Our Summary

This paper tries to understand why some men experience a decrease in penis size after surgery to implant a penile prosthesis, a treatment often used for erectile dysfunction. Studies have confirmed that this size reduction is real and not just a perception. There are many theories as to why this happens and several methods have been suggested to prevent it. These methods are used before, during, and after the surgery. However, larger studies are needed to confirm the effectiveness of these methods. As erectile dysfunction is predicted to become more common, it’s crucial for doctors to fully understand the potential outcomes and treatment options, in order to properly guide their patients.

FAQs

  1. Why do some men experience a decrease in penis size after penile implant surgery?
  2. What are some of the methods suggested to prevent size reduction after penile implant surgery?
  3. Are the methods used to prevent size reduction after penile implant surgery proven to be effective?

Doctor’s Tip

One helpful tip a doctor might tell a patient about penile implant surgery is to follow post-operative care instructions carefully, including any recommendations for stretching exercises or other techniques to help maintain or even potentially increase penile size after surgery. It is important to communicate any concerns or questions with your healthcare provider to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for penile implant surgery are those who have tried other treatments for erectile dysfunction, such as medications or vacuum devices, without success. They may also be recommended for surgery if they have certain medical conditions that make other treatments unsafe or ineffective. Additionally, patients who have experienced trauma or injury to the penis, or have a congenital abnormality that affects their ability to achieve or maintain an erection, may also be candidates for penile implant surgery. It is important for patients to have a thorough evaluation by a qualified healthcare provider to determine if they are a suitable candidate for this procedure.

Timeline

Before Penile Implant Surgery:

  • Patient consults with urologist to discuss treatment options for erectile dysfunction
  • Patient undergoes physical examination and diagnostic tests to determine if penile implant surgery is the best option
  • Patient receives counseling on the risks and benefits of the surgery
  • Patient is advised to stop smoking and adjust any medications that may interfere with the surgery

During Penile Implant Surgery:

  • Patient undergoes general anesthesia or spinal anesthesia
  • Urologist makes an incision in the penis and inserts the penile implant device
  • Surgery typically takes 1-2 hours to complete
  • Patient may experience pain and discomfort post-surgery

After Penile Implant Surgery:

  • Patient is monitored in the hospital for a few days before being discharged
  • Patient is advised to avoid strenuous activities and sexual intercourse for 4-6 weeks
  • Patient may experience swelling, bruising, and discomfort in the surgical area
  • Patient may need to adjust to the new size and shape of the penis with the implant
  • Patient may undergo physical therapy to help with recovery and adjustment to the implant

Overall, the timeline before and after penile implant surgery involves thorough consultation, careful preparation, and ongoing support for the patient to achieve successful outcomes.

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 period after surgery and what can I expect during this time?
  3. Will there be any changes in sensation or function after the implant is placed?
  4. How long does the implant typically last and are there any maintenance or follow-up procedures required?
  5. Will there be any changes in the appearance or size of my penis after the surgery?
  6. What are the alternative treatment options for erectile dysfunction and how do they compare to a penile implant?
  7. How experienced are you in performing penile implant surgery and what is your success rate with this procedure?
  8. Are there any lifestyle changes or precautions I should take before or after the surgery to ensure optimal outcomes?
  9. Can you provide me with information or resources to help me better understand the procedure and what to expect?
  10. Are there any factors that may affect my candidacy for penile implant surgery, such as underlying medical conditions or medications I am taking?

Reference

Authors: Chang C, Wang R. Journal: Curr Urol Rep. 2021 Feb 3;22(3):16. doi: 10.1007/s11934-021-01032-2. PMID: 33533997