What is a Penile Prosthesis?
Erectile dysfunction is the inability to achieve sufficient rigidity to initiate or maintain sexual intercourse or the loss of erection without ejaculation. It is usually seen in men over the age of 40. Inadequate rigidity of the penis during sexual intercourse can also cause psychological problems such as anxiety and stress in men and their partners.
First of all, the patient must be evaluated, examined and diagnosed well. Afterwards, Lifestyle Change Recommendations, Oral Treatment Applications, Shock Wave Therapy, P-Shot, Stem Cell, Intracavernous Injections are used. Penile Prosthesis surgery is applied to people who cannot be treated with traditional methods or do not want these treatments.
Penile prosthesis is an effective treatment option for men with erection problems. Penile prosthesis implantation is considered when other treatments have failed or are not suitable.
An artificial prosthesis is surgically placed inside the penis. It provides penile erection during sexual intercourse. There are different types; some are always rigid while others are inflated with pumps.
This surgery helps men with erectile dysfunction regain their sexual function and improve their quality of life. However, it is important to consult a doctor to determine the most appropriate treatment option for each patient.
The surgical treatment for erectile dysfunction is the application of a penile prosthesis. This is a very satisfactory surgery as there is no decrease in sexual feelings and sensations after the surgery. Two types of prostheses are used.
1. How is a Penile Prosthesis Treated?
A penile prosthesis is a surgical treatment method for erectile dysfunction. This method aims to restore the ability to achieve an erection by means of a device placed inside the penis. Penile prostheses are generally preferred for patients who have not received results from other treatment methods. These devices, which are placed through a surgical procedure, help the patient achieve sufficient hardness during sexual intercourse.
2. Who Can Get a Penile Prosthesis?
Penile prosthesis treatment is especially applied in the following cases:
- Patients Who Have Not Benefited from Other Treatment Methods: Patients who have not received sufficient response from other treatment methods such as medication, injections or vacuum devices.
- Chronic Diseases: Patients who have chronic diseases such as diabetes, heart disease or neurological disorders and therefore experience erectile dysfunction.
- Penile Structural Problems: Patients who have erection problems due to structural disorders of the penis such as Peyronie's disease.
- Psychological Causes: Patients who have erection problems due to psychological reasons and want to solve this situation with surgical intervention.
3. What are the Types of Penile Prostheses?
Penile prostheses are generally divided into two main categories:
Semi-Rigid (Flexible) Prostheses:
This type of prosthesis consists of two flexible rods placed inside the penis.
It can be manually bent to provide rigidity.
It is easy to use and maintain, but it always remains semi-rigid.
Inflatable (Hydraulic) Prostheses:
These prostheses consist of a pump, reservoir and cylinders.
The pump is usually placed in the scrotum and manually inflated by the patient.
It provides a more natural erection and remains completely soft when not in use.
It is more advantageous in terms of aesthetics and functionality. It is the standard treatment today
What are the Penile Prosthesis Success Rates?
Penile prosthesis surgery is a treatment method with very high success rates. The success rates are as follows:
- Surgical Success: The technical success rate of the surgery is over 97%
- Patient Satisfaction: 90% of patients who use penile prostheses report that their sexual life and overall quality of life have improved significantly.
- Longevity: Inflatable prostheses can usually be used for 20-30 years without any problems. Semi-rigid prostheses are more durable and can be used for longer periods.
Patient Questions and Answers
Question: How long does penile prosthesis surgery take?
Answer: The surgery usually takes 1-2 hours and patients can usually be discharged the same day. However, in some cases, it may be necessary to stay in the hospital for one night.
Question: What is the recovery process after surgery?
Answer: The recovery process after surgery usually takes 4-6 weeks. During this period, it is important for patients to avoid strenuous physical activities and follow the doctor's recommendations.
Question: Does a penile prosthesis provide a natural erection?
Answer: Penile prostheses are not designed to provide a natural erection. However, they provide the rigidity required for sexual intercourse, and inflatable prostheses provide a result that is very close to natural erection.
Question: What happens if the prosthesis malfunctions?
Answer: There is a risk of mechanical failure in inflatable prostheses. In this case, the prosthesis may need to be replaced. However, such situations are rare and the vast majority of prostheses work without problems for many years.
Question: How does sexual intercourse occur with a penile prosthesis?
Answer: Sexual intercourse with a penile prosthesis is similar to sexual intercourse with a natural erection. Patients can achieve sufficient hardness using the prosthesis and do not experience any problems during sexual intercourse.
Penile prosthesis treatment offers an effective and long-term solution for men experiencing erectile dysfunction. This treatment, which is an ideal option for patients who have not received results from other treatment methods, attracts attention with its high success rates and patient satisfaction. Before deciding on treatment, it is important to talk in detail with a urologist and evaluate all options.
What You Need to Know About Penile Prosthesis Surgery
- It is performed for men over the age of eighteen.
- It can be performed under general anesthesia, in operating room conditions.
- It stays in the hospital for one night under observation.
- The dressing is removed on the third day.
- It can take a bath on the fourth day.
- It can travel on the fifth day.
- It can work on the tenth day.
- It can start sexual life in the 6th week.