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A penile prosthesis is a surgically implanted device that helps get an erection, usually if the patient has erectile dysfunction. A penile prosthesis is one of the treatment options available for men with erectile dysfunction. When conservative treatments like medication fail, then the doctor will suggest a penile prosthesis for erectile dysfunction. These devices are also known as penile implants.
There are two types of penile prosthesis:
Inflatable Penile Implant: This type consists of inflatable cylinders implanted within the penis, a fluid reservoir placed in the abdomen or scrotum, and a pump placed in the scrotum. When the patient wants to achieve an erection, they manually pump fluid from the reservoir into the cylinders, creating an erection. After intercourse, they can release the fluid back into the reservoir to return the penis to a flaccid state.
Malleable or Bendable Penile Implant: This type consists of bendable rods implanted within the penis. The rods allow the penis to be bent upward for sexual activity and then returned to a downward position when not in use. Unlike inflatable prostheses, malleable prostheses do not require manual manipulation to achieve an erection.
Consult our urologists if you need Penile Prosthesis Surgery in Broadway, Kolkata.
Penile Prosthesis Surgery in Kolkata at Manipal Hospitals involves the insertion of a device entirely underneath the skin through a small incision.
Men who have not had success with other treatment approaches for erectile dysfunction (ED), such as medications, injections, or vacuum erection devices, may be suitable candidates for a penile prosthesis. Candidates typically have severe ED that notably impacts their quality of life, especially their sexual life.
Pre-procedure:
The penile prosthesis procedure is usually done at a surgery centre or hospital. Our health care team might give you general anaesthesia to make you unconscious during the procedure.
You will be given antibiotics through an IV to help in the prevention of infection. The surgical site will also be washed with an alcohol-based antibiotic solution and shaved before the procedure to reduce the risk of infection.
During Procedure:
During surgery, a catheter might be inserted into your bladder via your penis to collect urine.
A surgeon will make an incision and stretch the spongy tissue in the penis that would normally fill with blood during an erection.
Our surgeon will choose the appropriate size implant depending on your anatomy and place the implant cylinders inside your penis. All sizes are customised according to your body measurements.
Once the device is in place, the surgeon will seal the incisions closed with the help of sutures or staples.
Post-Procedure
After the penile prosthesis procedure, you will likely need to take medications for pain management. Mild pain might persist for several weeks. Medical professionals may prescribe you oral antibiotics for a week to prevent infections at surgical sites.
Recovery typically involves some discomfort and swelling in the surgical area. Patients are advised to avoid sexual activity and heavy lifting for several weeks. Follow-up appointments with the surgeon are necessary to monitor healing and discuss any concerns.
The time duration of a penile prosthesis procedure can be different depending on several factors, including the type of prosthesis to be implanted, the skill and experience of the surgeon, and any additional procedures needed. On average, the procedure of penile prosthesis generally takes around 1 to 2 hours to complete
Yes, penile prosthesis can be removed or replaced if required under certain circumstances. Revision surgery can be conducted to address complications such as infection, mechanical failure, or dissatisfaction with the device.
The impact of a penile prosthesis on your sexual life can vary depending on factors such as the type of prosthesis, your overall health, and your personal preferences. One of the primary goals of a penile prosthesis is to restore erectile function, allowing you to achieve erections suitable for sexual intercourse. It is common to experience an adjustment period after penile prosthesis surgery, both physically and emotionally. You may need time to get used to the feel of the prosthesis and to find the techniques that work best for you and your partner during sexual activity. Overall, while there may be adjustments and considerations, many patients find that a penile prosthesis can greatly improve their quality of life and sexual satisfaction by allowing them to resume a fulfilled sexual life.
Penile prosthesis are highly effective in treating erectile dysfunction, particularly for men who have not had success with other treatments such as medications, injections, or vacuum erection devices. Overall, penile prosthesis are considered a highly effective treatment option for men with severe erectile dysfunction who have not responded to other treatments. They offer a reliable solution for restoring erectile function and improving quality of life for many individuals.
The procedure of penile prosthesis is completely safe and effective, but in a few cases, patients may experience some complications or risks, including:
Infection at the surgical site may require the removal of the implant
Excessive scar tissue
Erosion of tissue around the implant
Changes in sensation
Mechanical failure leading to re-operation and removal of the implant
Whether a penile prosthesis is noticeable can depend on several factors, including the type of prosthesis, the skill of the surgeon, and individual anatomy. An inflatable penile implant isn’t noticeable. Your incisions may have left you with small scars, but these normally remain undetectable. Non-inflatable penile implants are always semi-erect, so they may be more difficult to notice with clothes.
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