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A penile prosthesis is a device surgically inserted into the penis to achieve erection and enable sexual intercourse in men experiencing erectile dysfunction. It is one of the most effective solutions for men experiencing erectile dysfunction, and surgically implanted prostheses allow the patient to regain sexual activity. Penile prostheses are offered in two main categories: inflatable and flexible. The type of prosthesis is determined by the patient's needs and is placed by a specialist surgeon.

Single-Piece (Flexible) Prosthesis

One-piece flexible implants are one of the simplest and most effective devices used to address erectile dysfunction. These implants consist of flexible rods placed on either side of the penis. During intercourse, these rods are manually bent upwards to achieve an erection. Their advantages include a lower risk of complications and easier use. However, because they are in a permanent erect position, there may be limitations in terms of flexibility and natural appearance. Users should discuss the benefits of the implant with their doctor in detail.

Three-Piece (Inflatable) Prosthesis

Three-piece inflatable implants offer a more advanced solution to erectile dysfunction. These implants consist of three components: cylinders placed in the penis, a pump placed in the scrotum, and a reservoir placed in the abdomen. Before intercourse, the cylinders are inflated with a pump, resulting in an erection. These implants provide a natural erection sensation and are quite comfortable to wear during sexual activity. However, they require surgery and require postoperative care. The cost can be higher than other implant types, and the risk of mechanical failure must be considered. Therefore, the benefits and potential risks of the implant should be carefully discussed with your doctor.

Who is a Penile Prosthesis Candidate?

Penile prosthesis surgery is considered a last resort for men experiencing erection problems who have failed other treatment options (such as medication, ESWT, or vacuum devices). Men of all ages who have difficulty achieving an erection naturally, who are unable to maintain sexual activity, and who have not responded to other alternative treatments may be candidates for penile prosthesis surgery. Before implanting a penile prosthesis, alternative treatment options should be thoroughly evaluated with a doctor. Penile prosthesis surgery is generally a last resort and requires surgical intervention.

Which Patients Can Get Penile Prosthesis?

  • Patients who are undergoing prostate cancer treatment and have had their prostate removed

  • Those who have erectile dysfunction due to advanced diabetes

  • Patients with cardiovascular disease and erectile dysfunction

  • Men who have had radical abdominal surgery (such as rectal cancer)

  • Patients with accidental pelvic region damage

  • Men experiencing erection problems after spinal cord injury

  • Patients with Peyronie's disease and severe penile curvature

Choosing the Type of Penile Prosthesis

Deciding which prosthesis is most suitable for the patient relies on a detailed evaluation by the patient and urologist. While both types of prosthesis can restore the penis to erection, three-piece inflatable prostheses stand out for their ease of use and natural appearance. These prostheses are inflated using a pump placed in the testicles before intercourse while the penis is in its natural state and can be returned to its original size after intercourse. This process takes only a few seconds and simplifies the patient's daily life. A detailed evaluation with a specialist regarding prosthesis selection is crucial for a successful outcome.

Post-Operative Sexual Intercourse Time

It's important for patients to pay attention to the healing process after penile implant surgery. Patients can generally return to sexual activity after 4 to 6 weeks. Following your doctor's recommendations and completing the healing process will ensure the longevity of the implant.

Questions to Ask After Penile Implant Surgery

  • When desired, the penis can be erect at any time and sexual intercourse can be had at any time desired.

  • Sexual intercourse can be continued for as long as desired after orgasm.

  • Even at older ages, quality sexual intercourse can be achieved and erectile dysfunction is completely eliminated.

  • The partner's sexual satisfaction increases and a healthy relationship is established between the couple.

  • The potential to have children continues in people with a penile prosthesis, provided there are no obstacles before the prosthesis is placed.

  • There is no problem with urination and the prosthesis does not hinder this function.

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