Penile Implant Surgery

Who needs penile implant surgery ?

Those who failed to respond to drugs (PDE5 group of drugs, hormone replacement), self intrapenile injection therapy
Psychogenic Ed not improving with psychotherapy
Arteriogenic ED (Reduced penile flow), Venogenic ED
Peyronie’s disease with ED

Prosthesis Selection

Prosthesis can be divided into two main categories, malleable (also known as non-hydraulic or semi-rigid) and inflatable (also referred to as hydraulic). The latter can be subdivided into 2-piece and 3-piece devices depending upon the location of the fluid used for inflation.

Malleable devices have an outer shell with a central core of metal or plastic. These prostheses are paired solid devices implanted in the erectile bodies that produce constant penile rigidity. The primary advantage of these devices is their ease of implantation while the disadvantages include a constantly rigid penis that resembles neither normal erection nor flaccidity, difficulty with concealment, and an increased risk for device erosion.

Shah Malleable Prosthesis

Three-piece inflatable implants have paired cylinders, a small scrotal pump, and a large-volume fluid reservoir (Which is placed behind the abdominal wall muscles. Penile prosthesis implantation has the highest satisfaction rates of all treatment options for erectile dysfunction according to published reports.

Surgery

Precautions are taken to minimize the risk of infection with adequate antibiotic cover, gentle handling of tissues and surgery in a bacteria free theater.

Prosthesis surgery is performed through small incision at the base of the penis. This gives access to place the cylinders within the penis, pump in the scrotum and reservoir in the retropubic space.

Precautions during and in the mimmediate postoperation period :

Good control of blood sugar and BP are essential.

Urine flow should be good and any blockage in the urethra must be cleared before Penile Implant Surgery.

Any infection in the urinary tract and elsewhere in the body must be treated well before surgery.

Regular and close follow up is essential to detect any infection and treat effectively and quickly.

What to expect after Penile prosthesis surgery?

Penile length and girth will be just equal to patients own levels that was present prior to the onset of ED. They cannot expect any increase in size after the surgery.

They can perform six weeks after surgery.

It will not interfere with ejaculation and ejaculation.