Penile implant is also called as penile prosthesis. The treatment is one of the oldest treatments effective for the erectile dysfunction condition. The implant is the medical device and it is implanted in the corpora cavernosa related to the through a surgical procedure. The indication of this device is for the men, who go through organic impotence or also erectile dysfunction or treatment resistant impotence. These problems are usually results of pelvic trauma, cardiovascular disease, Peyronie’s disease, diabetes, etc. And it is sometimes result of the treatments of prostate cancer. Though it is rare, the implant is also done for the plastic surgery phalloplasty final stage. Sometimes, it is also needed to be done for genital modification for the child and adult patients.
Reasons for the Surgery
The surgery and penile implant is considered in only certain conditions. The first condition is unsuccessful medical treatments that are less invasive. So, if penile injections, oral medications, vacuum erection devices are not helpful, this surgery is considered to perform. In some cases these medical treatments become contraindicated. For example, the drugs used for this medical treatment may be unsuitable for the heart patients and may result in interference with the medications of other treatments.
The other reason for conducting this surgery is for the reconstruction, alteration or construction of the penis for phalloplasty.
Penile Implant Devices
The penile implant devices are of two types.
- Noninflatable Semirigid Devices
These devices have rods get implanted in the erection chambers present in the penis. The rods can be bent in various positions, according to the need in the sexual course. The penis is semi-rigid in these devices and so it could be difficult to conceal.
- Inflatable Devices
Inflatable devices are of hydraulic. These are filled with the saline and has inflatable cylinders present in penis’s erection chambers. A pump is used and kept in the scrotum. It can be inflated or deflated by the activation of the patient. The patient can inflate the device by squeezing the pump for number of times. Then the fluid gets transferred from the reservoir and reaches the penis’s chamber. After the intercourse is completed, the pump will them be deactivated. After deactivation, the penis will be returned to the flaccid condition. The fluid is stored in the reservoir, which is placed in the abdomen. The device works for longer time, almost a decade and sometimes even more. After it wears out, the device can be replaced.
These devices are suggested many of the surgeons as these are easily concealed and also give better levels of satisfaction by the patient as well as the partner.
- The rate of mechanical failures is very less.
- Inflatable Penile Prostheses or IPP can easily be concealed under dress, even under the jeans and swimsuits.
- Erection can be longed and maintained as long as it is needed
- There are no potential and serious complications related to the organic priapism.
- Well being can be enhanced both in emotional and psychological ways for the men.
- Improved surgical are employed for increased satisfaction and decreased pain.
- Sexual penetration may be hard as the glans may enlarge.
- Some of the implant models are not deflated easily.
- After the surgery, occasionally severe pain is possible.
- Unreasonable expectations are not met.
- The device is not inflated instantaneously.
- Complication rate is 2 to 10%.
Cost of Penile Implant Procedure
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