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What is a Penile Prothesis implant?

Penile prosthesis implant is a device placed inside the penis to allow men with erectile dysfunction to regain their erections. A penile implant is usually recommended after other treatments for ED have failed.

There are two main types of penile prosthesis, semi-rigid and inflatable, where the implant is done by a simple surgical procedure, and each type of penis brace works differently and has positive and less positive sides.

For most men, erectile dysfunction can be successfully treated with medications or other treatments such as  p shot and shock waves. You may consider penile prosthesis implants if you are not a candidate for the treatments available or you cannot obtain an erection sufficient for sexual activity using other methods.

A penis brace may also be used to treat severe cases of a condition that causes scarring inside the penis, resulting in curved erections and pain (Peyronie’s disease).


what are the types of Penile Prothesis implant?

Inflatable implants

It is the most common type of penile implant to create an erection and reduce its size at other times. Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump, a release valve attached to the inside of the scrotum, and two inflatable cylinders inside the penis.

To achieve an erection, you pump the fluid from the reservoir into the cylinders. Next, you release the valve inside the scrotum to drain the fluid back into the reservoir and the two-piece model works in a similar way, but the reservoir is part of the pump implanted in the scrotum.

Semirigid rods

Semi-rigid devices are always stationary. The penis can be bent away from the body for sexual activity and toward the body for concealment. A local penile implant is a semi-rigid device with a central series of parts that are affixed along with a spring at each end.

Other special designs can provide an increased length or a shortened fit for the penis. Some inflatable penile implants are also available with layers of antibiotics, which may help reduce the risk of infection.


Penis surgery procedures

1- During surgery

  • A tube (catheter) may be inserted into the bladder through the penis to collect urine at some point during surgery.
  • Your surgeon will make an incision under the head of the penis, at the base of the penis or in the lower abdomen.
  • Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection.
  • This tissue is found inside each of the two hollow chambers called the “somatic cave”.
  • The surgeon will choose the correct size implant and place the implant cylinders inside the penis.
  • All sizes are for exact body measurements.
  • If your doctor implants a two-piece inflatable device, a pump and valve are placed inside the scrotum.
  • The device has three pieces, and the doctor will also implant a fluid reservoir under the abdominal wall through an internal incision.
  • Once the device is in operation, the surgeon will sew the closed incisions.
  • Penile implant surgery usually takes 45 minutes to an hour.

2- After surgery

  • After penile implant surgery, you’ll likely need to take medications to reduce pain after surgery.
  • Mild pain may last for several weeks.
  • You may also need to take antibiotics to prevent infections for one week.
  • Your doctor will provide specific instructions about when you can resume normal activities.
  • Most men can resume strenuous physical activity and sexual activity about four to six weeks after surgery.
  • At this point, your doctor may recommend fully enlarging and inflating the penis twice a day to give you practice and use and stretch the area around the cylinders.