Penile Prosthesis: Procedure, Effectiveness & More

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A penile prosthesis is a surgical method of restoring an erection by inserting a prosthesis made of a special material inside the penis. Penile prosthetics are the most reliable but used, as a rule, the last method of treatment for erectile dysfunction.

Surgical treatment of erectile dysfunction is most often recommended when all other methods of treatment with proven efficacy, such as taking Viagra tablets, generic Viagra, Cialis or Levitra, intracavernous and intraurethral pharmacotherapy, vacuum erection therapy, have proven to be ineffective or unacceptable for the patient for some reason. Or reasons. 

Our laboratory specialists sometimes recommend surgical treatment of erectile dysfunction as the most effective or the only possible one. This decision is made after a thorough examination when erectile dysfunction has an irreversible organic nature.

Features of the operation of penile prosthesis and the postoperative period

The operation of a penile prosthesis is a rather complicated technological process. To prevent complications, especially infectious ones, it is necessary to observe the implantation protocol generally accepted throughout the world strictly. To install the cylinders of the penile prosthesis, the cavernous bodies of the penis are destroyed during the operation using bougienage. During the procedure, an individual selection of the length of the phyllo prosthesis takes place. To install the reservoir and the pumping pump of inflatable penile prosthesis in the retropubic space and the scrotum, spaces are created for them. 

The first 1-2 days after the operation, the patient is placed on bed rest. Sometimes, especially in the first week after surgery, there is slight pain and swelling of the penis. 

In almost all cases, antibiotics are prescribed to prevent infection in the postoperative period. Approximately 7-10 days after the operation, you can return to work, and after 1.5-2 months, you can start having sex. Sexual life after the procedure is every day. The penile prosthesis does not significantly affect the sensitivity of the penis and does not affect the quality of orgasm and ejaculation. If the sexual partner is not warned, she may not even notice that the patient has a penile implant.

The effectiveness of surgical treatment of erectile dysfunction 

New arteries connected to the cavernous bodies also undergo atherosclerosis after a few years. Instead of the veins blocked during the operation, new venous lines are involved in a pathological venous outflow from the cavernous bodies. Thus, after 2-3 years, the effectiveness of vascular procedures does not exceed 15% on arteries and up to 50% on veins. In this regard, they are currently used by a relatively narrow circle of patients for special indications, such as isolated post-traumatic sclerosis of the cavernous arteries, the primary type of excessive venous outflow. 

Today, the installation of penile implants is the most effective treatment for erectile dysfunction, not only among surgical but also among all existing methods. The proportion of patients satisfied with the quality of sexual life after penile prosthetics reaches 90%, and their partners remain satisfied in more than 80% of cases. Sometimes when implanting a malleable penile prosthesis, partners do not even notice the difference if they do not know about the operation. Modern non-surgical treatments for erectile dysfunction have similar patient satisfaction rates of only 60–70% and sexual partners up to 60%. For more information, you can visit rigicon.com and get information.

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