PENILE PROSTHESIS


When should I consider penile implant surgery?

Penile Implant Video (inflate/deflate) Dr Tas, Istanbul  

A penile implant is an option if you have tried PDE5Is and intracavernous injections and both had little effect on ED. It may also be recommended if you cannot use PDE5Is or the drugs in the injections. If you have tried PDE5Is and injections, but are unhappy with the results and you want a permanent solution, a penile implant may be an option for you.

How does a penile implant work?

There are two types of penile implants: semirigid, noninflatable implants and inflatable implants.

Semi-rigid implants consist of two bendable rods that are implanted in the erection chambers of the penis. They can be bent into position during sexual activity. With this type of implant, the penis is always semi-rigid, which may be difficult to conceal.

Inflatable penile implants are devices filled with fluid which consist of two inflatable cylinders placed in the erection chambers of the penis, a hand-controlled pump placed in the scrotum, and a reservoir which stores fluid when the penis not erect. The device is inflated by squeezing the pump several times to move the fluid from the reservoir to the cylinders. Afterwards, the pump is also used to move the fluid back to the reservoir.

You need surgery for both types of implants. Both types of implants are placed completely inside the body. Inflatable implants are used more often because they result in a more natural situation. In complicated cases, semi-rigid implants may be more suitable. Discuss the choice between the two implants with your urologist.

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The procedure

For penile implant surgery, you will receive either general or spinal anaesthesia. You will also get a urinary catheter, which can be removed the day after surgery. Once you are under anaesthesia, the doctor will make a small incision either just above the penis or between the penis and the scrotum. The incision exposes the erectile chambers, and the surgeon measures them to place a penile implant of the correct length.

Once the cylinders are in place, the reservoir is placed behind the abdominal wall, and the pump is placed in the scrotum between the testicles to conceal the pump.

Finally, all elements of the implant are connected and the incision is sutured. The wounds are cleaned and a compressive bandage is applied. Most surgeons choose to leave the penile implant inflated for one day. Some surgeons prefer to leave a drain which is then usually removed one day after the procedure.

Daily life while recovering from penile implant surgery

You should be able to return to normal life very soon after your surgery.  Even on the day of your surgery, we will have you get up out of bed and do some walking. When you get home, you won’t have any restrictions on walking or going up and down stairs.  You should limit your strenuous activity for the first six weeks after surgery. Avoid heavy lifting, and don’t lift anything heavier than 25 pounds. There are scars where the reservoir for your implant is stored, and we want to be sure those scars heal in place. Strenuous activity can make that area pouch out.  You should not do any driving for about a week after surgery. Driving requires you to twist your body in ways that might affect the area of your surgery. Use your best judgment. If you feel any discomfort when making those movements, avoid driving.  If you're taking the narcotic pain medication we’ve provided, don’t drive.  Don’t use your penile implant for sexual activity for the first six weeks after surgery. If your recovery goes as expected, we will give you the go-ahead to start using it after your six-week follow-up appointment.

Average length of stay ın Istanbul

Recovery duration is

8-12 days

Length of stay in hospital

3 days

Operation duration and Anesthesia

2 hours General Anesthesia

BACK TO WORK

After 2 weeks

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