What is a Penile Prosthesis?

A penile prosthesis is an implantable device used to treat erectile dysfunction (ED). The surgery, called penile prosthesis implantation, involves placing a soft, implantable device inside the penis. This allows a man to achieve a natural-feeling erection for sexual intercourse. It can be used when other treatments haven't worked or for certain medical conditions.

What are the different types of penile implants?

There are three main types of penile implants, categorised based on how they work:

Non-inflatable implants are simple, flexible rods. These are inserted into the penis and can be manually positioned for sexual activity or bent down for everyday wear. They don't inflate or deflate.
Two-piece inflatable implants consist of two cylinders placed in the penis and a pump in the scrotum. To get an erection, you squeeze the pump, which inflates the cylinders and stiffens the penis. You can then bend the penis down to deflate it.
Three-piece inflatable implants offer the most natural-looking erection and better flaccidity (softness) than the other types. This is the most complex type, consisting of three parts: two cylinders in the penis, a pump in the scrotum, and a fluid reservoir placed in the abdomen. Squeezing the pump moves fluid from the reservoir into the cylinders, creating an erection.

When is a penile prosthesis implantation performed?

This procedure is performed to resolve the inability to get or maintain an erection, a condition known as erectile dysfunction (ED). This can happen due to:

Age: ED is a common issue as men get older.
Chronic health conditions: Diabetes is a major cause of ED.
Past surgeries: Some surgical procedures can damage nerves or blood vessels, leading to ED.
Peyronie's disease: This condition causes abnormal scar tissue in the penis, leading to a bent erection. A penile implant can help straighten the penis and allow for normal intercourse.
Severe injury: A penile implant can restore erectile function after a severe accident that has damaged the penis.
Failed treatments: When other, less invasive treatments like oral medications or injections haven't been effective, a penile prosthesis may be a viable second option.

It's important to have a complete medical evaluation with urologist to determine the best treatment for your specific situation.

How is the penile prosthesis implantation procedure done?

The procedure is usually performed under general anesthesia (which puts you completely to sleep) or spinal anesthesia (which numbs the lower body). The surgeon makes a small incision at the base of the penis or in the groin. This cut is usually cosmetically discreet and heals well.

Next, the surgeon carefully inserts the prosthesis into the spongy tissue of the penis known as the corpus cavernosum. These are the two cylindrical bodies that normally fill with blood to create an erection. Once the implants are in place, the incision is stitched closed. Patients are usually hospitalised for a day or two for monitoring.

Full recovery and the resumption of sexual activity typically take a few weeks. A penile prosthesis is a significant procedure and may not be right for everyone. It's essential to discuss your options with your doctor to determine if it is a suitable treatment for you.

What to remember after a penile prosthesis implantation?

The recovery period after surgery is very important for a good outcome. You'll need to follow your doctor's instructions carefully.

Rest and activity: As advised by your physician, you must rest and avoid strenuous activities. For the first few weeks, avoid lifting heavy weights.
Wound care: Follow all instructions for caring for the incision site, including cleaning and dressing changes, to prevent infection. You'll be given specific instructions on when you can resume normal activities, including sexual activity.
Follow-up visits: Regular check-ups with your doctor are crucial to ensure proper healing and to check for any potential complications.
Watch for signs of infection: Look for signs of infection, such as increasing redness, swelling, or a foul odor at the surgical site. Contact your doctor immediately if you notice these symptoms.
Psychological support: It's common to have emotional and psychological needs after this type of surgery. Seeking counseling can provide emotional support and help with the adjustment and healing process.

Remember, these are general guidelines, and your doctor will provide personalised instructions based on your unique health condition and the specifics of your surgery.

What are the risks and complications of this procedure?

The decision to undergo this surgery is made because the potential benefits are considered to outweigh the risks. While most patients have a positive outcome, complications are possible, although uncommon. The specific risks can vary depending on the type of implant used and your overall health, including whether you have chronic conditions like diabetes, or if you smoke or are obese. Some potential complications include infection, implant malfunction, or a shift in the implant's position. Your doctor will discuss all potential risks with you before the procedure.

Why choose Tender Palm Super Speciality Hospital for Penile Prosthesis Implantation in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Penile Prosthesis Implantation in Lucknow, India. Our experienced Urologists uses advanced technology, and provides patient-focused care, the hospital ensures safer procedures, quicker recovery, and improved long-term outcomes.