lower abdomen. The surgeon selects the implant of the right size and places the implant cylinders into the penis. All implants are customized according to bodily sizes. If a two-piece inflatable prosthesis is being implanted, a pump and a valve is placed into the scrotum. For a three-piece inflatable prosthesis, a water reservoir will be placed inside the abdominal wall. After the device is implanted, the surgeon sutures these incisions. A penile implant surgery usually takes between 45 minutes to an hour.

Post-op

Even though no serious pain after penile implant surgery is expected, it can be relieved with medication. Mild pain may persist for several weeks.

Antibiotics should be used for 7-10 days to prevent infection.
It will be necessary to go to a doctor’s control to remove the stitches after about two weeks.

The doctor will give the patients exercises to inflate and deflate the prosthesis before sexual activity, depending on the type of implant to get used to the implant and keep the muscles in that area active.

The doctor gives individual instructions on when to resume daily life. It is expected that to resume strenuous physical and sexual activities six weeks after surgery.

Who Is Not Eligible for Implants?

Penile implants are not suitable for patients with pulmonary infections, urinary tract infections or unregulated diabetes. Even though penile implants allow men to have an erection, it should be kept in mind that they don’t increase sexual desire or sensation. Also, they don’t make the penis any larger than its original size.

Do Penile Implants Carry a Risk?

Infections: Infections may occur as any other surgery. If the patient has a spinal injury or diabetes, they may carry a higher risk of infections. Implant related problems: Even though new penile implant designs are reliable, these implants may malfunction in rare cases. Another surgical intervention may be required to remove, fix or replace a broken implant. Internal erosion or adhesion: In certain cases, the prosthesis may adhere to skin inside to penis or damage the skin. Rarely, the implant might break through the skin.