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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.

Choosing a Penile Implant Surgeon

What should you consider when choosing a penile implant surgeon? Whether you should get a penile implant or not is a tough decision to make. Erectile Dysfunction is more common around the world than you might realize. There is no reason to stay quiet about the issue when there are so many treatments available for it. In fact, the modern technology can treat this issue through minimally invasive methods. You will be only within a few days of the treatment. The best thing is that the results of these treatments are quite reliable. Getting the right treatment from the right professional can bring the joy of your sex life back.

Complications That Occur During a Procedure

Every procedure comes with its risks. From heart surgeries to even an appendix removal, there is always a certain level of risk that you must accept. And this risk increases tenfold when you do not choose your surgeon carefully. While it is a relatively safer treatment than a variety of other surgeries, a penile implant can have serious complications if a professional does not perform it.

Some of the complications that can occur during a penile implant are infection, implant problems, and internal erosion or adhesion. Infection is a very common risk with most types of surgery, but in the case of penile implants, you may be more susceptible if you have spinal injuries or are diabetic.

If the surgery does not happen properly, it is very possible for the prosthetic to stick to the skin or even erode the skin from the inside. This can likely happen due to an infection in the penis. Your surgeon might also incorrectly insert the prosthetic, which can lead to other serious problems.

How to Choose the Right Penile Implant Surgeon

Choosing the right surgeon for your implants can seem like a challenging task at first. However, there are a few things that you can look into when choosing your surgeon. Some of the important considerations include the following.

·       Surgeon Experience and Training

The first thing that you should look for in your surgeon is their experience and the training that they have received. The experience of a surgeon is the most important thing. It might not give you a 100% guaranty of a successful implant, but it can surely give you the much-needed peace of mind.

Studies have also shown that surgeons with experience and specific training will be able to perform the operation with less risk of infections and chance of mechanical failure. Moreover, a surgeon who is good this job will also ensure to get the patient in confidence before anything else.

·      Risks of the Operation

Other than the few complications that we mentioned above, there are many more that might occur during the surgery. Hence, it is important to have a discussion with the surgeon about any other risks that the surgery involves. Knowing that there are no risks associated with your surgery will also alleviate any doubts that you may have about the operation in the first place. Once you are comfortable with the procedure, you should go for it as soon as possible. The more you wait, the more you will confuse your mind.

Conclusion

While getting a surgery might be hard, finding the right surgeon to do it is not. Visit our website to read more about our amazing surgeons and urologists, as well as other services that we provide.

Am I Too Old For A Penile Implant?

Are you too old for A penile implant? Penile implants are, in more ways than one, a miracle of the modern technology. Relieving a conditions, which people considered incurable once, with minimal risk or side affects is no small feat. However, much like it is with other forms of treatment, people often associate age limitations with penile implants. It is true that penile implants are always a last resort for the people that have erectile dysfunction. But even people who are on that last stage contemplate greatly whether or not they should get it. So, if you find yourself in somewhat of a similar position, we are here to help. This guide will show you whether or not you can receive a penile implant, and how old you have to be.

Age for a Penile Implant

Age: 60

So, let’s get the most pressing matter out of the way first. Are you too old for a penile implant? Penile implants are a very common treatment method for all ages of men suffering from erectile dysfunction. One particular study saw that out of nearly 47 patients, 83% showed satisfaction with the result of the implants. And seeing how the average age for men in that test was 60, it is safe to say that you can get an implant till you are sixty.

While this may seem great, the real complications can start when you reach the age of 70 and above. At that point, you will have to consider a few additional factors.

Age: 70+

As soon as you reach your mid 70s, getting a penile implant comes with its own side effects and risks. If you are someone who is a rather healthy during or after their 70s, then by all means you can go ahead with the penile implant procedure. However, if you are someone who has some other ailment, then it is safe to consider not getting a penile implant; especially if you have a heart condition.

If you are suffering from a high or low blood pressure, or some other cardiac issue, you will first have to meet your cardiologist and get their professional opinion. Anesthesia can have a very serious affect on your body and can have serious complications such as a heart attack, stroke, or even death. You must also consider that the surgery itself can also lead to an infection, damage to the urethra, and failure of device.

Not Healthy Enough For A Penile Implant

Now in the case that you are not healthy enough for a penile implant, there are always other treatment plans that you can opt for when getting rid of erectile dysfunction. Although it is possible that you may have already tried many treatment plans, there are still some that you can try. Things like changing your diet and changing your medication can also have an effect on your erectile dysfunction.       You can also try getting specific massages from an experienced practitioner to help with your impotence. A few studies suggest getting a specific massage can help alleviate ED.

Conclusion

It is important that you discuss your options with a urologist before reaching a conclusion on your own. Only the right professional can guide you better on what can or cannot work for you. If you are looking to get a penile implant that is sure to go the distance, visit our website to find out more about our amazing urologists and the treatments that we offer.

Male Implants: Rigid, Semi-Rigid or Inflatable?

Are you curious about male implants? Erectile dysfunction is a problem that most people can’t even bring up in front of their friends or relatives. It is a complicated issue, but it is crucial to find immediate remedies to these situations. According to several studies, every one out of five men is bound to have this problem after he reaches 60. The first course of action that most doctors take to cure this condition is to give their patients pills such as Viagra. However, in most difficult situations, these pills do not do the job. This only leaves doctors with one option, and that is male penile implants.

Connecting these implants to the human body is a complicated procedure. It is also extremely invasive, but the success rates are high, and more importantly, it is the only option left in certain conditions. After placing the penile prosthetic implants in the male’s body, he will gain erections that feel as good as ever.

Male Penile Implant Devices

These penile devices are discreet and tailored to help men achieve erections that feel natural. Once the doctors implant the prosthetic, men mostly get total control of their bodies and can put their prosthetics to use at any time they want. This makes it a remarkably better option than other obscure alternatives that have low success rates. There are a few male implant types available in this age, the most common ones that most well-reputed doctors use are Rigid, Semi-rigid, and inflatable implants. All of these have their own functionalities and different operating procedures.

Let us discuss them one by one to see what they offer patients with erectile dysfunction.

Three Piece and Two Piece Penile Prosthesis (Rigid)

This implant contains two cylinders, which the urologists place inside the penis. The three-piece implant also has an inflatable pump, which the doctors put inside the scrotum. They then put a container filled with fluid inside their patient’s abdomen. Special tubing is what most urologists use to join this implant.

The two-piece implants are like their three-piece counterparts with the only major differences being that they do not have containers for keeping fluid. The scrotum’s pump is where the fluid goes. The two-piece implant is also rigid, but not as rigid as the former implant.

Semi-Rigid Rods

Semi-rigid rods are extremely flexible when you compare them to three and two-piece implants. Doctors put them inside their patient’s penis. Their semi-rigid state means that their shape and size remains the same all of the time. Patients can, however, easily change this implant’s position. A disadvantage of the semi-rigid or malleable rod is that it always keeps the penis in an erect state, which some men find quite uncomfortable.

Inflatable Penile Implants

Silicone and Bioflex are what most manufacturers use to create inflatable penile prosthesis. Its material is durable and supple. The erections that patients get with these implants mimic the performance and looks of real erections. In inflatable penis implants, doctors place a pump inside their patients’ scrotum, followed by entering two-cylinder pieces in the penis, and concluding with a reservoir inside the abdomen.

Conclusion

You should give the responsibility of implanting penile prosthetics only to the experienced professionals. Contact us through our website if you are looking for similar solutions, and we will get back to you to discuss your appointment time.

Do Penile Implant Surgeons Require Special Training?

Do Penile Implant Surgeons Require Special Training? Over the last two decades technological advancements have completely revolutionized urological practices. Moving from an invasive open surgery model to minimal invasion and cuts, Urological practices have come a long way. However, since urologists are working on very sensitive parts of the body, it raises the question, “Is technology overshadowing the raw skill of urologists?”  In other words, do male implant surgeons require special training to stay up-to-date with this current age of technology?

Becoming a Urologist

To answer your question, yes, implant surgeons do require specialized training to help them deal with the complicated nature of their job. Being a urologist is an incredibly hard job, not only because they have to deal with incredibly sensitive parts of the body, but also because they have to learn crucial information from a variety of medical professions.

Urologists also have an extremely rigorous training procedure and education throughout the years they spend in the med school.

Education Requirements

Urologists alone, have to go through about four years of med school. After that, they have to go through another four or five years of training at a hospital. This training prepares them for surgeries that they have to perform throughout their professional lives. For many urologists, this is where their education stops. However, some go the extra mile with fellowships that help them sharpen their surgical skills.

These fellowships also help them specialize in a very specific area of their craft, like female urology or urological oncology. It is very common for urologists to go that extra mile, as it gives them more insight of their area of expertise, and helps them become better surgeons. After going through almost ten years of studies, they have to pass the specialty certification exam for urologists.

Now, this is only the educational side of their careers. In addition to theoretical studies, they have to spend quite a few years in training. They have to receive extensive training in surgical procedures.

Sensitivity of the work

The human genitals are incredibly sensitive parts of the body, and one mistake can result in major irreversible damages. So, it is imperative for the surgeons and urologists alike to be well-versed and capable of doing surgeries like vasectomies or penile implants. And in clinics and hospitals, where urologists don’t have the skills to perform more advanced surgery, the institution will take help from outsourced resources.

Med schools understand the importance of urology and hence prepare their physicians for every challenge they may encounter. Med schools test the limits of their students through rigorous testing and simulations, all of which have very low margin for error.

Conclusion

Implant surgeons are possibly the most important individuals in urology. They have to be great at breaking the ice and socializing because of the nature of the issues they deal with. People are not very open about urological issues, especially when it comes to penile implants. It is the implant surgeon who has to make them feel comfortable before suggesting a surgery.

With very low margin for error, you wouldn’t want to take a risk with a surgeon who does not have the experience or skill to deal with your situation. So, be sure to visit our website in order to find out more about our implant surgeons and various other treatments.

FIFTH AVENUE UROLOGY
4 East 76th Street
New York, NY 10021
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212-541-6239

Different types of Penile Implant: Semi-rigid

What are the Semi-rigid penile implants? Penile Implants are used to treat Erectile Dysfunction (ED). They provide physical support to the penis so that the patient can achieve an erection. Semi-rigid implants are by far the cheapest and simplest to use. They are composed of two flexible, silicone rods that are surgically placed into the erectile tissue of the penis. Whenever the patient is ready for sexual activity, all he has to do is bend his penis upward. When he is done, he can turn the penis downward for concealment.

Manufacturers of Semi-rigid implant

The most common types of semi-rigid implants are both created by American Medical Systems, Inc. (AMS) and Coloplast and are very similar in construction and functionality. However, the Coloplast model called Genesis is offered in 9, 11, and 13 cm diameters and can be trimmed to meet the patient’s specific measurements. Antibiotic devices help reduce infection rates dramatically in patients who have penile implant surgery. All AMS models are coated with antibiotic to help reduce infection.

Advantages of semi-rigid penile implants

As with any medical device, there are pros and cons to the semi-rigid implant. The prosthesis provides a constant state of erection for the penis; therefore, it is effortless to use especially for men who have problems with manual dexterity. This also allows for spontaneous sexual activity because the patient does not need to wait for the device to be primed before using. Because of the relative simplicity of this implant and its installment, there are fewer components that can individually malfunction over time. Finally, since the implant is a mechanical device, it does not rely on the chemical makeup of the patient’s body to help the patient achieve an erection. Therefore, there is a much lower failure rate with the implant as compared to the oral medications.

Disadvantages of semi-rigid implants

However, due to its constant rigid state, this implant can promote the highest rate of penile tissue erosion as compared to inflatable implants. The inability to return to a natural flaccid state can also cause some pain to the patient. Placement of the device can also remove the patient’s natural ability to have an erection. Finally, the device doesn’t offer any expansion of the girth or lengthening of the penis.

Semi-rigid implant satisfaction rates

Despite all of these issues, satisfaction rates continue to remain high (91%) for patients who have undergone semi-rigid penile implant surgery. The semi-rigid implants continue to be an excellent choice especially for men who have difficulty with their hand and finger dexterities or who have limited mobility. Today, with many patients demanding higher quality and safer medical devices, there is continued research being done to improve upon the semi-rigid penile implants currently available on the market.

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.

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References:

Montague DK, Lakin MM. Early experience with the controlled girth and length expanding cylinder of the American Medical Systems Ultrex penile prosthesis. J Urol. 1992;148:1444–6.

Mayo Clinic. Penile Implants. https://www.mayoclinic.org/tests-procedures/penile-implants/about/pac-20384916

What is Sex Like After Penile Implant Surgery?

Nearly 90%-95% of men with penile implants have gone on record by iterating that they’ve had erections stiff and strong enough for pleasurable intercourse. To put it more accurately, almost 80%-90% of men with erectile dysfunction who chose a penile implant procedure said that they enjoyed having sex with their partners. These men also reiterated that they were so satisfied with the implant surgery that they’d again opt for the procedure if required.

Sex life post penile implant surgery

There is overwhelming evidence (backed by surveys and research) to guarantee that a penile implant could rejuvenate the sex life of a man with ED. The implant will enable the individual to have a robust erection where his penis becomes sufficiently tumescent, eventually allowing him to indulge in extensive foreplay and coitus that fulfills both him and his partner. When you compress the pump, the fluid from the reservoir flows into the dual cylinders fitted inside the penis causing the tubes to swell up.

The inflated cylinders lead to the penis becoming thick and rigid and thereby erect. The implant gives you an erection which is almost akin to the tumescence that men without ED experience. However, one significant drawback of using penile prostheses is that the length of your penis when fully erect might be less than the extent or span that was achieved before the surgery.

Anyway, if you opt for a latter-day 3-piece penile prosthesis, you could look forward to having an erect penis that is not only hard and thick but noticeably long as well. Nevertheless, the implant does not affect the pleasure sensations you feel on your penis’s skin surface. Neither does the prosthesis hinders or obstructs your instinctive capability to attain an orgasm.

This is so because the nerves that send signals for stimulating an erection are distinct from the ones that trigger the orgasmic process. Nor does the implant get in the way of your accomplishing an ejaculation. You need to realize that erectile function is completely different from the physiological function or process that causes orgasms.

But your ability to have a natural erection is compromised for good after the prosthesis is installed. Simply put, you’ll inevitably have to pump the device whenever you wish to have an erection. That, in essence, implies you may never be able to engage in sexual activity if the prosthesis is extricated.

The problem of penile shortening following the insertion of the prosthesis

A penile implant surgery, like any other kind of surgical procedure, is not without its complications and side effects. Though over 90% of men have expressed that their conjugal life received a huge boost after the operation, they found to their dismay that their penis was not as long (when fully erect) as it used to be before the implant. Development of fibrous and scar tissues following the surgery leads to penis shrinkage that ultimately prevents the organ from reaching its full normal length during erection.

However, the latest 3-volume inflatable penile implant devices that come with lengthy cylinders could go a long way in solving the above issue.

Outlook

The majority of men suffering from ED do not face any issues with orgasms or ejaculation. The insertion of a penile implant helps correct the problem of erectile dysfunction without negatively impacting orgasmic or ejaculatory functions. In case you are still thinking about the benefits, we recommend consulting one of our experts to get answers to all your queries.

Call today for a confidential consultation:

 

FIFTH AVENUE UROLOGY
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4 East 76th Street
New York, NY 10021
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212-541-6239

 


References

  1. https://www.ncbi.nlm.nih.gov/pubmed/4068047
  2. https://www.drelist.com/penile-implant-sensation/
  3. https://www.menshealth.com/sex-women/a19547727/penile-implant/
  4. https://www.edcure.org/articles/youve-made-the-decision-life-after-penile-implant-surgery/
  5. https://www.medicalnewstoday.com/articles/320918.php

Inflatable Penile Implant

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

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

The 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

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
212-541-6239 and schedule a free consultation.

To find out more about penile implants, visit our website: https://www.fifthavenueurology.com/penile-implants/

Indications for Penile Implants

How many men are suffering from Erectile Dysfunction (ED)?

According to the National Institute of Health, there are 30 million American men that are affected with Erectile Dysfunction (ED). Most men who suffer from ED are over the age of 40. However, the prevalence of ED increases with age. Chances are, you or someone you know is suffering from ED right now.

What is Erectile Dysfunction (ED)?

ED (also called impotence) occurs when a man has difficulty achieving or maintaining an erection. There are many causes of ED. Some of the most common reasons include heart disease, vascular disease, diabetes, alcohol, drugs, surgical complications and Peyronie’s disease. Chronic heart and vascular disease, along with diabetes can severely impair the blood vessels of the patient, restricting blood flow to the penis. This can result in an inadequate erection. Alcohol, tobacco and drug use (even prescription drugs) can also limit blood flow to the penis, leading to ED.

What is Peyronie’s Disease?

Finally, Peyronie’s disease occurs when a man has developed scar tissue in his penis, preventing him from achieving or maintaining an erection. At this time, causes for Peyronie’s disease are not known although most researchers believe that it occurs due to repeated trauma to the penis. This can happen via sexual activity, sports or an accident. Besides having ED, other symptoms of Peyronie’s disease include a significant bend to the penis, shortening of the penis, and pain even without having an erection.

What are the treatments for Erectile Dysfunction?

There are currently only three treatments for ED: prescription medications, use of a penis pump, and penile implants. Most patients that are newly diagnosed with ED are prescribed medications by their doctors.

Oral medications for Erectile Dysfunction

The most commonly prescribed drug is Sildenafil, or more commonly known as Viagra. This medication works by enhancing nitric oxide, which is a naturally occurring chemical in the human body. What nitric oxide does is it relaxes the muscle tissue to allow increased blood flow to the penis, resulting in an erection. However, there are a couple of downsides to this medication. First, it does not provide an immediate effect. It takes an average of 10-20 minutes after taking the drug to achieve a full erection. Second, since Sildenafil only amplifies the effects of nitric oxide in the body, the patient must first be sexually stimulated before the full effects of the medication could be realized.

Penis Pumps

Penis pumps, on the other hand, works mechanically. A vacuum tube is placed on the penis. The vacuum pulls the blood into the penis, and a ring is set on the base of the penis to make the erection last. The downside to the penis pump is it does not allow for spontaneous sexual activity, and it can take between 5-10 minutes to get the penis erect entirely. The pump can also cause bruising on the penis. Finally, the band at the base of the penis can affect ejaculation.

Indications for Penile Implant Surgery

Most men can be successfully treated with either medication or through the use of a penis pump. But for men who are either unsatisfied with these treatment options or for whom these treatment options have failed, there is one last available treatment for them: penile implants. A penile implant is a medical device that is surgically-inserted inside of a man’s penis to allow him to achieve an erection.  This treatment option may be the most invasive, but most men who have had the procedure done reports that it is the most satisfying option for them. According to the Mayo Clinic, these devices last up to 10 years without the need for replacements 60-80% of the time.

If you or someone you know has Erectile Dysfunction and has tried other treatments and failed, 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.

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References

  1. Nunes KP, Labazi H, Webb RC. New insights into hypertension-associated erectile dysfunction. Current Opinion in Nephrology and Hypertension. 2012;21(2):163–170.
  2. Mayo Clinic. Penile Implants. https://www.mayoclinic.org/tests-procedures/penile-implants/about/pac-20384916?p=1

What to expect before, during and after penile implant surgery

Indications for Penile Implant Surgery

before-during-after-penile-implant-surgery-02A 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. ED (also called impotence) occurs when a man has difficulty achieving or maintaining an erection.

Benefits of getting Penile Implant Surgery

The Penile Implant solves these problems. The prosthesis takes no time at all to use. When the patient is ready for sexual activity, he does not need to remember to take medication and wait 30 minutes for the medicine to take full effect. He and his partner can participate in sexual activity spontaneously. Since the implant works by providing physical support for the penis, this device is safe to be used by patients with heart disease and heart failure without risk of hypotension.

What to expect before Penile Implant Surgery

Before surgery, the physician will review the patient’s medical history with the patient, especially considering his history of ED. The physician will also consider the patient’s past surgeries and any medications he is currently taking (if any).

Next, a complete urological exam will be conducted to confirm the need for surgery. At this point, the patient’s manual dexterity will also be assessed to determine what type of implant will best serve the patient’s needs and ability.

What to expect the day of Penile Implant Surgery

after-post-penile-implant-surgery-01

The surgeon will discuss the entire operation with the patient to help them understand the procedure. They will also talk about complications; what kinds of implants will best serve the patient and how the surgery is permanent and irreversible. The surgeon will also want to make sure that there is someone who can drive the patient home after surgery and that they cannot eat or drink after midnight on the evening before their surgery.

What to expect during Penile Implant Surgery

The surgery will occur at a hospital or surgery center. Right before surgery, the pubic area will be shaved, and an antiseptic soap will be used to scrub the surgical site clean. The patient will then be put under general anesthesia, and a catheter will be placed to empty the bladder of urine. The surgeon will then make an incision on the base of the penis, and set the implant into the corpora cavernosa, the two hollow chambers in the that are responsible for achieving an erection in the penis.

The implants will be customized precisely to the specific measurements of the patient. If a 2-piece implant is to be used, the combined reservoir and pump unit will be surgically placed in the scrotal sac. If it is a 3-piece implant, an additional incision will be made in the lower abdomen to put the reservoir in that site. The entire surgery could take between 45 minutes to 1 hour.

What to expect after Penile Implant Surgery

male-implant-surgery-best-nyc-03After surgery, the patient may stay for a few hours in the recovery room to make sure that they are recovering well from surgery. The patient will be prescribed pain medications, as mild pain is expected to persist for a few weeks after the surgery. They will also be given an antibiotic to take at home for about a week to help prevent infection.

The patient will have to refrain from vigorous exercise and any sexual activity until they have checked in with their doctor. It usually takes 4-8 weeks until the patient can resume sexual activity.

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 www.fifthavenueurology.com/penile-implants/


FIFTH AVENUE UROLOGY

4 East 76th Street
New York, NY 10021
212-541-6239