Prosthesis

For individuals with severe erectile dysfunction (ED) who have not found success with other treatment options, a penile prosthesis or penile implant may be considered. A penile prosthesis is a surgically implanted device that allows a man to achieve an erection and engage in sexual activity.

There are two main types of penile prostheses:

1. Inflatable Penile Prosthesis (IPP): This type of prosthesis consists of two cylinders that are surgically inserted into the penis, along with a pump placed in the scrotum and a reservoir of fluid located in the abdomen. When the user desires an erection, they manually squeeze the pump to transfer fluid from the reservoir to the cylinders, creating an erection. After sexual activity, the fluid is returned to the reservoir, deflating the cylinders.

2. Malleable Penile Prosthesis (Semi-Rigid Rods): This type of prosthesis involves the placement of flexible rods inside the penis. The rods can be manually bent upward for an erection and bent downward for concealment.

The decision to undergo penile prosthesis surgery is typically made after a thorough evaluation by a urologist specializing in sexual medicine. The evaluation will consider factors such as the severity of the ED, the underlying causes, the patient’s overall health, and their personal preferences.

Penile prostheses have a high satisfaction rate among users, and they provide a reliable and durable solution for ED. However, it’s important to understand that surgery carries risks, including infection, mechanical failure, and changes in sensation. It’s essential to discuss these potential risks and complications with your healthcare provider to make an informed decision.

Before considering a penile prosthesis, other less invasive treatment options such as oral medications, vacuum erection devices, and penile injections should be explored. Your healthcare provider will be able to guide you in selecting the most appropriate treatment option based on your individual circumstances.