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NYC’s Top Urology Practice

Specializing in the treatment of Erectile Dysfunction and Penile Implant Surgery.


Welcome to Fifth Avenue Urology, the practice of Drs. Michael S. Brodherson, Yaniv M. Larish, and Leonard Glickman. We specialize in Penile Implant Surgery & the treatment of Erectile Dysfunction, as well as general urological care of both men and women.

dr-yaniv-larish-fifth-avenue-urology-2Dr. Larish is an expert in penile implant surgery for advanced erectile dysfunction. He has trained and has extensive experience in performing these delicate and artful surgeries. He is an expert on all types of penile implants and the latest technology. He teaches resident doctors on urological surgery and therefore keeps up with all the latest advancements in penile implant surgery and the newest advancements in the actual implant technology.

Dr. Larish utilizes different types of penile implants based on his expert opinion and vast experience for each individual patient’s specific needs. He uses semi-rigid or inflatable implants. The pump inflatable implants come from different manufactures and are each slightly different in their application. He will use his experience in determining which implant is right for each patient.

penile-implant-specialist-nycDr. Brodherson has been the Interim Chief of Urology at Lenox Hill Hospital and Dr. Larish served as the former chief resident in the same department. Dr. Glickman is specialty-trained in robotic and minimally invasive surgery. We are focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. As physicians, we view the ability to practice medicine as a privilege, not a right. We treat our patients with respect, professionalism and compassion.

We are located in Manhattan, in New York City’s beautiful Upper East Side. We offer the most advanced state of the art diagnosis and treatment for all problems of the male and female urological and reproductive systems.

We emphasize discretion and compassion with all of our patients no matter how large or small their problems are. We understand the emotional and physical attributes of urological problems. We understand that problems of the urological system, from the kidney to the genitals, can be worrisome, embarrassing and sensitive. We provide a compassionate and safe atmosphere to discuss and treat problems in a comfortable and confidential environment.

dr-leonard-glickmanWe are experts in conservative and surgical treatments. We never rush patients and never push surgery when alternative, less invasive treatments are possible. We are proud to be ethical and altruistic physicians with a reputation and history to prove it.

We keep up to date with the most advanced technology and pharmacology as the field of urology changes with the times. New medications and procedures are introduced regularly. We are involved with doctor education and training allowing us to easily keep on top of all the new and exciting breakthroughs in the field of urology.

And lastly, we have a great back office team that is well versed in the ins and outs of insurance company procedures and rules to make sure your care and surgery are covered. We run our office with customer care in mind by trying to make sure every patient is comfortable and visits occur in a timely manner.

Inflatable Penile Implant Types

If you’re considering having penile implant surgery, there are many things to consider. One of these things is choosing between an inflatable, rigid or semi-rigid implants. In this article we will briefly go over the basic inflatable penile implant types.

What is Erectile Dysfunction (ED)?

Penile Implants are used to treat Erectile Dysfunction (ED). They provide physical support to the penis so that the patient can achieve an erection. Inflatable implants are slightly more complicated to use than the semi-rigid implants. However, what they lack in simplicity they more than makeup for in functionality. As the name suggests, inflatable implants provide the patient with an erection when they are inflated.

Three-piece Inflatable Penile Implant

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There are two types of inflatable implants: the three-piece and the two-piece inflatable devices. The three-piece is composed of two cylinders that are surgically placed in the penis. These cylinders are then attached to a tube that is connected to the reservoir, which is situated in the lower abdomen. The repository contains saline which is delivered to the cylinders by a pump, which is placed in the scrotal sac. When the patient is ready for sexual activity, he presses the pump, which then delivers the saline from the reservoir into the cylinders resulting in inflation of the penis causing an erection. When the patient is finished, he presses the deflator valve located at the bottom of the pump, which then delivers the saline back into the reservoir causing the penis to deflate and return to its normal, flaccid state.

Two-piece Inflatable Penile Implant

2-piece-inflatable-penile-implant-info-03The two-piece inflatable implant works in much the same way as the three-piece except that the reservoir and the pump are combined into one unit. This reservoir-pump combo is placed inside the scrotum; therefore there are no parts placed within the lower abdomen, and the surgery is less complicated as compared to the three-piece implant.

Benefit of using the inflatable penile implants

By far the most significant advantage of using the inflatable devices instead of the semi-rigid implant is the ability to return to a flaccid state after sexual activity. With the simple push of the deflator valve, the patient can deflate his penis, which produces a much more natural feel and look as compared to the semi-rigid implant which prevents a return to a flaccid state. Besides some small scarring located on the underside of the penis and the scrotum, the inflatable implants are discreet and undetectable to the naked eye. Patients report that there are no changes to the sensation and ability to ejaculate with the outfitting of the inflatable implant.

Disadvantages of using the inflatable penile implants

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However, there are some disadvantages to using the inflatable implants. Since the two-piece implant reservoir is comparatively smaller, there may not be enough saline in the reservoir-pump combo unit to produce a full erection as compared to the three-piece repository. Complication rates also tend to be higher with the inflatable implants as compared to the semi-rigid devices due in part to the multiple different units comprising the implant.

Inflatable penile implants are superior to semi-rigid penile implants

In summary, the inflatable implants provide men with the highest rate of satisfaction. Unlike the semi-rigid, the inflatable implant has the ability to give an erect and flaccid state. This creates a more natural feeling to the penis and prevents the chronic pain and erosion that men with semi-rigid implants tend to experience. The inflatable implants also make concealment much easier to do.

If you would like to know more about how penile implants can benefit you and your partner, contact us today at (212)370-4170 and schedule your free appointment. To find out more about penile implants, visit our website at FifthAvenueUrology.com.

What is sex like after penile implant surgery?

sex-after-penile-implant-surgery-info-nyc-specialists-01If you’re considering getting a penile implant, you may be asking yourself how sex after penile implant surgery will be. In this article we will cover the basic process and some general expectations.

A penile implant is a medical device that is surgically-inserted inside of a man’s penis to allow him to achieve an erection.  Typically, physicians recommend penile implants when all other treatments for Erectile Dysfunction (ED) have failed.

After surgery, the patient will stay for a few hours in the recovery room to make sure that they are recovering well from surgery. While in the recovery room, the patient will be assessed often to make sure that they are “waking up” from the anesthesia. Afterwards, depending on how the patient is recovering, he may be sent home or he may be admitted for observation in the hospital.

After two weeks, the patient may return to their surgeon to have the stitches removed. At this time, the surgeon may also begin to instruct the patient how to properly use their newly implanted device. It usually takes about one week until the patient can return to work and 4-8 weeks until he can resume sexual activity. After the patient has fully recovered from surgery (4-8 weeks), the physician may ask the patient to inflate his implant daily.  This is done to make sure that the implant is working properly and to give the patient a chance to get used to the device. No inflation is needed to be done with the semi-rigid prosthesis. The implant typically lasts between 9-15 years.

Is the implant surgery detectable to others?

The surgical incision is about an inch long and is located underneath the scrotum, so there are no visible surgical scars on the penis. The small size of the incision also allows the patient to recover easier and faster from surgery.

Sexual performance with the penile implant

male-penile-implant-info-nyc-surgeons-02Patients report that there is no meaningful difference in sexual feeling after having the penile implant surgery. Ejaculation, penile sensation, and orgasm are not affected by the surgery. Patients also state that they did not notice a loss in the size and girth of their penis after the implant has achieved a full erection. However, shortening of the penis length due to ED that occurred before the surgery may not be reversible even after the implant has been placed. It is important to keep in mind that despite the use of the device, the head of the penis does not become stiff because it is not affected by the implant.

Sexual Satisfaction with penile implant

To be diagnosed with Erectile Dysfunction (ED) is a massive setback for many men and their partners. Most men may even suffer from anxiety and depression. Naturally, men will do anything to receive treatment for ED. By choosing to receive penile implants, the patient and his partner are able to regain control over their sexual lives again.

If you would like to know more about how penile implants can benefit you and your partner, contact us today at 212-541-6239 and schedule your free appointment. To find out more about penile implants, visit our website at FifthAvenueUrology.com.

Recovery after Penile Implant Surgery

Indications for Penile Implant Surgery

recovery-after-penile-implant-surgery-info-01A penile implant is a medical device that is surgically-inserted inside of a man’s penis to allow him to achieve an erection.  Typically, physicians recommend penile implants when all other treatments for Erectile Dysfunction (ED) have failed.

Is the implant surgery detectable to others?

The surgical incision is about an inch long and is located underneath the scrotum, so there are no readily visible surgical scars on the penis. The small size of the incision also allows the patient to recover easier and faster from surgery.

After surgery, the patient will stay for a few hours in the recovery room to make sure that they are recovering well from surgery. While in the recovery room, the patient will be assessed often to make sure that they are “waking up” from the anesthesia. Afterward, depending on how the patient is recovering, he may be sent home, or he may be admitted for observation in the hospital.

What to expect immediately after surgery

penile-implant-specialists-nyc-02It is common for the patient to experience bruising and swelling a few days after the surgery. Swelling is expected to subside after 7 to 14 days. Pain typically subsides at around the same time as well. The patient will be prescribed pain medications, as mild pain is expected to persist for a few weeks after the surgery. The pain is then expected to subside slowly. However, if the pain persists or worsens, the patient must immediately notify their surgeon. The patient may also experience some constipation due to the pain medications that he is taking. In order to avoid getting constipated, laxatives may be prescribed. Alternatively, the patient can also increase their fiber intake by eating more fruits and vegetables as they are recovering from surgery. There are no diet restrictions for patients recovering from penile implant surgery. However, he must keep in mind that his body is working hard to repair itself from surgery. Therefore, the patient must consume a balanced meal that will help to promote healing.

Aftercare at home

They will also be given an antibiotic to take at home for about a week to help prevent infection. While recovering, the patient may be asked by their physician to keep their penis bent upwards, towards their belly button to avoid a downward curvature of the penis.

The patient will most likely have to spend the first two days recuperating in bed but will be required to get up and do some light walking for at least three times a day. They will also have to refrain from vigorous exercise and any sexual activity until they have checked in with their doctor. After two weeks, the patient may return to their surgeon to have the stitches removed. At this time, the surgeon may also begin to instruct the patient how to properly use their newly implanted device. It usually takes about one week until the patient can return to work and 4-8 weeks until he can resume sexual activity.

If you would like to know more about how penile implants can benefit you and your partner, contact Dr. Larish today at 212-541-6239 and schedule your free appointment. To find out more about penile implants, visit our website at fifthavenueurology.com.

How Penile Implants Work

nyc-expert-surgeon-doctor-penile-implants-03Have you been asking yourself lately how penile implants work? A penile implant is a way to go if you’ve not been able to resolve your erectile dysfunction with the traditional treatment modes. Penile prostheses which are either semi-rigid or inflatable are installed within the scrotum and penis through a surgical procedure. Your doctor or surgeon will suggest a suitable penile prosthesis for you (inflatable or non-inflatable) after reviewing your medical history, the underlying cause of ED, and conducting a thorough physical examination.

You’d be an ideal candidate for a semi-rigid or articulated (non-inflatable) implant if your manual dexterity is limited (caused by a joint disorder or spinal cord injury). However, inflatable two-piece and three-piece prostheses are more popular than the non-inflatable types because of their handiness and effectiveness.

Aspects your doctor will consider before suggesting an appropriate implant

Apart from your personal preference, your doctor will consider several other factors before recommending a suitable penile prosthesis. These factors, amongst other things, include:-

  • Your partner’s and your ages
  • Your physique (height and weight)
  • Previous pelvic or abdominal surgeries (if any)
  • Dimensions of penis, glans penis (the tip or head of the penis), and scrotum
  • Kidney transplant surgery if any
  • Whether a penis is circumcised or not
  • History of colostomy
  • Life expectancy
  • Overall wellbeing

Mechanism of how penile implants work

how-semi-rigid-penile-implants-work-top-nyc-surgeon-specialist-02The inflatable penile implant, both the 3-piece and the 2-piece devices, have similar structures and operation mechanism. The components of a three-piece implant comprise dual cylinders, a pump with release valve, and a reservoir filled with fluid. These components are separate in the three-volume prosthesis while in a two-piece device-the pump and reservoir constitute one section and the dual cylinders or tubes make up the 2nd component.

To achieve an erection, you’ll need to blow up or expand the implant. This you do by squeezing the pump positioned inside your scrotal sac. The mechanical action of the pump pushes the saline fluid out of the reservoir. The fluid drains into the cylinders (installed inside the penis) causing them to inflate, eventually giving you an erection that is strong and taut enough for satisfactory coitus.

When it comes to using the semi-rigid or articulated penile implant, you simply need to lift your penis to align it with your partner’s vulva for thrusting it inside the vagina.

Sex life post surgery

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Most men have reported that on inflating the implant, they achieve an erection that is more or less identical to a normal erection, regarding firmness and girth. However, these men have also mentioned that the length of the penis when fully erect is somewhat shorter compared to a usual erection. The prosthesis does not in any way impede the capability to attain orgasm or adversely affect sensations felt on the penis’s skin.

Unfortunately, implantation of the prosthesis damages the natural reflex that triggers an erection. In other words, you may not be able to experience an erection if you do not inflate the device. On the other hand, you may never be able to have a normal erection if the prosthesis is taken out.

Concluding remarks

You can talk to our prosthetic specialist or urologist for a better understanding of the modus operandi of the different penile implants.

References

  1. https://www.medicalnewstoday.com/articles/320918.php
  2. https://prostate.net/articles/do-penile-implants-work
  3. https://www.webmd.com/erectile-dysfunction/guide/penile-prosthesis#1
  4. https://malecare.org/penile-implants-the-options-the-pros-and-the-cons-of-the-different-designs/

 

Different penile implants: Benefits and Side-Effects

types-penile-implants-benefits-negatives-top-nyc-surgeon-01What are the different penile implants? Erectile dysfunction is a typical male sexual disorder or syndrome that affects almost 50% of men. Statistically speaking, out of every two males aged between 40 and 70, one is estimated to be plagued by ED. What is more intriguing is the fact that most men suffering from the condition are loathed to speak or discuss about the same. Prescription pills including Viagra, Cialis, Levitra, and Stendra that generally serve as the primary mode of treatment for ED help resolve the issue in 75%-80% of the cases.

For men whom the first line of treatment proves ineffective fall back on vacuum constriction devices or penile pumps. And for those whom both the first and second-line treatment plans do not work, penile implants are the last resort.

The two basic categories of penile implants

Types of penile implants referred to as penile prostheses are bespoke prosthetic devices which are implanted inside the patient’s external sexual organs (penis and scrotum) using a surgical process. The main function of this implant is to stimulate or trigger an erection in the affected male which otherwise should’ve happened as a matter of course. There are two distinct kinds of penile prosthesis where one type is distinguished from the other regarding design and structure.

Inflatable penile implants

inflatable-penile-implant-prosthesis-general-information-02bAn inflatable penile implant, as the terminology indicates, is a penile prosthetic device that needs to be inflated for taking advantage of it. An inflatable implant has three components-a set of two cylinders, a pump with a release valve, and a small tank or reservoir filled with saline fluid.  There are again two different types of inflatable implants-two-volume and three-volume.

In a two-piece penile prosthesis, the pump and reservoir comprise one section while the cylinders make up another. In a three-piece, the cylinders, pump, and reservoir are separate parts or components.

Pros of three-piece implants

  • You get an erection that is extremely rigid and firm; the erections you get are the most natural amongst all types of implants
  • The implant stays soft, flaccid, and inconspicuous when deflated

Cons

  • Greater manual dexterity is required for operating it compared to all other implant kinds
  • Surgery for this implant is also the most complex, so chances of complications are also the highest
  • Highly vulnerable to malfunctioning and leakage
  • The three-piece implant is the costliest amongst all implant kinds

Advantages of two-piece implants

Pros

  • Easily operable
  • Surgical process is simple; an abdominal incision is not necessary
  • Deflation makes the implant soft and drooping

Cons

  • Erections less firm in comparison to three-volume implants
  • It is also susceptible to leak or dysfunction, like three-piece prostheses
  • Mechanically and structurally it is more complex than semi-rigid implants

Non-inflatable or semi-rigid penile implants

A non-inflatable implant chiefly consists of two metallic rods or cylinders that are sheathed in a silicone base. The rods or tubes which are not inflatable are inserted in the penis. One simply has to lift the penis to use the implanted rods that are always in a semi-rigid state.

Benefits

  • Can be conveniently used by individuals with manual dexterity issues
  • A lesser number of parts makes it less vulnerable to mechanical failure than inflatable implants
  • The surgery is also simpler compared to implantation of inflatable prostheses
  • Least costly

Cons

  • The rigidity of erection is less
  • Difficult to conceal even when it is beneath several layers of cloth
  • Always keeps the internal penis under pressure, so chances of injuries are high

Conclusion

If you need detailed information on penile implant types and the advantages and drawbacks of each, get in touch with the top penile implant surgeon Dr. Yaniv Larish at 212-541-6239.

References

  1. https://www.aarp.org/home-family/sex-intimacy/info-12-2013/sex-erection-viagra-castleman.html
  2. https://malecare.org/penile-implants-the-options-the-pros-and-the-cons-of-the-different-designs/
  3. https://www.mayoclinic.org/tests-procedures/penile-implants/about/pac-20384916
  4. https://zovon.com/hot-topics/sexual-wellness/penile-implants/ 

What to expect before, after, and during penile implant surgery?

pre-operation-info-penile-implant-02Today we will discuss what to expect during penile implant surgery, including pre-op, the surgery itself, and post-op. During a typical penile prosthetic or penile implant surgical procedure, the urologic or prosthetic surgeon will insert semi-rigid, bendable rods or inflatable cylinders inside your penis. If you’ve been recommended an inflatable penile prosthesis, then the surgeon will also place a pump (that is fitted with a discharge valve) and a fluid-filled reservoir in your scrotum and abdomen respectively. Once the surgery is complete and you recuperate fully (that could about 5-6 weeks), you need to inflate and deflate the device as per your need and convenience.

You normally opt for a penile implant operation when conventional modes of treatment, including oral or injectable drugs and vacuum constricted device (VCD or penile pump), have not helped in curing your ED.

Preparing for the penile implant surgical procedure

At the outset, your doctor or surgeon who’ll carry out the implant surgery will go through your medical background as well as perform a detailed physical checkup to ensure that you’re ready for the same. He or she’ll also consider whether your issue can be resolved via alternative treatment plans. Once the physician has given his or her nod for the surgery, you’ll be transferred either to the outpatient department or to a male ward where you’ll stay overnight.

You’ll be put on preoperative antibiotics that’ll you’ll keep taking until the surgery can start the next day.

The surgery: Modus operandi

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The surgeon usually makes a penoscrotal or infrapubic opening usually about 3-4cm in size (for implanting an inflatable device). The incisions are usually created in the lower abdomen, right underneath the penis or below its tip (glans penis). The patient is either put on general anesthesia or spinal anesthesia before the surgeon can commence with the process.

Also, the entire that will be operated upon is clean shaved, and a cannula or catheter is inserted so that the same can collect urine. Additionally, an IV tube is installed as well for administering saline, antibiotics or other drugs. After that the penile tissues that become inflated with blood leading to erection are stretched out to facilitate the placement of the inflatable tubes.

Depending on whether you’ve been recommended a two-piece or three-piece penile implant, the surgeon will carry out the relevant placements. For instance, the reservoir containing fluid and the pump with the release valve of a two-volume prosthesis goes inside the scrotum. And for the three-piece valve, where the pump and reservoir are separate components, the former is positioned inside the scrotum, and the latter is instilled below the wall of the lower abdomen.

After the surgery is through, the surgeon sterilizes the entire area and sutures the opening or openings. Depending upon the type of implant, the operation usually takes 30-50 minutes. The surgery is normally conducted as an outpatient mode.

Recovery after surgery

penile-implant-surgery-post-operation-info-recovery-nyc-03Following the completion of the surgery, your physician walks you through instructions and tips on taking care of the operated site as well as on the procedure of using the device. You’ll need to take painkillers and anodynes in the first couple of weeks for getting relief from pain as well as have to take antibiotics for lessening the chances of infection. Though it could take many weeks to recuperate fully, you may be able to resume your normal activities within a week or two.

Significantly enough, you could go back to enjoying sex with your partner 5-6 weeks after surgery.

Concluding remarks

Approximately, 90-95% of inflatable penile implant surgical procedures are effective in that they enable men to have erections robust enough for fulfilling intercourse. If you want to know more about penile implant surgery, call Dr. Larish today at 212-541-6239.

References

  1. https://www.healthline.com/health/erectile-dysfunction/penile-implant-surgery#recovery
  2. https://www.edcure.org/articles/after-penile-implant-surgery-what-to-expect-following-infrapubic-inflatable-penile-prosthesis-ipp-placement/
  3. https://www.edcure.org/articles/recovering-from-penile-implant-surgery/
  4. https://www.medicalnewstoday.com/articles/320918.php
  5. https://www.urologicalcare.com/penile-implants-prosthesis/penile-implant-post-op-care/

Benefits of penile implants

benefits-of-penile-implants-nyc-specialist-surgeon-01Are you someone beset and overwhelmed with erectile dysfunction but simply recoil at the mere mention of the disorder? Have you thought about it but you’re not sure of the benefits of penile implants? You can take some solace from the fact almost all males suffering from ED would prefer to avoid discussing the condition whenever the subject is broached. Going by findings of studies and surveys on erectile dysfunction, approximately 52% of males aged between 40 and 70 are diagnosed with ED.

Though individuals with ED issues opt for first-line and second-line treatments, like medications and penile pumps, the corrective techniques prove ineffective for a significant proportion. For these males, choosing a penile implant surgery, is more often than not, is the best and only option for reclaiming their sex life.

Top reasons why men with ED should go for a penile prosthesis

what-are-benefits-of-penile-implants-surgery-02Penile implants, since they first became commercially viable and available circa 1973, have come to the aid of an almost countless number of men who became affected with ED because of hypertension, diabetes, CAD, obesity, depression, and other medical conditions. However, the penile prostheses that were developed initially were not as effective as the present-day versions.

Technological progress made in the area of prosthetic surgery has facilitated the designing of topnotch semi-rigid, inflatable and non-inflatable penile prostheses which not only guarantee a better satisfaction rate but also long-term use. Experienced urologists and prosthetic experts can complete the surgery for a penile prosthesis within 45-50 minutes, and the risk of developing an infection following the operation is less than 5%.

Following are some top reasons why you should go for a penile prosthesis surgical procedure:

  • Firm and natural erections: You can expect to have a tumescent erection that’ll be as natural as those experienced by men without ED
  • Faster recovery time: Though the recovery time might vary from one individual to another (depending upon the type of implant or the patient’s health condition), the period is generally 4-6 weeks in most cases. Once you’ve fully recovered, not only will you be able to lead a normal lifestyle but also go back to making the most of your sex life.
  • The advanced surgical procedure makes the implant discreet: The penile implant will remain largely inconspicuous when your penis is in a downward position and not in an erectile state. Depending upon the effectiveness of the surgical procedure, your wife or partner will never be able to figure out that you have a prosthetic implant till you spill the beans.
  • Modern-day penile implants are usually insured: You do not need to worry about the cost implications of a two-piece or three-piece penile prostheses. Since your prosthetic expert will recommend an appropriate implant for you, you can take it for granted that it’ll be covered or backed by an insurance plan.
  • Very high satisfaction rates: Over 95% of men who opted for penile implants have reported that they were satisfied with their choice of device as the same enabled them to maintain an active conjugal life.

Major benefits of inflatable penile implants

  • statistics-results-penile-implant-surgery-nyc-surgeons-03Penis appears normal when flaccid
  • Increased circumference leading to improved firmness
  • Easy deflation using only one hand
  • Long-lasting
  • Lower risks of infection

Concluding remarks

The benefits of selecting a penile implant nowadays outweigh the drawbacks. If you wish to more about penile prostheses and their inherent benefits, you can send us an email or make a call to our surgeon.

References

  1. https://www.coloplastmenshealth.com/treatments/erectile-dysfunction-treatment/penile-implants/
  2. http://www.alarconurology.com/blog/erectile-dysfunction-penile-impotence/penile-implant-benefits/
  3. https://www.menshealth.com/health/a19547700/cure-for-erectile-dysfunction/
  4. https://malecare.org/penile-implants-the-options-the-pros-and-the-cons-of-the-different-designs/

Inflatable penile implants

inflatable-penile-implant-surgeon-nyc-02Inflatable penile implants are prosthetic devices that are inserted and embedded inside the male reproductive organ using advanced surgical procedure.  Implants are generally used as a last resort for men who have ejaculations and experience orgasm but struggle with achieving an erection, firm and durable enough (from the perspective of time) for a fulfilling coitus.

Physicians, surgeons, and sexologists usually suggest first and second-line treatments, including the three distinct pills (Viagra, Levitra, and Cialis) and the vacuum constriction device (penis pump) for men with erectile dysfunction. The penis pump and/or the three medications serve their purpose in most of the cases. Doctors consider a penile implant surgery only when the above forms or techniques of treatments prove ineffective as far as remedying ED is concerned.

Inflatable penile implants

Penile prostheses are prosthetic or artificial tubes which are meticulously placed inside the penis. These tubes or cylinders are designed in an innovative manner, making them capable of mimicking the physiological function of the penis that causes an erection. Penile implants have been used since 1936-initially the implants were made from bone and rib cartilage.

inflatable-penile-implants-info-nyc-01

We’ve discussed about the two basic types of penile prostheses in our previous blogs. In the last blog, we dwelt at length on non-inflatable semi-rigid and articulated implants. In this blog we focus on inflatable penile implants-their types along with the pros and cons of each type.

The first penile implant which could be truly considered an inflatable version was developed by Scott, Tim, and Bradley, in the 1970s. Since then, rapid strides made in the area of prosthetic technology that have significantly contributed towards development of advanced inflatable implants, enabling surgeons to place them with greater convenience, ultimately leading to heightened satisfaction rates.

There are two kinds of inflatable implants-two-volume and three-volume prostheses-and both function in a similar manner. For facilitating an erection, you have to press a pump that transmits fluid stored in a reservoir into the cylinders instilled in the penis. The cylinders become taut when filled with fluid leading to an erection, thereby preparing you for an intercourse. Once you’re through with coitus, you activate the release valve that drains the fluid back into the reservoir.

Two-volume penile prostheses

The two-volume penile prostheses are made up of two separate sections-a pump with a discharge valve attached at the back of the two cylinders that is placed within the penis, and a reservoir containing fluid which is positioned underneath the lower abdomen. The surgical procedure for implanting a two-piece penile prosthesis is simpler compared to that for a three-piece device.

Pros

  • Surgery is simple compared to the operation for a three-piece implant
  • Penis appears more lifelike and natural during phases of erection and flaccidity in comparison to semi-rigid prostheses
  • Controlling the device is easier compared to the three-volume implant
  • Incisions do not have to be in the abdomen

Cons

  • Perimeter or circumference of the penis does not increase noticeably even after fully inflating the cylinders
  • Less concealed and flaccid compared to three-volume implants in deactivated state
  •  Likelihood of malfunctioning or developing leaks is also more compared to the three-piece device

Three-volume penile prostheses

A three-volume penile prosthesis consists of a pump with a built-in discharge valve, a reservoir housing a saline fluid, and two cylinders. The surgery associated with the three-piece implant is the most complicated amongst all penile prostheses types.

Pros

  • The erection you achieve is almost natural and better than those you get with semi-rigid or two-piece devices

Cons

  • Surgical process is considerably extensive
  • Costliest amongst all implant types
  • Highly vulnerable to leakage and dysfunction
  • Requires the user to have good skills for operating it

Concluding remarks

For an in-depth understanding of inflatable penile implants and their mechanisms, you can shoot an email to us or contact our surgeon.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355428/#__sec2title
  2. http://implapark.com/index.php/2017/11/23/penile-prosthesis-surgery-a-review-of-prosthetic-devices-and-associated-complications/
  3. http://www.flinturology.com/ams_prothesis.shtml
  4. http://www.flinturology.com/ambicor.shtml
  5. https://www.askdoctork.com/different-options-penile-implants-201404096260
  6. https://blog.drpaulo.com.br/en/blog/types-of-penile-prosthesis

 

Everything you need to know about semi-rigid penile implants

nyc-surgeon-specialist-semi-rigid-penile-implants-03When talking about prosthetic penile implants, there are various kinds of prostheses that men can opt for correcting their erectile dysfunction, including Semi-rigid penile implants. However, for the sake of simplicity, medical professionals and prosthetic surgeons segregate the different penile prosthesis types into two broad categories-inflatable implants and non-inflatable implants. Non-inflatable and inflatable implants are further subdivided into distinct kinds, mainly regarding structure and functionality.

Inflatable penile prostheses are more extensively used, compared to the non-inflatable because of the former’s inherent benefits. However, we’re going to focus on non-inflatable or semi-rigid penile implants in this blog, discussing the different types along with the advantages and drawbacks of each.

Non-inflatable penile implants

male-implant-info-ed-02Non-inflatable penile implants are so called because these prosthetic devices come with rods or tubes that cannot be inflated and have a semi-rigid structure. Malleability and rigidness are the chief traits of non-inflatable implants, and owing to these distinctive, singular characteristics, the chances of leakage are minimal. At the same, these unique features enable the prostheses to remain in a functioning mode round the clock, and their fluid exchange requirement is less in comparison to inflatable models.

The non-inflatable, semi-rigid implants comprise chiefly of two pliant, bendable tubes constructed from a silicone material or coiled metallic wires. Once the prosthesis is successfully implanted inside your penis, you can expect an improved rigidity during coitus and also keep the organ concealed owing to the special materials used and also due to its shape and structure.

semi-rigid-penile-implant-info-nyc-01Another kind of non-inflatable, semi-rigid penile prosthesis that is somewhat less popular has silicone rods composed of articulating segments joined or interlocked with each other via a spring-activated cable on both ends. The spring-powered cables contribute towards keeping the polytetrafluoroethylene-coated ring segments in an erect and firm position as well as make them flaccid when deactivated.

The non-inflatable prostheses are supremely suitable for those whom durability and convenience of use matter more than the cosmetic benefits of inflatable penile prostheses or IPPs. Non-inflatable implants are embedded by making a ‘penoscrotal’ or an infrapubic incision which is larger in comparison to openings created for inserting inflatable tubes. Sometimes, the surgeon makes a partial subcoronal opening for placing the semi-rigid rods.

Semi-rigid implants pros

  • Firmer erections can be achieved easily
  • Particularly suitable for patients with  partial dexterity
  • The surgical process is less complicated, and hence less expensive compared to IPP surgeries
  • Lower risks of dysfunction or malfunctioning owing to the simplicity of the structure

Cons

  • The penis may remain firm and somewhat making it prominent even under layers of clothing
  • You could suffer from chronic pain if the implantation is not done effectively

You can through the following two links for gaining a better understanding of semi-rigid penile prostheses:-

Concluding remarks

We sincerely hope that you’ll have a better idea about non-inflatable (both semi-rigid and articulating segments types) penile prostheses. The semi-rigid prosthetic penile implant (SPP) continues to be a feasible treatment option for a good proportion of males with ED, the better effectiveness rates (read satisfaction) of inflatable implants notwithstanding. Semi-rigid implants are still popular primarily because of their affordability and durability without a significant tradeoff regarding coital satisfaction.

If you wish to know whether you’re a candidate for semi-rigid or inflatable penile prosthesis implant, call us today at 212-541-6239.

References

  1. https://blog.drpaulo.com.br/en/blog/types-of-penile-prosthesis
  2. https://www.askdoctork.com/different-options-penile-implants-201404096260
  3. http://www.flinturology.com/malleable_pros.shtml
  4. http://www.alarconurology.com/blog/erectile-dysfunction-penile-impotence/types-of-penile-implants/
  5. https://www.verywellhealth.com/what-are-the-different-types-of-penile-implants-4126585
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313299/
  7. https://www.harvardprostateknowledge.org/treating-erectile-dysfunction-with-penile-implants

 

https://en.wikipedia.org/wiki/Penile_prosthesis

Different types of penile implants: What You Should Know

types-of-penile-implants-medical-info-01Are you seriously thinking about opting for prosthetic penile implant surgery, but aren’t able to make up your mind on the implant type to go for? Selecting an appropriate penile implant from the various types that are available could be quite cumbersome and puzzling for a large number of men with erectile dysfunction. Awareness about the diverse prosthetic implants for penis and their working mechanisms will go a long way in enabling you to choose the type that’d be ideal for you.

If you strongly feel that you are a potential candidate for a penile implant/penile implant procedure, then your doctor will surely help you to choose the right type. The physician will consider and evaluate specific factors like your current health condition and lifestyle, and medical history apart from your personal preference. The cost of the device is a significant aspect that you’ll also need to factor in.

This blog will walk you through the various kinds of penile implants that are available, and how each type functions.

Prosthetic penile implant types

Non-inflatable semi-rigid implant

semi-rigid-penile-implant-technical-medical-information-02A non-inflatable semi-rigid implant allows you to have a firm penis without sacrificing flexibility. Firmness and pliability are two factors crucial for enjoying fulfilling coitus or sexual intercourse. The main component of the non-inflatable device is tubes or rods that stays rigid as well as malleable making it easy for you to insert your penis through the vulva.

The robust construction of the rods ensures that they remain impermeable to leaks and always ready for action. The rods are metallic filaments encased in silicone that keep them firm, pliable, and easily disguisable. However, the efficacy of the device does not purely depend upon its structure.

The perfection with which the surgery is carried out also makes a huge difference. Efficiently reconstructing the penile tissues followed by accurate implantation of the device helps in achieving the best results.

Non-inflatable articulated/segmented implant

The articulated or segmented implant is another kind of non-inflatable prosthesis that tends to be more flexible than the semi-rigid type. As its terminology indicates, the device is made up of segments enveloped in silicone. The segmented sections are tethered to one another and held in place by springs fixed on either end.

This type of implant owing to the articulated parts (instead of being a single tube or rod) happens to be less taut compared to the semi-rigid device. The surgical procedure for implanting semi-rigid or articulated devices is less complicated than the process for instilling inflatable ones. Additionally, using them is simpler, and they’re also less prone to going kaput.

 Two-piece inflatable penile implant

2-piece-inflatable-penile-implant-nyc-surgeons-03The two-piece penile implant comes with a reservoir and a pump (with a release valve) that make up one piece or section and two inflatable cylinders which comprise the second piece. The pump together with the reservoir is positioned inside the scrotum, and the cylinders are installed inside the penis.

The procedure for implanting the two-piece is more straightforward compared to the process for installing the three-piece implant. Though you do not need to be too deft with your hands for operating it, the erections are not so firm.

Three-piece inflatable penile implant

3-piece-inflatable-penile-implant-nyc-surgeon-04Though the three-piece inflatable implant functions in the same way as a two-piece device, the erections you get tend to be extremely rigid. Three-Piece prosthetic penile devices furnish the best (read firm) erections amongst all types of implants. This device consists of a pump which goes inside the scrotum, a fluid-filled tank which is positioned underneath the abdomen, and two inflatable cylindrical tubes that are slotted inside the penis.

Surgery for implanting a three-piece is remarkably complex. This kind of inflatable implant permits a higher volume of fluid to be exchanged, eventually enabling very rigid erections and quicker flaccidness after deactivation. However, these implants are vulnerable to malfunctioning and leakage owing to the complexity of the system.

Inflatable prostheses are particularly suitable for those ED patients who have a problem of insufficient blood rushing into their penises. Making an appointment with one of our experts can get you in-depth details about the possibilities and benefits.

References

  1. https://www.webmd.com/erectile-dysfunction/guide/penile-prosthesis#1
  2. https://georgiaurologist.com/procedures/coloplast/is-a-penile-implant-right-for-you/
  3. https://www.healthline.com/health/erectile-dysfunction/penile-implant-surgery#procedure
  4. https://www.medicalnewstoday.com/articles/320918.php
  5. https://www.askdoctork.com/different-options-penile-implants-201404096260
  6. https://blog.drpaulo.com.br/en/blog/types-of-penile-prosthesis
  7. https://www.verywellhealth.com/what-are-the-different-types-of-penile-implants-4126585
  8. http://www.alarconurology.com/blog/erectile-dysfunction-penile-impotence/types-of-penile-implants/