Our Summary

This research paper is about a study conducted on penile length before and after the implantation of a penile prosthesis, which is a treatment for erectile dysfunction. The researchers wanted to see if measuring the length of the penis before surgery could accurately predict the length after surgery.

They analyzed data from 361 patients who had this procedure. They found that in one-third of the patients, the length before surgery was the same as the length after surgery. On average, the length after surgery was about 1.1 cm shorter than before surgery. They also discovered that it didn’t matter what type of implant was used or how long it was, the results were still the same.

The researchers concluded that measuring the penis before surgery is a reliable way to predict how long it will be after surgery. This can be useful in counseling patients about what to expect from the procedure and could potentially improve their satisfaction with the surgery and their quality of life afterwards.

FAQs

  1. Can the length of the penis before penile implant surgery accurately predict the length after surgery?
  2. Does the type of implant or its size affect the length of the penis after penile implant surgery?
  3. How can measuring penis length before surgery potentially improve patient satisfaction and quality of life after the procedure?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about penile implant surgery is to have realistic expectations about the outcome. It’s important to understand that while the surgery can improve erectile function, there may be some changes in penile length and appearance. Being mentally prepared for these potential changes can help with overall satisfaction with the surgery. Additionally, following post-operative care instructions, such as avoiding strenuous activity and keeping the surgical site clean, can help promote proper healing and reduce the risk of complications.

Suitable For

Patients who are typically recommended for penile implant surgery are those who have tried other treatments for erectile dysfunction, such as oral medications or injections, and have not had success. Candidates for penile implant surgery may include:

  1. Men with severe erectile dysfunction who do not respond to other treatments
  2. Men with medical conditions such as diabetes, high blood pressure, or heart disease that make other treatments less effective
  3. Men who have had prostate cancer surgery or other pelvic surgeries that have damaged the nerves or blood vessels needed for erections
  4. Men with Peyronie’s disease, a condition that causes curvature of the penis and can make intercourse painful or difficult
  5. Men with psychological issues that contribute to their erectile dysfunction

It is important for patients to have realistic expectations about the results of penile implant surgery and to understand the potential risks and complications. Patients should also be in good overall health and have a supportive partner who is involved in the decision-making process. A thorough evaluation by a urologist is typically required before recommending penile implant surgery.

Timeline

Before penile implant surgery:

  • Patient experiences erectile dysfunction and has not found success with other treatments such as medication or vacuum devices
  • Patient consults with a urologist or specialist to discuss the option of penile implant surgery
  • Patient undergoes a series of tests and evaluations to determine if they are a suitable candidate for the procedure
  • Patient receives information about the different types of penile implants available and the potential risks and benefits of the surgery
  • Patient decides to proceed with the surgery and schedules a date for the procedure

After penile implant surgery:

  • Patient undergoes the surgery, which typically takes a few hours and is performed under general anesthesia
  • Patient stays in the hospital for a day or two for monitoring and pain management
  • Patient may experience pain, swelling, and discomfort in the days following the surgery
  • Patient is given instructions on how to care for the surgical site and how to gradually resume sexual activity
  • Patient follows up with their surgeon for post-operative appointments to monitor healing and address any concerns
  • Patient may experience improvements in their erectile function and quality of life as a result 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 long is the recovery time after the surgery, and what can I expect during the recovery process?
  3. Will the length of my penis change after the surgery, and if so, by how much?
  4. How will the implant affect the sensation and function of my penis?
  5. What type of implant will be used in the surgery, and what are the differences between the options available?
  6. Are there any alternative treatments for erectile dysfunction that I should consider before opting for a penile implant?
  7. How long will the implant last, and are there any maintenance or replacement procedures required in the future?
  8. What are the success rates of penile implant surgery, and what factors could affect the outcome of the procedure?
  9. How experienced are you in performing penile implant surgeries, and what is your success rate with this procedure?
  10. Are there any lifestyle changes or precautions I should take before and after the surgery to ensure the best possible outcome?

Reference

Authors: van Renterghem K, De Bruyn H, Jorissen C, Van Huele A, D’Anna M, Torremadé J, Martinez-Salamanca JI, Prieto Matienzo L, Moncada I. Journal: J Sex Med. 2025 Jan 3;22(1):165-169. doi: 10.1093/jsxmed/qdae153. PMID: 39539221