Certain surgeries that have made getting an erection impossible
This procedure has a success rate of about 90%-95% five years after insertion. Most men rate the erection as shorter than their natural one. A penile prosthesis does not change the sensation on the skin of the penis or the ability to reach orgasm or ejaculate.
Complications are rare, but no procedure is completely free of risk. If you are planning to have penile prosthesis insertion, your doctor will review a list of possible complications, which may include:
Scar tissue formation
Erosion (tissue around the implant may break down)
Factors that may increase the risk of complications include:
Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
There are two types of anesthesia that your doctor may use:
General anesthesia—blocks pain and keeps you asleep through the surgery; given through an IV in your hand or arm
Spinal anesthesia—numbs the area from the chest down to the legs; given as an injection in your back
Description of the Procedure
To prevent infection, your genital area will be cleaned. You will receive antibiotics about one hour before surgery. A catheter (thin tube) will be inserted into the penis to ensure that the bladder remains fully drained of urine.
There are two types of implants available:
Inflatable (hydraulic) implant—consists of two cylinders, a pump, tubing, and may have a reservoir
implant—consists of two semi-rigid rods inserted into the penis
There are two types of inflatable implants: two-piece and three-piece. For both types, the doctor will make a small incision at the top of the scrotum. The incision will be made so that sutures are under the skin and can be absorbed.
With the two-piece implant, the cylinders will be inserted into the penis. A pump (with fluid) will be inserted into the scrotum. This type of implant is simpler to insert. It takes up more space in the penis, leaving less room to expand.
With the three-piece implant, the cylinder will be inserted into the penis. The pump will be inserted into the scrotum. Lastly, the fluid that is used for inflation will be inserted into a reservoir in the abdomen.
The doctor will make an incision just behind the head or near the base of the penis. An opening will be made into each of the two long tubes of spongy tissue inside the penis. The doctor will insert one rod into each tube. Lastly, the doctor will close the incisions so that no sutures will be needed.
How Long Will It Take?
Inflatable implant: 1-2 hours
Malleable implant: 30-60 minutes
Will It Hurt?
You will have pain for about four weeks. Ask your doctor about medicine for pain.
Average Hospital Stay
This procedure is most commonly done in a hospital. You may need to stay one night or longer if you have problems. In some cases, it may be possible to leave the hospital on the same day as the procedure. Talk to your doctor to find out if this is an option for you.
At the Hospital
While you are recovering at the hospital, your doctor will:
Have the urine catheter removed
Give you antibiotics and pain medicines
When you return home, do the following to help ensure a smooth recovery:
Be sure to follow your doctor's
Avoid taking a bath. You can shower.
Gently wash the incision area with mild soap.
Take antibiotics as directed.
For pain relief, use:
Over-the-counter medicines (eg,
acetaminophen) or those your doctor prescribes
Wear loose-fitting underwear while you recover.
Avoid sexual activity for at least six weeks.
Avoid vigorous exercise and heavy lifting for six weeks.
Ask your doctor when you can return to work. You may need to wait 10 days.
Do not drive until instructed by your doctor.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Redness, swelling, increasing pain, excessive bleeding, or a large amount of fluid leaking from the surgical area
Increased swelling in your scrotum or penis
Blood in your urine
Signs of infection (eg, fever, chills, headache, muscle aches, dizziness, general ill feeling)
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a