Penile Implant
Urological prostheses and penile implants used to eliminate the erection problem, dysfunctions that may occur in the male reproductive system play an important role in maintaining the activity of sexual life. Urological prostheses, which are used in erection problems that may occur due to age, chronic diseases and lifestyle, and in cases where other treatment methods do not work, can be easily applied by surgical methods.
One of the most important criteria for the use of urological prostheses is that the patient has tried all other known treatment methods and has not been successful. Since this type of procedure is considered a surgical method, it is the last preferred treatment method, but considering the results of the application, it can be said that it gives very good results for both the patient and his partner.
What are the Types of Urological Prosthesis?
Urological penile prosthesis types are divided into two different groups as semi-rigid or inflatable models. Inflatable prostheses, which are widely used and often preferred because they offer a more comfortable wearing experience, can be easily activated for use and then deflated in the same way. The three-piece inflatable models operate with the aid of a reservoir located just below the abdominal wall, a pump, a relief valve located in the scrotum, and two inflatable cylinders located inside the penis. This type of prosthesis is among the most frequently used models as it allows a natural and real erection. In inflatable models, it is seen that all parts are hidden inside the body with a surgical operation.
Such a prosthesis cannot be seen from the outside of the clothing, as it can deflate when not in use. Although it is the most advantageous type of penile prosthesis in terms of ease of use, since it contains more parts than other prosthesis models, the probability of problems with these parts is naturally higher. Semi-rigid prostheses, the second urological prosthesis model, are designed to contain fewer parts, and this prosthesis is relatively easy to surgically implant into the body. However, it should be noted that this model may appear more under clothes than the other model.
How to Prepare for Urological Prosthesis Surgery?
Although urological implants are seen as the most ideal treatment method in terms of application results, it is beneficial to perform a general urological and physical examination before deciding on surgery. The inability of the patient to get results from other psychological or physiological methods and the inability to solve the erection problem with different solutions necessitate surgical intervention in a sense. However, urological implants may not be accepted by the patient’s body, even partially, after surgery. In some cases, penile prosthesis surgery may cause different complications. Which type of implant model will be used is closely related to the success of the surgery as well as the development of the patient’s hand skills. For this reason,
How is Urological Prosthesis Surgery Performed?
Penile prosthesis implantation is a relatively easy operation. It can be said that the operation takes approximately 45 minutes to 1 hour. Each implant is specially designed according to the patient’s dimensions. A catheter is placed in the bladder area to drain the urine accumulated in the bladder during the surgery. The selected implant can be easily inserted into the body with an incision made just below the glans or abdomen.
During the surgery, a prosthesis of the appropriate size and 2 implant cylinders are placed on the penis. A pump and valve are placed in the patient’s scrotum for the application of two- and three-piece inflatable prostheses. For three-piece prostheses, a special fluid-filled reservoir is added to the abdominal wall. After the device is fully placed, all incisions opened at the beginning of the surgery are sutured and the surgery is completed.
What Can Happen After Urological Prosthesis Surgery?
Urological implant surgeries are simple surgeries that are performed in a short time and the patient can easily return to his normal life. However, as with any surgical intervention, it is quite normal for the patient to feel pain for a certain period of time. The mild pain felt may last up to several weeks in some cases. The use of antibiotics given by the doctor is of great importance in order to prevent infections that may occur after the surgery. It has been observed that many patients can easily return to normal physical activity and sexual life 4 to 6 weeks after surgery. Daily exercise is among the factors that the doctor can recommend to make the use of urological implants practical and the patient to get used to the use of prosthesis more easily.
Who is urological prosthesis not suitable for?
Urological prostheses, which solve an important problem that men may encounter in their sexual lives, are not suitable for some candidates. Some chronic diseases, routinely used drugs and various infections are among the conditions that may prevent a person from wearing a penile prosthesis. People with frequent urinary tract infections and