Our Summary

This research paper talks about penile implant surgery, which is the best treatment for erectile dysfunction with over a 90% success rate. The first of such implants were developed in the early 1900s and have since evolved into different types, including bendable implants and inflatable ones, with the three-piece inflatable implant being the most common in the U.S.

With time, there have been many improvements in the surgery, leading to better results and patient satisfaction. However, like any surgery, there are risks and possible issues that can occur. Therefore, it’s essential for doctors to understand these risks and have plans in place to deal with them. This will ensure the best possible results for their patients.

FAQs

  1. What is the success rate of penile implant surgery for treating erectile dysfunction?
  2. What types of penile implants are currently available?
  3. What are the potential risks and complications of penile implant surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about penile implant surgery is to follow all pre-operative and post-operative instructions carefully. This includes avoiding certain medications, preparing for potential complications, and taking care of the surgical site to prevent infections. By following these guidelines, patients can help ensure a successful outcome and faster recovery.

Suitable For

Patients who are typically recommended for penile implant surgery are those who have tried other treatments for erectile dysfunction without success. This includes medications, vacuum devices, and injections. Candidates for penile implants are usually in good overall health, have realistic expectations of the surgery, and have a supportive partner.

Additionally, patients with certain medical conditions, such as diabetes, spinal cord injuries, or prostate cancer, may also be recommended for penile implant surgery. These conditions can often lead to severe erectile dysfunction that is not responsive to other treatments.

It’s important for patients considering penile implant surgery to discuss the risks and benefits with their healthcare provider, as well as any concerns they may have. Overall, penile implant surgery can be a safe and effective treatment option for patients with severe erectile dysfunction who have not responded to other treatments.

Timeline

Before penile implant surgery, a patient will typically undergo a thorough evaluation by their urologist to determine if they are a suitable candidate for the procedure. This may include physical exams, blood tests, and possibly psychological evaluations. Once it is determined that the patient is a good candidate for the surgery, they will receive counseling on the different types of implants available and what to expect during and after the procedure.

During the surgery, the patient will be under general anesthesia, and the implant will be inserted through a small incision in the penis. The procedure typically takes about 1-2 hours to complete. After the surgery, the patient will need to stay in the hospital for a day or two for monitoring and pain management. They will also be given instructions on how to care for the incision site and how to operate the implant.

In the weeks and months following the surgery, the patient will need to follow up with their urologist for post-operative care and adjustments to the implant if needed. It may take some time for the patient to get used to the implant and fully recover from the surgery. However, once the patient has fully healed, they can expect to see a significant improvement in their erectile function and quality of life.

Overall, penile implant surgery can be a life-changing procedure for men with erectile dysfunction. With proper evaluation, counseling, and post-operative care, patients can expect to have successful outcomes and improved sexual function.

What to Ask Your Doctor

  1. What are the different types of penile implants available and which one would be most suitable for me?

  2. What is the success rate of penile implant surgery for patients with my specific condition and medical history?

  3. What are the potential risks and complications associated with penile implant surgery?

  4. How long is the recovery period after penile implant surgery and what can I expect during this time?

  5. How will the penile implant affect my sexual function and satisfaction?

  6. Are there any lifestyle changes or precautions I need to take after getting a penile implant?

  7. Will I still be able to achieve natural erections after getting a penile implant?

  8. How often will I need to follow up with you after the surgery and what should I do if I experience any issues or complications?

  9. Are there any alternative treatments for erectile dysfunction that I should consider before opting for a penile implant?

  10. What is the cost of penile implant surgery and will it be covered by my insurance?

Reference

Authors: Byrne ER, Ungerer GN, Ziegelmann MJ, Kohler TS. Journal: Int J Impot Res. 2023 Nov;35(7):679-685. doi: 10.1038/s41443-023-00699-0. Epub 2023 Apr 27. PMID: 37106087