OVERVIEW

The implantation of a penile prosthesis is the definitive treatment for erectile dysfunction when other treatment alternatives have failed.

The indications to place a penile prosthesis are the following:

  • Erectile dysfunction that does not respond to pharmacological treatments (oral or injected)
  • Erectile dysfunction after radical prostatectomy (treatment of prostate cancer)

Benefits of the penile prosthesis

When placing a penile prosthesis, the erection is restored and the sexual activity of the patient is resumed, allowing penetration of the partner.

The procedure is performed through a small incision at the base of the penis, leaving a discrete scar.

The 3-element inflatable prosthesis is the type of prosthesis that offers the most natural-looking erection; When the prosthesis is deactivated, the penis has a flaccid appearance and consistency, when activated, the penis remains rigid, once the sexual activity ends, the prosthesis is simply deactivated again to return to its initial flaccid state.

The activation mechanism of the penile prosthesis is in the scrotum and is quite simple to use.

Risks and complications

The possible complications that may occur when implanting a penile prosthesis are the same that can occur in general with any surgical procedure and these are: hemorrhage, damage to nearby organs, reactions to anesthesia etc. However, these complications occur infrequently and can be resolved mostly during the same surgery.

Infection is the most serious complication that may occur after the surgery of penile prosthesis implantation, since for its treatment it is required to remove the prosthesis. The people with higher risk of presenting a prosthetic infection are diabetic patients, so they must have a strict glycemic control before performing surgery.

Alternatives to the implant of penile prosthesis

The treatments for erectile dysfunction are pills, injections, vacuum pump and penile prosthesis.

Penile prostheses can be of three types:

  • Semirigid (Spectra®)
  • Two-element inflatable (AMS Ambicor®)
  • Three-element inflatable (AMS 700®)

What to expect from the implant of the penile prosthesis?

Day of surgery:

The day of the operation will arrive in the morning to the hospital in fasting.

The surgery takes approximately 1-2 hours; however, the time is variable.

Anesthesia for this procedure is a spinal block (in the back) and sedation so you will not feel pain and will be relaxed during your procedure.

The pain after surgery is minimal and can be effectively controlled with intravenous analgesics.

Food: on the day of surgery you can eat in the afternoon, there are no food restrictions, however, a balanced diet is recommended.

Physical activity: the day of surgery you can walk in the afternoon. It is expected to feel a bit fatigued after any surgery, this problem resolves spontaneously within a few weeks after the procedure.

Hospital stay: most patients operated of penile prosthesis implantation remain hospitalized for 1 day.

Wounds: to place a penile prosthesis a 2.5 cm incision is made in the lower part of the penis, once this wound heals, it is difficult to see it.

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