Penile prosthesis

Penile Prosthesis

Diagram illustrating the placement of a penile prosthesis.

Different types of penile prostheses: inflatable and malleable (bendable).

A penile prosthesis is a medical device designed for men who suffer from erectile dysfunction (ED). This device, whether inflatable or bendable, allows men to achieve and maintain an erection mechanically, granting them the ability to engage in sexual intercourse.

Overview

Penile prostheses have been utilized for several decades as a treatment option for ED, particularly in cases where pharmacological treatments are ineffective or unsuitable. The primary goal is to restore sexual function, and in turn, improve the patient's psychological well-being and quality of life.

Types of Penile Prostheses

There are two main types of penile prostheses:

• Inflatable Prostheses: This is the most common type of prosthesis. It consists of a fluid-filled device that can be pumped to create an erection. Most models have a reservoir that is implanted under the abdominal wall muscles and a pump placed in the scrotum.
• Malleable (Bendable) Prostheses: This consists of a pair of rods that are surgically implanted into the erectile chambers of the penis. The rods are firm but can be bent into different positions.

Procedure

Implantation of a penile prosthesis is a surgical procedure. The specific steps depend on the type of prosthesis being used, but generally, the procedure involves:

• Making an incision in the penis or the scrotum.
• Inserting the prosthesis into the penis.
• Closing the incisions with sutures.

Advantages and Disadvantages

Advantages

• High patient and partner satisfaction rates.
• Reliable method of achieving and maintaining an erection.
• Concealed within the body, so it's discreet.

Disadvantages

• Involves surgery.
• Potential for complications, including infection or malfunction of the device.
• It's irreversible – natural erections are typically not possible after most prosthetic

implantations.

Complications

As with any surgery, there are potential complications. These might include:

• Infection.
• Device malfunction.
• Erosion (prosthesis pushing through the skin or eroding the tissue inside).
• Pain or discomfort.

Conclusion

A penile prosthesis can be a life-changing solution for men with ED, especially those for whom other treatments have failed. It's essential to weigh the benefits against the potential risks and to have a thorough discussion with a urologist before deciding on this procedure.

See Also

• Erectile Dysfunction
• Urology
• Sexual Health

References

Penile prosthesis Resources
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