A penile prosthesis is the best therapeutic option for men with erectile dysfunction. Both inflated and malleable devices are available for this procedure. A pair of bendable rods are surgically inserted into the penis erection chambers to create the most basic prosthesis. The penis is constantly in semi-rigid form with this kind of implant. And initiation of intercourse only requires lifting or adjusting it into the erect position.
For males with spinal cord injuries and/or weak hands, this kind of implant is a good option. A penile implant is typically utilized when there is a definite medical reason for ED. It is also utilized when the condition is unlikely to get better on its own or with other types of medical treatments:
What is Penile Implant Surgery?
Erectile dysfunction can be surgically treated with penile implants. In these treatments, rods that are bendable or inflatable are placed inside the penis. Given below are the three types of penile implants:
- Semi-rigid prosthesis– It offers rigidity for sex. It involves surgical implantation of a flexible metal rod wrapped in silicon. These implants can curve in many directions (outward for sex or back toward the body to be concealed under clothing).
- Inflatable penile prostheses – It involves surgically implanting two flexible tubes made of silicone or plastic into the penis. It is added along with a small reservoir in the belly and a tiny pump in the scrotum. With this prosthesis, a patient gets an erection by pumping sterile liquid into the tubes from the reservoir in the abdomen by applying pressure to the pump in the scrotum.
- Self-contained inflatable implants– It is made up of two inflatable tubes that are put into the penis, together with a pump that is attached to one end of the implant and a reservoir that is positioned inside the penile shaft.
What should you expect before the procedure?
You will typically be admitted on the day of the operation. Members of the medical staff, including the consultant, the anesthetist, and your nurse, will examine you after admission. As soon as you put on a gown, a trolley will take you to the operation room. After that, the anesthetist will put you to sleep, typically with an injection in the back of your hand.
What happens during the procedure?
At the beginning of the procedure, a catheter will be placed via your penis into your bladder. The prosthesis can either be inflated with mechanical pump activation or malleable (self-bending). Not all patients are appropriate for both types, but this will have been thoroughly addressed with you prior to the treatment.
Typically, the incision is done at the point where the penis and scrotum meet. The inflatable prosthesis balloon reservoir may be inserted into the abdomen using a second incision if you have had prior abdominal surgery.
What happens immediately after the procedure?
To lessen the danger of bleeding, an inflatable prosthesis may be left in the inflated position. However, it will be deflated before you are allowed to go home. After the procedure, you might feel discomfort for a few days, but you will be given medicines to take home. Usually, absorbable stitches that don’t need to be removed are used.
The catheter will often be taken out the morning after the operation. You will be able to return home after you are urinating properly. To avoid any blood build-up at the surgical site, you can have a wound drain.
What are the benefits of penile implant surgery?
There are many advantages available of penile implant surgery for ED treatment:
- Immediacy – In contrast to some drugs, penile implants operate rapidly, and an erection can be kept for as long as necessary.
- Concealment – Because a penile implant is entirely enclosed within the body, no one else can see it.
- Convenience – The device is easy to use and doesn’t require any complicated technology.
- Recovering after penile implant surgery takes just a short while.
- Durability: Penile implants can deliver excellent benefits for at least ten years.
Recovery Instructions Following Prothesis
The majority of individuals recover quite fast from the procedure. However, the swelling from the operation may take weeks. During the first week after surgery, pain should lessen. The following recommendations are strongly advised to aid in healing:
- Ice Pack
In order to reduce swelling in the first 48 hours following surgery, ice packs may be applied to the penis and scrotum. Make sure not to keep the ice too long in contact with your skin.
As previously mentioned, it’s typical to experience some mild scrotal swelling following surgery. If the swelling is severe (bigger than the size of a medium orange) or you are dripping a lot of fluid, call your doctor (soaking several pads per day). Scrotal support from a jock strap or restrictive undergarments will assist reduce swelling.
- Incision Drainage
For up to 72 hours following surgery, a tiny quantity of blood could stain the dressings. Usually, this issue will resolve itself. By placing two or three gauze pads over the surgical site, you can promote healing and keep your clothing clean.
- Drugs for Pain
Usually, you will be given a few days’ worths of painkillers to take home with you. Use this only when necessary. Most people are able to take stronger medication after 48 hours.
Most patients can move around their homes for simple tasks the day after surgery. It is recommended that you avoid hard exercise for two weeks after surgery and wear a scrotal support for one week. In a day or so, you may go back to work, but you should avoid prolonged walking or jogging, or heavy lifting.
Usually, after the swelling has subsided, the penile prosthesis will be activated for the first time during a visit to the doctor. Usually, this happens between four and six weeks. This is the period when you could start having sex.
Penile Implant Surgery in India
India has some best surgeons to perform penile implant surgery, also the top Indian hospitals have new technologies to perform these types of complex surgeries. Also, the penile implant surgery cost in India is affordable when compared to other medically developed countries like USA and UK.
The majority of people and their partners are happy with and satisfied with the implant’s performance. The specific instrument a doctor chooses will determine the implant’s lifespan. According to research, up to 85% of inflatable implants will continue to function for ten years.