Penile implants

Penile Implants For Erectile Dysfunction/ Impotence:
Erectile dysfunction (ED, also known as impotence, is the inability to achieve an erection and/ or maintain it, thus becoming an impediment to a healthy sex life. ED is also known as ‘impotency’. Penile implants are recommended when the patient is unresponsive to other treatments like medication, oral, injected and topical medication, penile vacuum pumps, hormonal therapy.
Devices are fitted in the penis to facilitate an erection.

Symptoms:

  • Lack of erection.
  • Improper erection.
  • Erection that doesn’t hold for too long.

Diagnosis Tests:

  • Penile nerve function.
  • Lipid profile.
  • Corpus cavernosometry.
  • Duplex ultrasound.
  • Magnetic resonance angiography (MRA).
  • Dynamic infusion cavernosometry (DICC)
  •  Complete blood count (CBC).
  • Blood glucose (sugar).
  • Penile biothesiometry.
  • Liver and kidney function tests.
  • Thyroid function test.
  • Blood hormone studies.
  • Urinalysis.
  • Bulbocavernosus reflex.
  • Nocturnal penile tumescence (NPT).
  • PSA.
  • Vasoactive injection.

Treatment Penile Implants:

  • During surgery, a catheter is inserted through the penis into the bladder to collect the ruine at a single point.
  • An incision is made below the penis head or lower abdomen.
  • A spongy tissue is stretched to normally fill will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is in the hollow chambers of corpora cavernosa.
  • The urologist will place the chosen penile implant cylinder which customized to the patients exact body measurements.
  • For a two-piece inflatable device, valve and pump are placed inside the scrotum.
  • For a three-piece device, a fluid reservoir is implanted under the wall of the abdomen through an internal incision.
  • After the device is in place, the surgeon will sew to close all the incisions.

Choosing The Right Implants:

Implant Type Advantages Disadvantages
Three-piece Inflatable Implants
  • Facilitates the most natural, rigid erection and flaccidity after deflated.
  • Very extensive surgery with malfunction risk of parts. Abdomen reservoir is required.
Two-piece Inflatable Implant
  • Less complicated surgery than 3 piece implant.
  • Facilitates flaccidity after deflation which needs lesser dexterity.
  • Surgery extensive and complicated than semi-rigid implants.
  • Less firm erections than a three- piece implant
Semirigid Rod Implant
  • Easy to implant surgically.
  • Low malfunctioning risk.
  • Less complicated to use for implants with limited manual/ mental dexterity
  • Slightly rigid penis.
  • Injury due to constant inner penile pressure.
  • Difficult to conceal under clothing.

 

Side Effects of Penile Implants:

  • Penile Infection.
  • Implant issues.
  • Internal adhesion/ erosion.
  • Mild pain.

Precaution Is Better Than Cure:

  • Avoid sexual and strenuous physical activity for 4 to 6 weeks post surgery.
  • Follow the urologist’s recommendations with regards to the regular twice a day inflation and deflation of the penile implants and some exercises.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.