A penile prosthesis can be placed when medications or vascular surgery does not help erectile dysfunction resolve or when these medications or type of surgeries are contraindicated or objectionable or predicted to be useless. Before the surgery to place a penile prosthesis, penile Color Doppler ultrasonography is performed to determine the blood flow in the penis and blood parameters are tested.
Penile prostheses are the materials that are produced to be inserted into the penis with surgery as a further treatment option in men with erectile dysfunction. There are basically two groups of penile prostheses.
Malleable penile prostheses: These are prostheses that remain constantly stiff but they can be bent or folded.
Inflatable penile prostheses: Two or three-piece services with an inflatable and extinguishable mechanism.
The constant hardness of the prostheses in the first group may be unnatural. In the second group, the prosthesis can be inflated and extinguished, giving them a more natural function.
The surgical intervention for this purpose can be performed with general or regional (anesthetizing half of the body below the waist) anesthesia. Before the operation, the site of intervention should be cleaned very well using various special materials. A type of broad-acting antibiotics should be administered via injections. These antibiotics should be continued for at least 2 days after the surgery. If the sensation in the penis, ability to achieve orgasm, and the ejaculation function are normal before the surgery, these functions will be maintained after the prosthesis placement.
The prosthesis only allows the penis to become rigid regardless of sexual stimulation. The aim of prosthetic surgery is to provide this stiffness and upward angulation of the penis. Furthermore, insertion of a penis prosthesis does not increase the length or diameter of the penis or it does not directly affect the sexual desire of the individual.
How long does the operation take?
This operation may vary from 45 minutes to 1.5 hours depending on the type of prosthesis to be placed. Postoperative hospital stay may vary from 2 to 5 days depending on the pain and wound healing specific to the patient.
What Should Be Paid Attention To After the Surgery?
1- After leaving the hospital, no water contact is allowed for 1 week and the wound site should be kept very clean. 2- Sexual intercourse is not allowed for at least 4 weeks. At the end of this period, required check outs are performed by the physician, who performed the surgery. Then, the sexual intercourse is allowed. 3- In the presence of high fever, prolonged pain, discharge at the wound site, swelling and redness of the penis, inability to urinate or difficulty in urinating requires immediate contact with the surgeon. The most important complication of prosthetic surgery is infection. Efforts should be spent to prevent infections by cleaning the site of intervention and administering broad-spectrum antibiotics to the patient. Antibiotics are continued for at least 2 days postoperatively. However, despite all precautions, prosthesis infection can be seen at rates from 1 to 10% Clients with diabetes and spinal cord injury have a greater risk of infection. When infection occurs, antibiotics are restarted and the prosthesis is removed.
Advantages of A Penile Prosthesis
This intervention allows partners to engage in sexual intercourse when they like to and to continue the intercourse for a satisfactory length of time. This type of treatment is the treatment of first choice when partner satisfaction is a concern.
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