Our Summary

This research paper explores the advancement of penile prosthesis implants as a treatment for severe erectile dysfunction. These implants have greatly improved over the past 40 years, becoming more effective and reliable. They are a suitable option for men who haven’t had success with less invasive treatments like oral medication, vacuum erection devices, or injection therapy, and who understand the potential risks. These risks include mechanical failure and infection, although these issues have become less common due to improvements in the implant design and the surgical procedure.

The paper also discusses the potential complications during and after surgery. Although these complications are rare, they can usually be rectified during the initial surgery or through advanced reconstructive surgical techniques if they occur post-surgery.

The study also found that men with certain conditions, like Peyronie’s disease, may require additional advanced procedures to achieve the best results with a penile prosthesis.

Despite the potential for mechanical failure and infection, the paper concludes that the penile prosthesis is an important and effective treatment for erectile dysfunction. Additionally, patient and partner satisfaction rates are generally high when using a penile prosthesis to restore erectile function.

FAQs

  1. Who are the ideal candidates for penile prosthesis implants?
  2. What are the potential risks and complications of penile implant surgery?
  3. How effective are penile prosthesis implants in treating severe erectile dysfunction?

Doctor’s Tip

One helpful tip a doctor might tell a patient about penile implant surgery is to carefully follow post-operative instructions to reduce the risk of complications. This may include avoiding strenuous activities, keeping the incision site clean and dry, and taking prescribed antibiotics to prevent infection. It is also important to attend follow-up appointments with your healthcare provider to monitor your recovery progress and address any concerns. By following these recommendations, you can help ensure a successful outcome from your penile implant surgery.

Suitable For

In summary, patients who are typically recommended for penile implant surgery are those who have not had success with other treatment options for erectile dysfunction, such as oral medications, vacuum erection devices, or injection therapy. Men who understand the potential risks associated with the surgery, such as mechanical failure and infection, and are willing to undergo the procedure are also good candidates for penile implant surgery. Patients with conditions like Peyronie’s disease may require additional procedures to achieve optimal results with a penile prosthesis. Overall, penile implant surgery can be a successful and satisfying treatment option for severe erectile dysfunction in patients who meet the criteria for the procedure.

Timeline

Before Penile Implant Surgery:

  • Patient will have a consultation with their urologist to discuss their options for treating severe erectile dysfunction.
  • Patient may undergo various tests to assess their overall health and suitability for surgery.
  • Patient will receive instructions on how to prepare for the surgery, including any dietary restrictions or medication adjustments.
  • Patient may need to stop taking certain medications, such as blood thinners, in the days leading up to the surgery.

After Penile Implant Surgery:

  • Patient will have a recovery period in the hospital or at home, depending on the type of implant and surgical technique used.
  • Patient will need to follow strict post-operative care instructions to prevent infection and promote healing.
  • Patient may experience some pain or discomfort in the weeks following surgery, which can be managed with pain medication.
  • Patient will need to schedule follow-up appointments with their urologist to monitor their recovery and ensure the implant is functioning properly.
  • Patient and their partner may need to adjust to the presence of the implant during sexual activity, but many report high levels of satisfaction with the results of the surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about penile implant surgery include:

  1. What are the potential risks and complications associated with penile implant surgery?
  2. How successful is penile implant surgery in treating severe erectile dysfunction?
  3. How long is the recovery process after penile implant surgery?
  4. Will I still be able to achieve natural erections after having a penile implant?
  5. How long does a penile implant typically last?
  6. Will I need to make any lifestyle changes or adjustments after getting a penile implant?
  7. Are there any alternative treatments or therapies that I should consider before opting for a penile implant?
  8. What is the success rate of penile implant surgery in men with conditions like Peyronie’s disease?
  9. How experienced is the surgeon in performing penile implant surgeries?
  10. Can you provide me with information about the different types of penile implants available and their pros and cons?

Reference

Authors: Levine LA, Becher EF, Bella AJ, Brant WO, Kohler TS, Martinez-Salamanca JI, Trost L, Morey AF. Journal: J Sex Med. 2016 Apr;13(4):489-518. doi: 10.1016/j.jsxm.2016.01.017. Epub 2016 Mar 25. PMID: 27045255