IMPLANT SURGERY FOR ERECTILE DYSFUNCTION

When different medications can’t help to treat your Erectile Dysfunction (ED) problem then the best treatment option at this time will be Penis Implant Surgery or Penile Implant Surgery. Those men who have tried various treatments of Erectile Dysfunction with no successful results or who have severe ED problem, are the right candidates for Penis Implant Surgery. The procedure is permanent and it has been observed that 9 out 10 men who had the surgery are well satisfied with the successful results.

Before choosing the Penis Implant procedure for you, it is most important for you to understand what is the procedure involves, why it is done, the possible risks and the results.

WHAT ARE PENIS IMPLANTS?

Penis Implants are the devices that are placed inside the penis through a surgical procedure and it allows men with Erectile Dysfunction to get the erection.

WHY IT IS DONE?

Penile Implants can be used as the treatment option when other treatments such as medications or the use of penis pumps (vacuum constriction device) didn’t successfully treat your ED. This procedure is also used to treat severe condition in which scarring occurs inside the penis which leads to curved and painful erections (it is called as Peyronie’s disease).

Penile Implants are not suitable for everyone. The doctor might caution you against the surgery if you have ED that is situational or a result of any relationship conflict, pulmonary infection or urinary tract infection and if you have dermatitis, skin lesions or wounds on penis or scrotum.

WHAT ARE THE TYPES OF PENILE IMPLANTS?

There are two main types of Penile Implants which include: semirigid and inflatable. Both these types have their pros and cons and they work in a different manner.

1.      INFLATABLE IMPLANTS:

The inflatable devices are most commonly used during the surgery as they can easily be inflated for erection or deflated at times. Three-piece inflatable implant consists of the inflatable cylinders that are placed inside the penis shaft, a fluid-filled reservoir that is placed under abdominal wall and a pump and release valve placed inside the scrotum. This three-piece model works in the way that the fluid is pumped from the reservoir into the cylinders and after that the valve is released inside scrotum to drain the fluid back into reservoir. The two-piece inflatable implant consists of inflatable cylinders placed inside penis shaft and combined fluid reservoir and pump unit inside the scrotum. This model works in the similar way of three-piece model.

2.      SEMIRIGID RODS:

The semirigid devices are always firm and they can be bent upward away from the body and toward the body. This semirigid device consists of central series of segments that are held together with a spring on each end.

CHOOSING THE RIGHT TYPE OF PENILE IMPLANT:

In order to determine which type of Penile Implant is right for you, the doctor reviews your medical history and considers your personal preferences. The doctor recommends the type of implant based on various factors such as your age, health conditions, risk of an infection and injuries or any medical treatment you have had in the past. The doctor also considers the pros and cons of each type of implant.

WHAT YOU CAN EXPECT BEFORE THE SURGERY?

The doctor reviews your complete medical history and performs a physical exam. You must discuss your expectations with the doctor and make sure you completely understand the procedure and type of Penile Implant that perfectly suits you. The doctor also explains the benefits and risks involved in the surgery. It will be better if you include your partner in the discussion with the doctor.

WHAT TO EXPECT DURING THE SURGERY?

The surgery is usually performed at surgery centre or hospital. The doctor gives general anesthesia or spinal anesthesia (it blocks pain in lower part of the body). The doctor also gives IV antibiotics that help in preventing infection. The site of the surgery also shaves immediately to reduce risk of any infection.

The doctor inserts a tube (catheter) inside the bladder through the penis in order to collect urine which might need at some point during the surgery. Then, the doctor makes an incision below head of the penis, at the base of penis or in lower abdomen. After that, the doctor stretches the spongy tissue in penis that fills up with blood during the erection.

The doctor or surgeon chooses the right type and correct size of implant and place it inside the penis. The size can be customized according to each individual’s exact body measurements. In case of two-piece inflatable device is implanting then the valve and pump are placed inside scrotum. If three-piece device is implanting then the doctor implants a fluid reservoir under abdominal wall through internal incision. After the device is placed, the doctor stitches the incisions.

The time duration of the surgery is usually 45 minutes to one hour.

WHAT YOU CAN EXPECT AFTER THE SURGERY?

After the surgery, you might take medications to relief pain and you might have mild pain that persists for several weeks. The doctor prescribes antibiotics to prevent the infection for one week. You can resume your normal activities according to the instructions given by the doctor.

WHAT ARE THE RESULTS OF THE SURGERY?

The results are successful and most of the men with their partners report satisfaction with the surgery and its results.

WHAT ARE THE RISKS INVOLVED IN THE SURGERY?

FOLLOWING ARE SOME RISKS OF THE SURGERY:

Infection: If you have diabetes or spinal cord injury then you are at high risk of having infection with implant. Those men who need surgery in order to adjust or replace the implant (it is called as revision surgery) are also at high risk of having infection than those who need surgery for the first time.

Implant problems: Although the designs of new Penis Implants are reliable but in very rare cases, it might happen that the implants may not work properly. For example, in semirigid devices, the internal parts can break over the time or in inflatable devices, pump device can fail or fluid can leak. In these cases, surgery is needed to remove, replace or repair the broken implant device.

Internal adhesion or erosion: In some cases, the implant device may stick to skin inside penis or wear away the skin from inside penis. The implant can break through the skin but it happens rarely.

After the surgery, an infection can take place at any time. Rarely, it occurs years after the surgery. Also, if infection becomes serious then it may cause swelling of scrotum, pus build-up which also causes fever. Surgical procedure to remove implant is needed to treat infection.

Talk to the urologist at Urology Care of Central New Jersey:

While implant surgery on the penis is a serious matter but fortunately it is most effective and permanent solution for those men who have been struggling to find the proper treatment method for Erectile Dysfunction. You can consult American Board Certified Urologist Dr. Binod Sinha at Urology Care of Central New Jersey who specializes in the Penis Implant Surgery for Erectile Dysfunction. He discusses your conditions and needs and then tailors a right treatment plan for you that result in the complete cure of your problem while giving you best results.

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