Our Summary
This research paper looks at the two most common surgical methods for inserting inflatable penile prosthesis, a treatment for erectile dysfunction. These methods are the penoscrotal approach, which is currently more popular, and the infrapubic approach. The researchers reviewed various studies on these methods to understand their benefits and downsides.
They found that the penoscrotal approach is generally more comfortable for surgeons to perform and is often chosen for more complicated cases. On the other hand, the infrapubic approach is quicker and patients seem to be happier with the results.
However, the researchers found no significant difference between the two methods in terms of complications. Their conclusion is that both methods are valid, and the choice likely depends on the specifics of each case and the surgeon’s preference.
FAQs
- What are the two most common surgical methods for inserting an inflatable penile prosthesis?
- Which surgical method for penile implant surgery do patients seem to be happier with?
- Is there a significant difference in terms of complications between the penoscrotal and infrapubic approaches to penile implant surgery?
Doctor’s Tip
One helpful tip a doctor might tell a patient about penile implant surgery is to follow all post-operative care instructions carefully to ensure proper healing and reduce the risk of complications. This may include keeping the area clean, taking prescribed medications as directed, avoiding strenuous activities, and attending follow-up appointments with the surgeon. It is also important to communicate any concerns or changes in symptoms to the doctor promptly.
Suitable For
Patients who are typically recommended for penile implant surgery are those who have tried other treatments for erectile dysfunction without success, such as medication or vacuum devices. They may also have physical conditions that make other treatments ineffective, such as Peyronie’s disease or severe erectile dysfunction.
Patients who have had prostate cancer treatment, such as surgery or radiation therapy, may also be good candidates for penile implant surgery, as these treatments can often result in erectile dysfunction. Additionally, patients who have had trauma to the penis or have congenital abnormalities may benefit from penile implant surgery.
Ultimately, the decision to undergo penile implant surgery should be made in consultation with a urologist who can assess the patient’s individual circumstances and determine if the procedure is the best option for them.
Timeline
Before penile implant surgery, a patient typically undergoes a thorough evaluation by a urologist or specialist in sexual medicine to determine if they are a suitable candidate for the procedure. This evaluation may include a physical exam, blood tests, and possibly imaging studies. The patient will also discuss their medical history, any medications they are currently taking, and their expectations for the surgery.
After the decision is made to proceed with penile implant surgery, the patient will be given instructions on how to prepare for the procedure, which may include stopping certain medications, fasting before the surgery, and arranging for transportation home after the procedure.
During the surgery, the patient will be placed under general anesthesia, and the surgeon will make an incision in the penis or scrotum to insert the penile implant. The surgery typically takes 1-2 hours.
After the surgery, the patient will be monitored in a recovery area before being discharged home. They will be given instructions on how to care for the surgical site, manage any discomfort, and gradually resume normal activities. Follow-up appointments will be scheduled to monitor the healing process and ensure the implant is functioning properly.
In the weeks and months following penile implant surgery, the patient may experience some pain, swelling, and bruising, but these symptoms should gradually improve. They will also need to practice inflating and deflating the implant to ensure it is working correctly. Over time, most patients report an improvement in their erectile function and overall 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:
- What are the potential risks and 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 after penile implant surgery?
- Will I still be able to achieve natural erections after having a penile implant?
- How long will the penile implant last and will it need to be replaced in the future?
- What type of penile implant will be used and why?
- What are the alternatives to penile implant surgery for treating erectile dysfunction?
- How experienced is the surgeon in performing penile implant surgery?
- What can I expect in terms of sexual function and satisfaction after having a penile implant?
- Are there any lifestyle changes or precautions I need to take after the surgery?
Reference
Authors: Ricapito A, Sedigh O, Rubino M, Gobbo A, Falagario UG, Annese P, Mancini V, Ferro M, Buffi N, Cormio L, Carrieri G, Busetto GM, Bettocchi C. Journal: Minerva Urol Nephrol. 2023 Dec;75(6):711-717. doi: 10.23736/S2724-6051.23.05475-7. PMID: 38126284