What is Penile Implant?

Penile implants, also known as penile prostheses, are medical devices surgically implanted into the penis to treat erectile dysfunction (ED) that does not respond to other treatments such as medication, vacuum erection devices, or injections. These implants enable men with severe ED to achieve an erection firm enough for sexual intercourse.

Before penile implant surgery, you might also need to:

• Avoid certain medications: Your doctor might recommend that you temporarily stop taking aspirin and anti-inflammatory drugs, which can increase your risk of bleeding.
• Arrange for a ride home: Ask your doctor when you'll be able to go home after surgery. Penile implant surgery typically involves an overnight stay.
• Limit food and liquids: Don't eat or drink anything after midnight before your surgery, or follow specific instructions from your doctor.

Procedure

Initial Examination

The surgeon will conduct a comprehensive review of your medical history. Prepare to respond to inquiries about current and past medical conditions, particularly your experience with Erectile Dysfunction (ED). Discuss any medications you have taken recently, as well as any surgeries you have undergone. The surgeon will conduct a physical examination which will confirm the presence and nature of ED, along with ensuring that the implant is the most effective method. It is advised for you not to take blood thinners, and to cease smoking.

Before Procedure

Discuss your expectations. Ensure that you comprehend the procedure involved and the type of penile implant that best suits your needs. Remember that the procedure is considered permanent and irreversible. Ideally, incorporate your partner in the discussion with Dr. Raju R.

Day of the Procedure: Process of the Surgery

1. Incision: The surgeon makes an incision, typically at the base of the penis or in the lower abdomen, to access the internal structures of the penis.

2. Implant Placement: There are different types of penile implants: inflatable implants and semi-rigid (malleable) implants. The surgeon will choose the appropriate type based on your anatomy and needs. For inflatable implants, two inflatable cylinders are inserted into the penis, along with a pump placed in the scrotum and a reservoir of fluid placed in the abdomen. For semi-rigid implants, flexible rods are inserted into the penis. The surgeon positions the implant components carefully to ensure proper function and appearance.

3. Closure: After the implant is placed and tested for functionality, the surgeon closes the incisions with sutures or surgical staples. Penile implant surgery usually takes 45 minutes to an hour.

Will I be Awake During the Procedure?

Yes, if the surgery is planned under regional anaesthesia.

After the Procedure

Upon awakening from anesthesia, you will be transported to a recovery area where medical personnel will monitor your condition. Medical staff may administer pain medication and antibiotics. It is often advisable to administer a long-acting injection into the scrotum for up to 48 to 72 hours to manage any lingering pain. Mild discomfort might persist for several weeks. A form of antibiotic can also be administered orally.

After approximately 4 to 6 weeks post-surgery, you are permitted to resume vigorous physical activity and sexual activities. You should learn how to utilize the device.

Types of Penile Implant

Three-piece inflatable

• PROS:

• Creates the most natural, rigid erection

• Provides flaccidity when deflated

• CONS:

• Has more parts that could malfunction than does any other implant

• Requires a reservoir inside the abdomen or underneath the abdominal muscles

Two-piece inflatable

• PROS:
• Provides partial flaccidity when deflated
• CONS:
• Is mechanically more complicated than a semi-rigid implant
• Provides less firm erections than a three-piece implant

Semirigid rod

• PROS:
• Has a low chance of malfunction due to the small number of parts
• Is easy to use for those with limited mental or manual dexterity

Advantages of Penile Implant

• Improved Sexual Function: Penile implants can restore the ability to achieve and maintain a firm erection, allowing men to engage in sexual activity with greater confidence and satisfaction.
• Spontaneous Erections: Penile implants enable spontaneous erections without the need for additional intervention or planning.
• Natural Appearance and Sensation: Modern penile implants are designed to closely mimic the natural look and feel of an erect penis. This can contribute to a more satisfying sexual experience for both the man and his partner.
• Customization: Penile implants come in different types and sizes to accommodate individual anatomical differences and personal preferences. This allows for customization to achieve the best possible outcome for each patient.
• Long-Term Solution: Penile implants are considered a long-term solution for ED. They can last for many years, providing consistent erectile function over time.
• Improved Quality of Life: Restoring erectile function through penile implant surgery can have a positive impact on overall quality of life, self-esteem, and intimate relationships for men and their partners.
• Minimal Side Effects: While all surgical procedures carry some risk, penile implant surgery is generally considered safe, with a low risk of serious complications when performed by a skilled and experienced surgeon.

Side Effects of Penile Implant

Risks of penile implant surgery include:

• Infection
• Implant problems: In rare cases, the implants malfunction. Surgery is necessary to repair or replace a broken implant.
• Internal erosion or adhesion: In some cases, an implant might stick to the skin inside the penis or wear away the skin from inside the penis. Rarely, an implant breaks through the skin. These problems are sometimes linked to an infection.

Is Penile Implant Safe?

Penile implants have the highest rate of satisfaction of all erectile dysfunction treatments.

When Penile Implant is Needed?

Penile implants may be recommended when:

• You can't get an erection sufficient for sexual activity by medication or other methods.
• It can also be used to treat severe cases of a condition that causes scarring inside the penis, leading to curved, painful erections (Peyronie's disease).

What Would Disqualify Me from Penile Implant Surgery?

• An infection, such as a pulmonary infection or urinary tract infection
• Diabetes that isn't well controlled or significant heart disease

Why Choose Genesis Superspeciality Hospital for Penile Implant Surgery?

Genesis Superspeciality Hospital always prioritizes patient safety, comfort, and satisfaction throughout the treatment process. Dr. Raju R possesses a remarkable history of achieving successful results and holds substantial expertise in Penile Implant Surgery. With exceptional surgical outcomes and competitive pricing, our facility offers prompt surgical scheduling, minimizing patient wait times.