Penile Implant Surgery

A penile implant or a penile prosthesis helps men who need to replace or improve their penis due to various reasons. The most common reasons include erectile dysfunction (ED), weak sexual function, diseases, physical injuries, or gender affirmation. Various implants and prostheses are used to improve the function and shape of the penis. 

Penile implant surgery requires the experience and skill of the surgeon and gives men the opportunity to return to normal life and improve their quality of life.

What is penile prosthesis surgery?

In fact, penile implant surgery is a surgical procedure that is performed in order to replace or improve the appearance of the penis. This surgery treats erectile dysfunction, gender affirmation, correct congenital disabilities of the penis, or create a more natural sexual appearance.

Penile implants are usually long-lasting and you can use it for a long time. This allows men to enjoy its benefits for a long time without the need for frequent replacement.

According to the needs of each person, the type of penile implant and the surgical method may be performed in different formats. Consult medical and psychiatric specialists before deciding on surgery to understand its physical, psychological, and social aspects.

Advantages of Penile Prosthesis

Penile prosthesis offers several advantages for conditions related to erectile function and sexual satisfaction. Some of the key benefits include:

Erectile Dysfunction Treatment 

Erectile dysfunction is a complex condition where a person struggles to achieve or maintain a satisfactory erection for sexual performance. Various factors like medical conditions (diabetes, hypertension, cardiovascular disease), psychological issues, or nerve disorders can cause this issue. 

Erectile dysfunction treatment with penile implant is a highly effective solution for individuals experiencing chronic erectile dysfunction due to nerve-related issues and prostate cancer surgery

It provides a reliable and long-lasting option for those who have not achieved satisfactory results with other treatments. It’s important to have realistic expectations. While the success rates are high, complete restoration of erectile function cannot be guaranteed for everyone. Factors such as the type of prosthesis used, surgical technique, and individual patient characteristics can affect the outcome.

Management of Peyronie’s Disease

People suffering from Peyronie’s disease, which is a painful penile curvature and fibrotic plaques, can benefit from penile implant surgery. Therefore, procedure helps to alleviate the negative impact of the disease on erectile function and restore sexual satisfaction.

Resolving Sexual Dysfunction 

Men who experience sexual dysfunction or weakness in maintaining or engaging in sexual intercourse can find relief with a penile implant. Furthermore, penile implant surgery can assist in overcoming these challenges and enable a more fulfilling sexual experience.

Congenital Abnormalities Correction

Penile prostheses correct congenital abnormalities or other penile deformities. This surgical intervention allows individuals to address these birth defects and improve the functionality and appearance of their penis.

Enhancement of Sexual Appearance

Some men opt for penile implants to address concerns regarding the appearance of their penis or to improve their sexual confidence. Therefore, by undergoing this procedure, individuals can achieve a more natural and aesthetically pleasing sexual appearance, leading to increased satisfaction and self-esteem.

Gender Reassignment for Transgender Individuals

For individuals with a gender identity that differs from their assigned sex, penile implant plays a crucial role in gender confirmation procedures. 

Penile prosthesis for transgender Men involves creating or modifying the penis, enabling individuals to align their physical appearance with their gender identity and achieve a more authentic sense of self.

penile implant surgery

Types of penile implants

The selection of a penile prosthesis among 1-piece to 3-piece penile implants depends on individual patient preferences and desired treatment outcomes. Generally, there are 3 main types of penile implant:

1. Inflatable Penile Implant

Inflatable penile implant consists of 2 cylinders that are surgically implanted in the corpora cavernosa of the penis, a fluid reservoir located in the pelvis, and a pump usually placed inside the scrotum. These Inflatable penile implants are typically implanted permanently and have minimal associated side effects.

In the case of inflatable prostheses, achieving an erection involves squeezing a pump in the scrotum. Consequently this pump transfers fluid from a reservoir to the cylinders, making the penis rigid for penetration and intercourse.

Advantages:

  • Simple and low-risk procedure
  • Immediate results
  • Provides a natural-looking erection

Disadvantages:

  • Irreversible implantation
  • This may lead to changes in penile sensation

 

2. Malleable (Flexible) Penile Prostheses

Malleable prostheses involve the insertion of bendable rods into the penis, allowing for manual control to facilitate an erection. In fact the simplicity of the design and absence of fluid components make this prosthesis a straightforward solution for patients.

Advantages:

  • Highly effective in treating erectile dysfunction
  • Reversible (can be manually adjusted)
  • Does not typically affect penile sensation

Disadvantages:

  • Surgery is relatively more complex compared to inflatable prostheses
  • Potential risk of infection

 

3. Hybrid Penile Prostheses

Combination prostheses offer a blend of the advantages provided by both inflatable and malleable prostheses. In brief this type aims to strike a balance between controllable rigidity and ease of use.

Advantages:

  • Allows for adjustable rigidity, providing control over the level of erection
  • Offers a compromise between the features of inflatable and malleable prostheses

It is important to consult with your surgeon to determine the most suitable type of penile implant based on your specific needs and preferences.

Penile implant surgery procedure details

Penile prosthesis surgery involves the placement of a prosthesis through a small incision in the abdomen or at the base of the penis. The procedure is performed under general anesthesia and typically takes a few hours. Following the surgery, patients usually stay in the hospital for a few days. Here is an overview of the procedure:

Consultation with a Specialist

The surgeon will consider factors such as the severity of erectile dysfunction, your anatomy, and goals to guide the selection, such as choosing between penile implant size options.

Preparations for Surgery

Prior to the surgery, you need to undergo blood tests or imaging, such as an ultrasound. These presurgical evaluations aim to assess your overall health condition and ensure that you are a suitable candidate for the procedure.

Anesthesia 

Administering general or regional anesthesia ensures patient comfort throughout the procedure.

Access Incision

The surgeon will make small incisions either above the pubic bone (infra-pubic approach) or within the scrotum (sub-scrotal approach) to gain access to the corpora cavernosa.

Implantation of Prosthesis

The surgeon can either construct the penile prosthesis by using specific body tissues during the surgery or insert it as an internal implant.

Placement of Prosthesis

The surgeon will precisely position and fit the chosen prosthesis, which may include a hydraulic pump or other components.

Reservoir Placement

In the case of inflatable prostheses, hr surgeon places a fluid reservoir in the retropubic space or beneath the rectus muscle.

Tubing Connection and Incision Closure

Tubes are connected between the prosthesis and the reservoir. It enables the flow of fluid to inflate or deflate the prosthesis as needed. Consequently after making connections, the surgeon closes the incisions carefully.

Recovery and Post-Surgical Care

After the surgery, you will require close monitoring and specific care instructions from your doctor. It is crucial to follow these instructions diligently to ensure proper healing and recovery.

Expert Consulting Team

Our certified, experienced, and professional consultants are available at your convenience to suggest treatments for your conditions and to discuss all risks, benefits, alternatives, and possible complications

What are the risks of penile prosthesis surgery?

Penile implant surgery does carry certain risks and potential complications. These risks can vary depending on individual factors and the type of surgical procedure.

Infection

As with any surgical procedure, infection may occur. Infections that occur as a result of surgery may require additional interventions or the use of antibiotics.

Bleeding or Impaired Blood Supply

There is a potential risk of bleeding or issues related to blood supply to the surgical area, which may necessitate medical interventions.

Allergic Reactions

Some individuals may experience allergic reactions to surgical materials used during penile implant surgery.

Unforeseen Complications

Complications that cannot be entirely prevented may arise, such as nerve irritation, difficulties with the interaction of the implant and body tissues, or changes in sensitivity.

Side Effects of Anesthesia and Surgery

Any surgery involves risks associated with anesthesia and surgical techniques, which can potentially lead to various complications.

Sexual Problems

In rare cases, individuals may experience sexual problems following surgery, such as pain, impotence, or changes in sensitivity.

Who is the ideal candidate for penile implant surgery?

The decision to undergo penile implant surgery typically depends on your surgeon’s decision. In general, the surgery may be suitable for individuals who:

  • Experience significant issues such as sexual dysfunction or erectile dysfunction.
  • Have not achieved satisfactory results with other methods of treating sexual dysfunction.
  • Encounter physical and psychological problems related to the size of their penis.
  • Seek a permanent solution to their sexual problems.
  • Those who are within the average age for penile implant.
  • Individuals grappling with severe and refractory erectile dysfunction.

How long do penile implants last?

Penile implants are generally considered a permanent solution. However, there are some prostheses designed for temporary use, such as those intended for sexual activities or specific occasions.

Post-Surgery Care 

After surgery, it’s crucial to take good care of yourself to achieve the best results and avoid complications. Here are some important steps:

Comprehensive post-operative care is paramount to optimize outcomes and minimize complications:

  1. Pain Management: Appropriate analgesics are prescribed to alleviate surgical discomfort effectively.
  2. Incision Care: Vigilantly adhering to dressing change protocols and maintaining cleanliness at the surgical site is vital to prevent infection.
  3. Activity Restrictions: During the initial healing phase, stringent limitations on strenuous physical activities are recommended.
  4. Ongoing Evaluation: Regular follow-up appointments allow for monitoring the healing progress of prosthesis function and addressing concerns.

What is the cost of penile prosthesis surgery?

The penile implant cost can vary depending on factors such as the medical center or hospital, the type of prosthesis and materials used, the surgical techniques employed, and the required treatment facilities.

Additionally, there may be additional expenses rather than penile implant costs, which are associated with pre-surgical tests and evaluations.

Penile implant surgery by the Men’s Problem medical team

The Men’s Problem medical team specializes in urology and the improvement of surgical methods to enhance the quality of men’s sexual lives, especially penile implant surgery in Dubai. 

Professor Omid Sedigh and Dr. Hoshiar Sijani, who are experienced specialists within this team, utilize their extensive expertise to assist men with penile prosthesis surgery, offering reassurance and improvement in their sexual well-being.

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