Our Summary
This research paper provides a comprehensive review of the technological advancements in penile implant surgery, which has become a crucial treatment for erectile dysfunction. The research looks at the history of penile prosthetics, highlighting how improvements in materials, design, and surgical techniques have made the treatment reliable, safe, and satisfying for patients.
Currently, there are three types of penile prosthetics: malleable penile prostheses, two-piece inflatable penile prostheses, and three-piece inflatable penile prostheses. The first kind consists of a solid core that can be manipulated for concealment while maintaining rigidity for sexual activity. The latter, such as the Coloplast Titan and Boston Scientific/AMS 700, include a fluid reservoir, pump, and cylinders inserted into the penis. These devices have seen many updates to enhance their reliability and reduce complications.
Future developments aim to make these prosthetics more applicable and safe for the transgender community and improve functionality for both patients and their partners. However, the paper notes that the review is mainly focused on prosthetics approved for use in the United States, so it may not represent the global situation. It also mentions that future innovation may be limited due to non-disclosure by manufacturers to maintain competition.
In conclusion, the paper emphasizes the importance of penile prosthetic surgery in treating erectile dysfunction and believes that understanding the current state of technology will help surgeons and engineers improve patient care and develop the next generation of penile prosthetics.
FAQs
- What are the three types of penile prosthetics mentioned in the research?
- How does the research paper suggest future developments will improve penile implant surgery?
- What limitations does the research paper acknowledge in terms of its focus and potential future advancements?
Doctor’s Tip
One helpful tip a doctor might tell a patient about penile implant surgery is to carefully follow post-operative instructions provided by the healthcare team. This may include information about caring for the surgical site, managing pain, and gradually resuming sexual activity. It is important to communicate any concerns or complications with your healthcare provider promptly to ensure proper healing and optimal outcomes.
Suitable For
Patients who are typically recommended penile implant surgery are those who have tried and failed other treatments for erectile dysfunction, such as medications, injections, or vacuum devices. Candidates for penile implant surgery may include men with severe erectile dysfunction due to medical conditions such as diabetes, Peyronie’s disease, or vascular issues. Additionally, patients who have had prostate cancer surgery or other pelvic surgeries that have resulted in erectile dysfunction may also be recommended for penile implant surgery.
It is important for patients considering penile implant surgery to have realistic expectations about the procedure and outcomes. They should also be willing to undergo the necessary pre-operative evaluations and post-operative care to ensure the success of the surgery. Ultimately, the decision to undergo penile implant surgery should be made in consultation with a urologist or other healthcare provider who specializes in the treatment of erectile dysfunction.
Timeline
Before penile implant surgery, a patient typically experiences erectile dysfunction that has not responded to other treatments such as medication or therapy. They may undergo various tests and consultations with a urologist to determine if they are a candidate for penile implant surgery.
After the decision to proceed with surgery is made, the patient will undergo pre-operative evaluations and instructions to prepare for the procedure. On the day of the surgery, the patient will receive anesthesia and the surgeon will implant the chosen penile prosthesis.
Following surgery, the patient will have a recovery period during which they will need to follow post-operative care instructions provided by their healthcare team. This may include restrictions on physical activity, medication to manage pain and prevent infection, and follow-up appointments to monitor healing and function.
In the weeks and months following surgery, the patient will gradually resume sexual activity as they heal and become accustomed to their new penile prosthesis. They may also undergo counseling or therapy to address any emotional or psychological issues related to their erectile dysfunction and the surgical intervention.
Overall, the timeline for a patient before and after penile implant surgery involves a process of evaluation, preparation, surgery, recovery, and adjustment to a new normal in terms of sexual function and satisfaction.
What to Ask Your Doctor
Some questions a patient should ask their doctor about penile implant surgery include:
- What are the different types of penile implants available, and which one would be the best option for me?
- What are the risks and potential complications associated with penile implant surgery?
- What is the success rate of penile implant surgery in treating erectile dysfunction?
- How long is the recovery process, and what kind of post-operative care will be required?
- Will I still be able to achieve a natural erection after having a penile implant?
- How long do penile implants typically last, and are there any maintenance or replacement procedures needed in the future?
- How will having a penile implant affect my sexual function and satisfaction?
- Are there any lifestyle changes or restrictions I should be aware of after getting a penile implant?
- What is the cost of penile implant surgery, and will my insurance cover it?
- Can you provide me with information on the experience and success rate of your practice with penile implant surgeries?
Reference
Authors: Barnard JT, Cakir OO, Ralph D, Yafi FA. Journal: J Sex Med. 2021 Jul;18(7):1158-1166. doi: 10.1016/j.jsxm.2021.04.011. Epub 2021 Jun 25. PMID: 34183291