Penile Prosthesis: Myths vs. Facts

by admin News

Penile prosthesis, also known as a penile implant, is a medical device surgically placed inside the penis to help men achieve and maintain an erection suitable for sexual intercourse. This treatment is primarily intended for men with erectile dysfunction (ED) that does not respond to conventional therapies such as medications, vacuum erection devices, or counseling.

Types of Penile Prostheses

There are two main types of penile prostheses:

  1. Inflatable Prostheses:
    Inflatable implants are the most common type. They consist of two or three components:

    • Cylinders implanted in the penis
    • A pump placed in the scrotum
    • A fluid reservoir located in the abdomen (in the three-piece version)

    To achieve an erection, the man presses the pump in the scrotum, which transfers fluid from the reservoir into the cylinders, inflating them. After intercourse, the fluid can be deflated, returning the penis to a flaccid state. Inflatable prostheses provide a natural appearance and feel, and the erection can be Penil Protez controlled as needed.

  2. Malleable (Semi-Rigid) Prostheses:
    Malleable implants are simpler and consist of bendable rods placed within the penis. These rods keep the penis firm yet flexible enough to be manually positioned for sexual activity. While they are less natural in appearance than inflatable types, they are easier to use and have a lower risk of mechanical failure.

Indications for Penile Prosthesis

Penile implants are usually considered when other treatments for ED are ineffective or contraindicated. Common conditions leading to this procedure include:

  • Severe erectile dysfunction
  • Peyronie’s disease, which causes penile curvature
  • Post-prostatectomy ED
  • Trauma or injury to the pelvic region

Benefits of Penile Prosthesis

A penile prosthesis can significantly improve quality of life for men with persistent ED by restoring sexual function and boosting confidence. Additional benefits include:

  • High satisfaction rates among patients and their partners
  • No need for ongoing medication or external devices
  • Long-term durability with proper care

Risks and Complications

As with any surgical procedure, penile prosthesis implantation carries potential risks, such as:

  • Infection: This is a serious but uncommon complication. Surgeons typically administer antibiotics to minimize the risk.
  • Mechanical failure: Although rare, mechanical issues can occur with inflatable implants, requiring replacement or repair.
  • Erosion or migration: In some cases, the device may erode through the skin or shift from its original position.

Patients should discuss these risks with their healthcare provider to ensure they make an informed decision.

Recovery and Maintenance

Recovery from penile prosthesis surgery typically involves a few weeks of downtime. Patients are advised to avoid strenuous activities and sexual activity for 4-6 weeks to allow healing. Most modern devices are designed to last for many years, but regular follow-ups with a healthcare provider are essential for ensuring optimal function.

Penile prosthesis is a highly effective treatment option for men with ED who have exhausted other therapies. While the decision to undergo surgery is significant, the potential benefits in restoring sexual function and improving overall well-being make it a worthwhile consideration for eligible patients. As with any medical procedure, consultation with a qualified urologist is essential to evaluate individual needs and ensure the best possible outcome.