How to insert a penile prosthesis | Does the surgery affect sexual ability?

Penile-prosthesis-implantation
Penile prosthesis implantation

 Erectile dysfunction is a health issue faced by a significant portion of couples, whether early in their marriage or after several years. Doctors have found a way to implant prostheses that help the patient maintain an erection for a longer period during intimacy. In this article, we will cover the procedure for penile implant insertion.


Some men fear relying on these implants due to concerns about the method of penile implant insertion, the surgical intervention, and potential complications for their sexual health.


Procedure for Penile Implant Insertion

The method for inserting a penile prosthesis involves making a surgical incision on the penis—just below the glans. After determining the corpora cavernosa size to establish the dimensions of the prosthesis used, the physician replaces a portion of the blood vessel-supplied internal tissues within the penis with the desired male implant. Afterward, the physician closes and sutures the wound.


Learn About: The Suitable Age for Penile Implants.


Does the Type of Implant Affect the Procedure for Penile Implant Insertion?


There are two main categories of penile implants: the rigid implant and the hydraulic implant. Each implant uses the same surgical intervention with identical steps; the type does not affect the placement method.


It is important to note that the hydraulic implant might require the removal of more tissue to provide adequate space when it is filled with fluid.


Generally, there is no fundamental difference in the steps between implanting a hydraulic-type penile prosthesis and a rigid one.


Do the Surgery and the Method of Penile Implant Insertion Impact Sexual Function?


The success rates for implant surgery reach up to 97%. After implantation, the patient can engage in full, normal sexual intercourse without suffering from erectile dysfunction or sexual weakness. However, this does not negate that some side effects may occur following the surgery, such as:


First, a burning sensation during urination due to the use of a urinary catheter during the procedure and the subsequent hospital stay.


Along with slight tissue swelling that might affect urination and bladder emptying. Usually, the doctor prescribes medication to ease urine flow.


Then, some patients complain of pain and burning in the head of the penis post-operation, which is a temporary sensation that subsides with medication.


Aside from the aforementioned side effects experienced by a large percentage of patients after surgery as a temporary consequence of the penile implant insertion technique, there are other more severe complications, including:


Infection and inflammation, particularly in diabetic patients. This occurs if the surgeon does not use proper sterilization methods or if the husband neglects to thoroughly clean and disinfect the wound during the recovery period post-surgery.


Or damage to the sensory nerves present in the corpus cavernosum and penile tissues, which will later affect achieving pleasure during intercourse.

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