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  • Writer's pictureTuncay Taş

Types of Penile Implants

Types of Penile Implants: Penile implants are categorized into two main functional types, with three different models available. The appropriate prosthesis is recommended based on the patient's condition and needs, by a qualified healthcare professional.

The two primary types of penile implants are inflatable and malleable (bendable) prostheses.

penile prosthesis
penile prosthesis

  1. Malleable (Bendable) Prostheses: These are rigid implants consisting of a pair of pieces. They do not mimic natural flaccidity and rigidity. They are often preferred for older patients or when physical barriers prevent the use of other types of prostheses. In some cases with an increased risk of infection, andrologists may recommend a single-piece penile prosthesis implantation.

  2. Inflatable Prostheses: Also known as 3-piece penile prosthesis. These are fluid-filled devices used in urology. While they used to be 2-piece prostheses, they are now manufactured as 3-piece prostheses due to their increased effectiveness.

  1. Three-Piece Penile Prosthesis: Consists of cylinders placed inside the penis, a pump placed between the testicles, and a fluid reservoir placed in the abdomen. They can expand both in width and length, or only in width. During sexual intercourse, the pump is squeezed several times to fill the cylinders with fluid from the reservoir, resulting in inflation. The fluid is returned to the reservoir through the pump. The three-piece urological prosthesis provides the most natural erection and is the most preferred penile implant nowadays.

Who Can Benefit from Penile Implants?

Penile prosthesis surgery is performed on men experiencing erectile dysfunction. Erectile dysfunction can be caused by various factors, such as age, diabetes, heart disease, prostate cancer, etc. Penile implant surgery helps men regain their sexual function. The decision for this surgery should be made after consulting with a doctor. Before the operation, it is important to discuss your overall health condition with your doctor and obtain information about the advantages, disadvantages, and risks of the procedure.

How is Penile Implant Surgery Performed?

Before the operation, a catheter is inserted into the bladder to control urination. Penile prosthesis implantation is carried out through a small incision made between the penis and testicles. This procedure is done under general anesthesia. The appropriate-sized cylinders are placed into the corpora cavernosa by a specialized urology and andrology doctor. Thus, the cavities responsible for erection by filling with blood are now filled with the penile implant, eliminating the erection problem. The operation usually takes about 60 minutes. Hospital stay varies depending on the patient's condition, usually ranging from 1 to 2 days.

Preparation for Penile Implant Surgery:

Patients considering penile implant surgery should first be evaluated at our clinic to determine the necessity and suitability of the penile implant. These evaluations can also be done online for patients from other cities or countries. Patients undergoing penile implantation should have good blood sugar control and no urinary infection. For this reason, some tests are performed to assess suitability. Our goal is to provide you with the most appropriate medical treatment at the right time for your health at our clinic.

Patients suitable for the operation are examined by the anesthetist one day before the surgery. Patients' surgeries are performed in the most comfortable and hygienic hospitals in Istanbul. An experienced group is formed within the team to take care of penile implant patients and prevent infection. After the operation, hospitalization for one or two nights is required. If patients come from another city or country, they can return to their place of residence two or three days after the surgery.

Advantages of Penile Implants:

The advantages of penile implants for patients include:

  • Men with erectile dysfunction can regain a healthy sexual life through penile prosthesis surgery.

  • With penile prosthesis implantation, they can engage in sexual intercourse whenever they want and maintain the hardness as long as they desire.

  • They can easily adapt to using the prosthesis with a little practice, and the feeling of satisfaction between partners can be rebuilt.

  • If the patient is not satisfied with the prosthesis, it can be removed or replaced with another urological prosthesis.

Who Is Not Suitable for Penile Prostheses?

Penile prosthesis implantation is not suitable for the following patient group:

  • Those with urinary tract infections,

  • Those with lung infections,

  • Uncontrolled diabetic patients. Additionally, some chronic diseases, infections, and certain medications may prevent penile prosthesis surgery, so patients

must share this information with the specialist doctor.

Risks of Penile Implant Surgery:

Penile implant surgery carries the typical risks associated with any surgical operation. These include:

  • The possibility of infection, especially in patients with a history of spinal cord injury and diabetes.

  • Penile implants can occasionally adhere to internal tissue and cause damage to the skin, or they can detach from the skin and cause problems.

  • Although not a common problem in modern penile implants, there is always a risk of malfunction. If problems occur, such as breakage, the prosthesis can be removed, repaired, or replaced with another surgical intervention. As prostheses come with a lifetime guarantee, if replacement is needed again, there will be no additional cost to the patient.

Penile Prosthesis Brands and Prices:

In our country, there are three penile prosthesis brands: Rigicon, Coloplast, and AMS. Our clinic has agreements with all these companies. Patients are offered options with all the brands' products, and the most suitable prosthesis is selected according to the patient's request. Patients who are researching implant surgery should definitely inquire about the brand and model of the prosthesis while getting a price quote and make price comparisons accordingly.

Does Social Security Cover Penile Implant Surgery?

Penile implant surgery is not covered by the Social Security Institution. However, some private health insurance companies may partially or fully cover penile prosthesis surgeries.

Penile Implant Lifespan:

Penile implants made of durable and long-lasting materials typically last between 5 to 10 years. However, the lifespan of some prostheses can vary based on usage, type of prosthesis, and how they are used. The lifespan of bendable rods is shorter. On average, prostheses used for 5-7 years can have their lifespan shortened due to regular maintenance and correct use.

How Many Centimeters Does Penile Implant Provide?

Penile implants designed to solve erection problems come in various sizes. However, a prosthesis that is appropriate for the penis structure is usually selected. The penile implant, specially prepared according to the patient's penis size, is generally 8-10 cm in length and 1.5-2 cm in diameter. The two cylinders inside the penile implants are filled manually to provide erection. The length of the penis before and after pumping will be sufficient for your sexual life. This method is used when other treatment methods such as drugs or injections fail.

Penile Implant and Pleasure:

Patients often ask the question "Does a penile implant provide pleasure?" Penile implants offer a long-term and safe solution that does not hinder a person's sexual activity. With the implant, patients can achieve natural rigidity and enjoy a satisfying sexual life.

Please note that this information is provided for general knowledge purposes and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for personalized medical advice and treatment options.

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