Erectile dysfunction (ED) can be treated surgically with a penile implant, also known as a penile prosthesis. An erection can be achieved for sexual activity using a prosthetic device placed in the penis. When other treatments for ED, such as oral medications, injections, or vacuum erection devices, have not worked, penile implants are considered a last resort option.
Individuals may need to take the following steps before receiving a penile implant:
In order to determine if a penile implant is an appropriate treatment option, a healthcare provider specializing in urology or sexual medicine must conduct a thorough evaluation. An examination, a review of medical history, and discussion of treatment expectations and goals can be included in this evaluation.
Consider factors such as device features, risks, benefits, and lifestyle implications when considering penile implants, including inflatable and malleable implants.
Individuals may receive instructions regarding pre-surgery preparations, such as stopping certain medications, abstaining from smoking, and fasting before surgery, depending on the type of penile implant.
Typically, penile implants involve the following steps:
To ensure patient comfort and minimize pain during surgery, the procedure is performed under general or local anesthesia.
A surgical incision is made in the penis to access the corpora cavernosa, which fills with blood during an erection.
Inflatable implants are inflatable cylinders placed inside the penis, while malleable implants are bendable rods that provide rigidity.
As soon as the implant is in place, the incisions are closed with sutures, and the surgical site may be dressed.
Individuals can expect the following after undergoing penile implant surgery:
Patients may need to stay in the hospital for observation and post-operative care overnight or longer depending on the type of implant and recovery progress.
In order to allow for proper healing, patients are typically advised to avoid strenuous activity, heavy lifting, and sexual activity for several weeks following surgery.
Pain and discomfort after surgery can be managed with prescribed pain medications and rest and relaxation recommendations from the healthcare provider.
The procedure is generally safe and effective, but there are potential risks and complications associated with it, including:
A surgical site infection may require antibiotic treatment or implant removal in severe cases.
Penile implants can malfunction over time, resulting in device failure, deflation (for inflatable implants), or breakage (for malleable implants), necessitating further surgery.
The implant may migrate or shift within the penis, causing discomfort or an abnormal appearance in some cases.
A scar tissue may develop around the implant, affecting its function or causing pain during erections.
Individuals should follow these aftercare guidelines following penile implant surgery:
Maintain follow-up appointments with the healthcare provider to monitor healing, assess device function, and address any concerns.
Patients should follow the healthcare provider's instructions for using, inflating, and deflating the penile implants to ensure optimal performance and longevity.
A healthy lifestyle includes regular exercise, a balanced diet, quitting smoking, and drinking moderately.
Individuals who understand the procedure, prepare appropriately, and follow postoperative instructions can achieve successful outcomes with penile implant surgery and regain sexual function and confidence.
