A penile implant, or penile prosthesis, is devices placed inside the penis to allow men with erectile dysfunction (ED) to achieve an erection. The surgeon will place inflatable or flexible rods into the penis. A pump is hidden in the scrotum, and Inflatable rods are filled with saline solution. When you press the pump, you get an erection by inflating the pump as the saline solution travels to the device.
Consult your doctor if you are an eligible candidate for this procedure. Customarily, this process is reserved for men who have tried other ED treatments without success.
Need For Penile Implant
You may require penile implant surgery if:
You have impaired sex life due to persistent ED.
You have already tried medications such as tadalafil (Cialis), sildenafil (Viagra), vardenafil (Levitra), and avanafil (Stendra)
You’ve have tried using a penis pump (vacuum constriction device).
You are suffering from conditions such as Peyronie’s disease, which is unlikely to improve with other treatments.
How do you prepare?
The doctor will conduct a thorough physical examination and review your medical history. The doctor will determine the treatment plan after considering all your treatment options. You can clear your doubts about the procedure from your doctor.
You’ll have to select the type of implant, so don’t hesitate to ask about the pros and cons of each.
Three-piece implant: This is the most commonly used type of inflatable device. The pump and release valve are inserted in the scrotum. Under the abdominal wall, a three-piece implant is placed. Inside the penis, two inflatable cylinders are placed. This is the most extensive type of penile implant surgery.
Two-piece implant: This surgery is less complicated as a two-piece implant is placed in the scrotum. Usually, an erection is less firm with this procedure, and the pump takes more effort to work.
Semirigid implants:Semirigid devices aren’t inflatable devices, and erections are always firm. The penis can be bent against your body or turn it away from your body to have sex. The surgery to implant semirigid rods is more straightforward.
What happens during the procedure?
Before the surgery, the area is shaved. The operation is performed using spinal anesthesia or general anesthesia. A catheter is used for collecting urine and an intravenous line (IV) for antibiotics or other medications.
The surgeon will make an incision in your lower abdomen, below the head of your penis, or the base of your penis.
Then the tissue in the penis is stretched. This tissue is usually filled with blood during an erection. The two inflatable cylinders are then planted inside your penis.
The complexity of the surgery depends on what device you have chosen. If you’ve chosen a two-piece inflatable device, the valve, the saline reservoir, and pump are placed inside your scrotum. If you have selected a three-piece device, then the pump is placed in your scrotum, and the reservoir is inserted under the abdominal wall.
Finally, the incisions are closed by the surgeon. The whole procedure may require 20 minutes to an hour.
Recovery after the Procedure
After surgery, the doctor will provide instructions to you on how to take care of the surgical site and how to operate the pump.
You will also likely need to take medications to ease the pain. Mild pain might continue for several weeks. The doctor may also suggest antibiotics to cut down on the chances of infection.
It will take you several weeks to recover completely, and you might be able to return to work within a few days. After observing your condition, your doctor will provide specific instructions about when you can resume sexual activity.
How effective is surgery?
About 90 to 95 percent of inflatable penile implant surgeries are considered successful, and most men and their partners report satisfaction with the devices. A penile implant easily mimics a natural erection, so you can have intercourse. They do not hinder in any way to affect sensation or orgasm.
However, like with any surgery, there’s a risk of bleeding, infection, and scar tissue formation following the procedure. But rarely any cases have occurred regarding mechanical failures, erosion, or adhesion, which have required any surgery to repair or remove the implant.