Penile implants are special devices that can be placed inside the penis to enable men with erectile dysfunctions to have an erection. To get such an appliance installed, a patient has to undergo surgery. This treatment is typically reserved for patients who have already tried other forms of therapy for erectile dysfunction, but did not achieve a satisfactory improvement. Another condition that can be relieved by operations and prostheses of the penile is Peyronie’s disease that causes curved, painful erections.

How does a penile implant work?

The least complicated type of penile implant is a semi-rigid prosthesis. It consists of two bendable rods made of silicone. This device makes the penis slightly rigid at all times, which can sometimes make it difficult to conceal it under clothes. A newer type of penile implant is an inflatable prosthesis. It allows You to get an erection at an appropriate time, and then do away with it on demand. This device has a pump that the surgeon puts inside Your scrotum. To inflate or deflate Your penis, all You have to do is press the pump. Inflatable penile implants consist of either two or three pieces.

How does a penile implant change Your sex life?

Almost all men who have undergone surgery to implant an inflatable penile prosthesis are satisfied with the results. After the operation, the patient is able to once again have erections suitable for intercourse. The shaft of the penis is usually as hard and thick as it was previous to the condition that caused erectile dysfunction. The head of the penis might be softer, and the entire erected organ slightly shorter than before. There are, however, some new models of implants available, that can potentially lengthen the penis.

The surgery does not affect Your capability to feel pleasure during intercourse. It does not impact Your ability to reach orgasm, either. Insertion of a penile implant is a permanent solution to the problem of erectile dysfunction. The prosthesis can be removed, but it might cause the inability to reach a natural erection ever again. For this reason, this operation is only recommended to men who have severe erectile dysfunction that is unlikely to resolve or improve with help of non-invasive methods.

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The procedure of placing a penile implant inside the penis is performed under general or spinal anaesthesia. Medicine for general anaesthesia puts You to sleep, while spinal anaesthesia numbs the lower half of Your body. Either way, You will not feel any pain during the surgery. The procedure usually takes approximately 45 minutes to an hour. Since there are several types of penile implants, the course of the operation may differ depending on the chosen model.

During the surgery, a doctor makes an incision in one of three places: below the head of the penis, at the base of it or in the lower abdomen. Then, he stretches the spongy tissue that is supposed to fill with blood during an erection. It is located in the so-called corpora cavernosa. The surgeon places a customised prosthesis inside Your penis. If it is a two-piece model, a special pump and a valve have to be put inside Your scrotum. In the case of a three-piece model, the doctor has to also implant a fluid reservoir under the abdominal wall.

Before the surgery, You might need to avoid certain medications and limit Your food intake. Usually, patients have to stay off food since the evening preceding the operation. Talk to Your doctor about all Your health conditions and medicines that You normally take. He will decide if You have to stop them or alter the prescribed doses. Most likely, You will be administered antibiotics to prevent infections related to the surgery.

After penile implant surgery, for a few weeks You may feel mild pain that You can ease with medicines recommended by Your doctor. Do not take analgesic pills such as aspirin, because they increase the risk of bleeding. During the post-operational period, You should keep Your penis pointing upwards towards Your belly button, which prevents downward curvature later on. Your doctor will instruct You about when You can resume sexual activity and strenuous physical exercises. For most men, it takes four to six weeks.

Be sure to talk to Your doctor openly about Your expectations. You must understand what You can expect after the operation. Penile implants are not for everyone. Tell Your physician about all Your medical conditions. Diseases such as poorly controlled diabetes and infections of the urinary tract are contraindications for the procedure. Penile prostheses are not a suitable treatment option for reversible erectile dysfunction, for example, caused by stress or relationship problems.


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