Penile prosthesis implantation, often chosen for treating erectile dysfunction (ED), offers a long-lasting solution for men who haven’t responded to other therapies. This procedure involves surgically inserting a device into the penis, allowing for on-demand erections and restoring sexual function. It’s considered when medications or other non-invasive treatments fail, providing a reliable option that can enhance quality of life and restore confidence in intimate relationships.

Types of penile prosthesis

There are several types of penile prostheses, each with its own advantages and considerations. Here are the main types:

• Inflatable Penile Prosthesis (IPP): This type consists of inflatable cylinders implanted in the penis, a fluid reservoir typically placed in the abdomen, and a pump usually located in the scrotum. When the user activates the pump, fluid is transferred from the reservoir to the cylinders, creating an erection. After intercourse, the pump is deactivated, allowing the fluid to return to the reservoir and the penis to return to a flaccid state. IPPs offer the most natural-feeling erections and can be adjusted for firmness.
• Malleable Penile Prosthesis: Also known as a semi-rigid or bendable implant, this type consists of bendable rods implanted in the penis. The rods are manually positioned to create an erection and bent downward when not in use. Malleable prostheses are simpler in design and do not require a pump or fluid reservoir. While they lack the ability to achieve a completely flaccid state, they are easy to use and have a lower risk of mechanical failure.

Each type of penile prosthesis has its own pros and cons, and the choice depends on factors such as patient preference, anatomical considerations, and the expertise of the surgeon. Consulting with a urologist or a specialist in sexual medicine can help individuals make an informed decision based on their specific needs and circumstances.

Reasons to concider penile prosthesis implantation

Penile prosthesis implantation is often chosen as a treatment for erectile dysfunction (ED) when other options have been ineffective. Here are some reasons why it might be chosen:

• Failure of other treatments: When oral medications (such as Viagra or Cialis), vacuum erection devices, or injections (like alprostadil) fail to produce satisfactory results, a penile prosthesis may be considered.
• Long-term solution: Unlike temporary measures like medications or injections, a penile prosthesis offers a more permanent solution for ED. Once implanted, it can provide consistent results for years, eliminating the need for ongoing medication or intervention.
• Improved spontaneity: With a penile prosthesis, men can achieve erections on demand, enhancing spontaneity and intimacy in sexual relationships. There’s no need to plan ahead or rely on external aids.
• High satisfaction rates: Studies have shown high levels of satisfaction among men who undergo penile prosthesis implantation. Many report significant improvements in their overall quality of life and sexual function.
• Suitability for various cases: Penile prostheses are suitable for a wide range of ED cases, including those caused by diabetes, prostate cancer treatment, or other medical conditions. It can be a viable option for men with complex or severe ED issues.
• Minimal impact on sensation: Modern penile prostheses are designed to preserve sensation and natural appearance as much as possible, leading to a more natural sexual experience.

Ultimately, the decision to choose penile prosthesis implantation for ED treatment depends on individual circumstances, preferences, and consultation with a urologist specializing in sexual health.

Summary

Considering penile prosthesis implantation for treating erectile dysfunction offers several key advantages. It provides a long-term solution for men who haven’t responded to other treatments, ensuring consistent and reliable erections. Penile prostheses offer improved spontaneity in sexual encounters, as they allow for on-demand erections without the need for planning or external aids. Additionally, modern prostheses are designed to preserve sensation and natural appearance, minimizing any negative impact on sexual experience. Ultimately, the decision to pursue penile prosthesis implantation should be made in consultation with a urologist, taking into account individual preferences and medical considerations.

Prof. Dr. Emin ÖZBEK

Urologist

Istanbul- TURKIYE