Penile prostheses are semi-rigid or inflatable devices that are implanted into penises to alleviate impotence.
The penis is composed of one channel for urine and semen, and three compartments with tough, fibrous walls containing erectile tissue. With appropriate stimulation, the blood vessels that lead out of these compartments constrict, trapping blood. Blood pressure fills and hardens the compartments producing an erection of sufficient firmness to perform sexual intercourse. Additional stimulation leads to ejaculation, where semen is pumped out of the urethra. When this system fails, erectile dysfunction or impotence (failure to create and maintain an erection) occurs.
Impotence can be caused by a number of conditions, including diabetes, spinal cord injury, prolonged drug abuse, and removal of the prostate gland. If the medical condition is irreversible, a penile prosthesis may be considered. Men whose impotence is caused by psychological problems are not recommended for implant surgery.
Recently, it has been reported that surgeons insert approximately 20,000 penile implants into American
Penile implant surgery is conducted on persons who have exhausted all other areas of treatment. Semi-rigid devices consist of two rods that are easier and less expensive to implant than the inflatable cylinders. Once implanted, the semi-rigid device needs no follow-up adjustments; however, it produces a penis that constantly remains semi-erect. Inflatable cylinders produce a more natural effect. Men using them are able to simulate an erection via a pump located in the scrotum.
With a surgical patient under general anesthesia, the device is inserted into the erectile tissue of the penis through an incision in the fibrous wall. In order to insert the pump for the inflatable implant, incisions are made in the abdomen and the perineum (area between the anus and the genitals). A fluid reservoir is placed into the groin, and the pump is placed in the scrotum. The cylinders, reservoir, and pump are connected by tubes and tested before the incisions are closed.
Surgery always requires a patient who is adequately informed about the procedure's risks and benefits. The sexual partner should also be involved in the discussion. Prior to surgery, the region undergoes antibacterial cleansing and is shaved.
To minimize swelling, ice packs are applied to the penis for the first 24 hours following surgery. The incision sites are cleansed daily to prevent infection. Pain relievers may be taken.
With any implant, there is a slightly greater risk of infection than with simple surgery. The implant may irritate the penis and cause continuous pain. The inflatable prosthesis may need follow-up surgery to repair leaks in the reservoir or to reconnect the tubing.
Successful implantation of a penile prosthesis solves some problems related to impotence. After healing from the surgical procedure, men with a penile prosthesis can resume normal sexual activities.
On a purely technical basis, morbidity associated with a surgically implanted penile implants is relatively uncommon, and is usually due to a post-surgical infection or to mechanical failure of the implanted device. Experts feel that personal dissatisfaction with a penile implant procedure is more common, and is usually due to unreasonable or inappropriate expectations for the procedure. Mortality is quite rare.
Medication (sildenafil citrate [Viagra]) is useful for some men with erectile dysfunction. The medication must be prescribed and monitored by a physician.
Impotence caused psychological factors can usually be treated with appropriate counseling and therapy.
Creams are available for purchase. Most experts agree that these cannot reverse physiological impotence.
Most experts consider mechanical rings that prevent blood flow out of a penis to be dangerous, and advise against their use.
See also Open prostatectomy .
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L. Fleming Fallon, Jr., M.D., Dr.PH.
A penile prosthesis is usually implanted by a urologist. This is a doctor with specialty training in diseases of the urinary system and the genital organs. The procedure is performed in a hospital with the patient under general anesthesia.
One our known is interested for sex change from female to male.Age 28 years with abnormality of hormones.No breast and ovaries are not producing ovum. I would like to ask you which is best center in India or abroad perform good surgery & best results.
looking forward for your prompt reply
"Most experts consider mechanical rings that prevent blood flow out of a penis to be dangerous, and advise against their use."
Do you have a reference for "most experts advise against their use?" A VED or vacuum erection device is commonly prescribed and is also covered under Medicare/Medicaid. A VED is used with constriction rings that are applied to the penis after using the vacuum to obtain an erection. The rings prevent the blood from escaping from the penis and losing the erection.
You also do not mention another alternative: penile injections of Trimix and Bimix. These are commonly prescribed by urologists that specialize in ED or erectile dysfunction.
what is the risk,
My Question: What are the permanent side effects and can any thing be used to simulate or produce a semi-errection without the pump? Is scarring damages to the penis in any way repaired, etc. Any info along these lines would be helpful in making my decision. But I am leaning heavly it having it removed. It has been almost 5 years enduring this discomfort, please, any info would be appreciated. thank you Vince
Thanks.
1) How many states in India perform Shah's Prosthetic Penile surgery?
2) How much is the total cost?
3) Which department is the right place to contact?
Thanks.
Salim
January 04, 2013
I CANNOT HAVE SEX CAUSE IT HURT TOO MUCH. I HEAR THAT IT IS VERY PAINFUL TO HAVE IT REMOVED, IS THIS TRUE.