Who needs penile implant?
Penile implant is done only to treat serious cases of erectile dysfunction. It only makes the penis rigid, mimicking a natural erection; it has no effect on sexual desire or any kind of sensation. Your doctor might consider this reconstruction surgery under circumstances like
- No treatments are working for your condition
- You have scarred tissues in penis
- You are suffering from serious deformity like Peyronie's disease
Who cannot have penile implant?
Your doctor will check your medical history, the reasons for your erectile dysfunction and then determine if you are the right candidate or not.
You cannot have the implant:
- If you have urinary tract infections, prostrate infection, and pulmonary infection
- You have a skin disease in your penis like dermatitis
- You are allergic to synthetic substances like latex, plastic, etc.
- Your erectile dysfunction is a result of reversible factors like stress, personal conflicts, etc.
Different types of penile implants
3 piece penile implant
It consists of 2 inflatable attached cylinders, a reservoir and a pump. The cylinders are placed inside the penis, the fluid reservoir under the groin muscles, and the pump inside the scrotum. A tube connects the 3 pieces.
2 piece penile implants
In this type the fluid reservoir and the pump are combined to one unit and are place in the scrotum. A tube connects to the pair of cylinders which is placed inside the penis.
Semi rigid prosthetic
It only consists of the cylinders, which are inserted in the penis. One needs to manually lift the penis to have an erection; otherwise it should be placed down to avoid unsightly appearance. The penis remains semi rigid all the time with this prosthetic.
How do penile implants work?
The implants are inflatable and therefore, when an individual desires to have an erection, he has to press the pump in his scrotum, through which fluid flows into the cylinders to create an erection. There’s a deflation valve attached to the pump which needs to be pressed to make the penis flaccid.
How is the surgery performed?
Each penile implant is custom fit for the patient at the time of surgery. A small incision is made either above the penis where it joins the abdomen or under the penis where it attaches the scrotum. The devices are then implanted via the cut and then they are stitched.
How to prepare for penile implant?
Your doctor will review your health and perform a few urological tests.
Follow the instructions given by your doctor regarding change of medicine dosage, eating and drinking prior to surgery
What happens during penile implant?
The surgery is performed under general anaesthesia or spinal anaesthesia. Antibiotics will be given via IV drip lines and a catheter will be placed in your bladder to collect urine. You won’t be sensing pain or discomfort due to the effect of anaesthesia. The surgery takes 45-60 minutes for completion.
What to expect after penile implant?
It takes around 4-6 weeks to resume normal activities. Post operative pain in normal. You might be given antibiotics and pain killers after surgery. During the recovery period you doctor will show you how to operate the implant. Apart from that, you also need to follow the after-care instructions given by your doctor.
Risks of penile implants
There’s a small chance of infection after operation. In rare cases, implants might undergo mechanical failure.
Written by: healthplus24.com team
Date last updated: July 03, 2014