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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.

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/

 

Different Types of Penile Implants and Distinct Advantages of Each Type

Different Types of Penile Implants and Distinct Advantages of Each Type

which-type-of-penile-implant-to-choose-nyc-expert-01If you’re someone with erectile dysfunction disorder, you must have tried several treatment options, starting from medications to vacuum constriction device (penis pump) for correcting the problem. In case, the traditional treatment techniques have not served their purpose, do not lose hope-there is still light at the end of the tunnel. It would not be out of place to assume that you might have heard of penile implants as you have experimented with a range of remedial techniques.

There is sufficient clinical evidence to substantiate that penile implant has effectively worked for most men with ED for whom the conventional modes of therapy have failed to produce the desired results. Opting for prosthetic penile implant surgery is the last and only option for a significant proportion of males beset with ED.

The different types of penile implants

types-of-penile-implants-02Talking about penile implant types, there are two distinct categories-inflatable implants and non-inflatable implants. Inflatable implants are again classified into two sub-categories; two-piece implants and three-piece implants. The non-inflatable devices, as their terminology indicates, are semi-rigid implants that cannot be inflated.

But this limitation (the fact that it cannot be inflated is an advantage, technically speaking) of the semi-rigid implant is more than made up by its flexibility. There are various kinds of non-inflatable implant devices as well, and the distinguishing feature of each type is the degree of malleability or pliability.

Inflatable implants

inflatable-penile-implant-info-03Inflatable implants, both the two-piece and three-piece ones, are more popular (compared to their non-inflatable counterparts) throughout the world, including the US. The three-piece device has three distinct sections or parts whereas the two-piece has only two. When you choose a three-piece prosthetic implant for the surgery, the dual cylinders are inserted in the penis, the pump with a built-in release valve is installed in the scrotum, and a reservoir containing fluid is placed in the lower abdomen.

To facilitate an erection, you squeeze your scrotum mildly which activates the pump causing fluid to flow out of the reservoir and into the cylinders. You simply need to press the release valve for enabling the fluid to drain back into the reservoir which reverses the erection. The mechanism of two-piece devices is the same.

In a two-volume device, the pump is one section while the cylinders with the reservoir fixed at its back are the other.

Inflatable implants pros and cons

Three-piece devices

Pros:
– Has a natural feel to it and also appears lifelike
– Becomes soft and almost inconspicuous when deflated
– Erections are more firm compared to the two-piece implants
– The large size of the pump makes it easy to siphon

Cons:
– High risk of malfunction owing to the greater number of parts

Two-piece implant

Pros:
– The penis becomes soft and loose when deflated
– More easily concealed compared to a non-inflatable device

Cons:
– Erections not as firm as those with three-piece implants
– Individuals with arthritis, spondylitis, and other joint disorders may have to struggle with inflating the pump because of its small size

Non-inflatable or semi-rigid implants

semi-rigid-penile-implant-info-nyc-04The non-inflatable or semi-rigid implant being a very simple device makes it easy to use. During the surgery, the device which comprises a semi-rigid or ductile tube is slotted inside your penis. When you wish to have sex, you push your penis upwards and push it down when you’re through.

 

 

Non-inflatable pros and cons

Pros:
– Easier to use because of the simple structure
– Suitable for those with joint problems
– Less expensive compared to inflatable implants

Cons:
– The penis will tend to stay firm and tumescent most of the time which could cause embarrassment

 Concluding remarks

If you wish to know more about prosthetic penile implants, call us today at 212-541-6239 or email us.

References

  1. http://www.alarconurology.com/blog/erectile-dysfunction-penile-impotence/types-of-penile-implants/
  2. https://www.verywellhealth.com/what-are-the-different-types-of-penile-implants-4126585
  3. https://blog.drpaulo.com.br/en/blog/types-of-penile-prosthesis
  4. https://www.askdoctork.com/different-options-penile-implants-201404096260
  5. https://georgiaurologist.com/procedures/coloplast/is-a-penile-implant-right-for-you/
  6. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1464-410X.2004.05025.x

 

Indications for Penile Implant Surgery

Indications for Penile Implant Surgery

nyc-expert-answers-questions-about-penile-implant-surgery-01Penile implant or prosthesis surgery is slowly but surely proving to be the most effective treatment method for individuals with erectile dysfunction who’ve not been able to restore erectile function after trying all other less invasive techniques. Rapid strides made in the area of prosthetic devices in the past few decades. The advancements have meant that males suffering from erectile dysfunction now have better access to advanced penile implants and superior surgical implantation techniques that considerably reduce the risk of infection and device malfunction.

Who are the potential candidates for penile implant surgery?

good-bad-candidates-for-penile-implant-03More and more men are opting for prosthetic penile implantations for remedying erectile dysfunction, thanks to technical progressions in genitourinary surgery. The (penile) implant, in the majority of the cases, facilitates men with ED to enjoy a spontaneous and normal sex life, almost like males without ED.

The following groups of the male are the best candidates for penile implant surgery:

  • Individuals with an atrophied or deformed penis
  • Those diagnosed with permanent erectile dysfunction
  • Those who fail to have an erection due to the side effect of a medication or complications resulting from a past surgical procedure
  • Those who have undergone treatment for prostrate, colon or bladder cancer
  • Those with a vascular condition resulting from diabetes, hypertension, elevated cholesterol, smoking or heart disease
  • Those who’ve used a penis pump
  • Those who’ve taken drugs (for treating ED) like Viagra, Levitra, Stendra, and Cialis

 And those who are not

Penile implants may not work for you if:

  • A psychological or emotional issue is behind your ED
  • You have a urinary tract infection (UTI)
  • You lack sexual drive
  • The possibility of the ED reversing
  • You suffer from a condition relating to your penis’s or scrotum’s skin like inflammation, cyst or abrasion

How is the procedure carried out?

penile-implant-procedure-top-nyc-expert-02Penile implant surgery is generally carried out under general anesthesia or spinal anesthesia. The entire area that will be operated upon is clean shaved before the procedure is performed. An IV or intravenous tube is inserted for feeding antibiotics (to prevent the chances of infection), and another tube is implanted for collecting urine.

Once the anesthesia is administered and it starts taking effect, the surgeon creates an opening in the lower part of the abdomen or beneath the ‘glans penis’ (the tip of the penis) or underneath the organ’s base. After that, the tissues that swell with blood which makes the penis tumescent are extended, and the dual inflatable canisters are installed inside the organ. In case, you’ve opted for a three-piece implant, then the siphon is placed in the scrotum, and the tank goes beneath the wall of the abdomen.

On the other hand, if you’ve selected a two-piece implant, then the pump, release valve, and the saline reservoir is embedded into the scrotum. Once the device is successfully installed inside your penis, the surgeon sutures the incisions or openings.

Postsurgical recovery

Post surgery, the surgeon will guide you on how to care for the area that was operated upon as well as how to take advantage of the pump. Initially, you may need to take painkillers to get relief from the pain which could linger for weeks. You may also have to continue taking antibiotics for minimizing the likelihood of infection.

Though you could be able to resume a normal lifestyle about a week after the surgery, full recovery could take a month or two. However, you could go back to having an active sex life within 5-6 weeks.

Outlook

The ergonomic design of the penile implants not only ensures that you get a strong erection for coitus but also guarantee that they stay perfectly concealed. For more details fix an appointment with our experts and get a detailed consultation.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442986/
  2. https://www.urologicalcare.com/penile-implants-prosthesis/who-is-a-good-candidate-for-penile-implant-surgery/
  3. https://link.springer.com/chapter/10.1007%2F978-1-4615-9409-3_9
  4. https://www.healthline.com/health/erectile-dysfunction/penile-implant-surgery
  5. https://www.england.nhs.uk/wp-content/uploads/2018/07/Penile-prostheses-for-end-stage-erectile-dysfunction.pdf
  6. https://erection-info.com/en/penil-implant/
  7. https://www.ncbi.nlm.nih.gov/pubmed/8702352
  8.  https://onlinelibrary.wiley.com/doi/full/10.1111/j.1464-410X.2004.05025.x

 

Penile Implant Surgery Information

About penile implants

how-does-inflatable-penile-implant-work-03A penile implant is a specialized medical device that is surgically implanted within the penis and the scrotal sacs of men diagnosed with erectile dysfunction. The surgical procedure is carried out on ED patients for whom the traditional or contemporary treatment has proved ineffective. The penile implant which is bespoke enables the individual to have and feel an erection that is almost natural.

A man whose erectile dysfunction can be traced to an underlying medical condition is a potential or ideal candidate for a penile implant. Since the implanting of the prosthetic device involves surgery, the patient should be aware of what the procedure is about, the likely complications and risks, and postsurgical care.

 Penile implants types

All different kinds of penile implant devices can be grouped under two broad categories-inflatable implants and semi-rigid implants. The modus operandi for both types is distinct, and each has its advantages and drawbacks.

  • implants-for-ed-problems-surgical-information-types-of-implants-01Semi-rigid implants: The most distinguishing feature of semi-rigid penile implants is their steady firmness. This distinctive quality implies that the device can be manipulated for performing coitus and moving the same in the direction of the pelvis for disguising. The segmentations that keep the semi-rigid implant flexible are held in place by springs attached on either side.
  • Inflatable implants: As the name suggests, an inflatable penile device can be blown up like a balloon for facilitating an erection and easily deflated as well. Inflatable implants are the most extensively used penile implant devices. A typical inflatable implant has three sections-a reservoirs or pool for holding the fluid and inserted beneath the abdominal layer, a piston and a discharge valve that is embedded in the scrotum, and two tubes (implanted inside the penis) that can be inflated.

When the individual wishes to have an erection, he forces the fluid into the tubes by pumping the reservoir. Once he is through with coitus, he opens the valve so that fluid can drain back into the tank. Two-piece models are also available where the pump and reservoir makeup one single section and operate in the same manner as three-piece models.

A few models of inflatable implants have antibiotic or antibacterial coatings to minimize infection risks.

Benefits

Penile implant surgery is an intensely invasive form of surgical procedure that is usually chosen as a last resort for dealing with ED. Nearly 95% of men who underwent this surgery have reported having an erection robust enough for coitus. The device which usually has a 10-year functional lifespan has lived up to its expectations in 60-80% of the cases.

Side effects

The usual complications of a penile implant surgery entail:

  • Infection
  • Excessive bleeding post surgery (that might necessitate a re-surgery)
  • Formation of scar tissues
  • Tearing of tissue surrounding the implant
  • Mechanical failure (calling for a re-surgery to remove the implant)

Precautions

inflatable-penile-implant-info-best-nyc-doctors-02You’ll not be allowed to take food, water or drinks the night before the surgery. You’ll also have to stop taking certain medications, like NSAIDs and aspirin to keep the risk of infection at bay. A responsible person will have to drive you home as you’ll not be in a position to leave the hospital on your own.

At home, you’ll have to take prescribed medicines and antibiotics for getting relief from pain and reducing chances of infection respectively. You’ll be able to start having sex with your partner about a month and a half following surgery. You’ll need to follow all other instructions recommended by the doctor to avoid complications in the future.

Prognosis

Most males who consider going in for a penile implant operation are extremely concerned about the recovery period. Luckily for them, the recuperation phase is normally faster than they’d like to believe. Majority of patients recover considerably within 2-3 weeks and go back to having sex in nothing less than six weeks after surgery.

 Concluding remarks

Opting for a penile implant has proven to be an efficient way of treating ED. However, the surgery could profoundly diminish the natural urge of having an erection which in turn implies that you’ll always have to fall back on the implant for the same. Regardless of the drawbacks associated with penile implant surgery, most of the men are still willing to go ahead with the procedure.

If you wish to know more about penile implants, you can get in touch with our prosthetic surgeon.

References

 

 

 

Choosing which Penile Implant Sugery

What Type of Penile Implant Would Be the Best for Me?

If you’ve decided to go for a penile implant, you’ve made the right choice. If you’ve exhausted every other method with no results, a good penile implant can be life changing. However, before you decide to get an implant, you have to understand the various types available on the market and weigh up the benefits and disadvantages of each before you make a decision. Here’s a rundown of various penile implants so you can make the right choice.

Non-Inflatable Implants

non-inflatable-penile-implant-medical-academic-information-top-nyc-surgeons-03Non-inflatable penile implants are the simplest type of penile implants on the market. Non-inflatable penile implants, often referred to as semi rigid rod implants, consist of a rod that is inserted directly into the penis. All you have to do is push the penis down from your abdomen or up from your scrotum before intercourse. Semi rigid implants are a bit similar to a gooseneck lamp that you can adjust and move in various directions.

One of the biggest advantages of non-inflatable implants is that they are easy to use and more importantly, very cheap. The procedure is also less invasive. However, the biggest issue with these types of implants is that the penis stays constantly firm, which can be an issue at times.

Two Piece Inflatable Implants

2-piece-inflatable-penile-implant-information-top-nyc-doctors-01

Two-piece inflatable penile implants consist of two cylinders that are inserted into the penis and attached to a pump that is installed in the scrotum. By gently pressing on the pump in the scrotum, you’ll be sending fluid into the cylinders allowing you to achieve an erection.

One of the biggest benefits of two-piece inflatable implants over semi rigid ones is that you’ll have much more control over your erections. However, these types of implants won’t give you the most rigid erection that you can have.

Three Piece Inflatable Implants

3-piece-inflatable-penile-implant-medical-academic-information-top-nyc-doctors-02Three-piece inflatable implants are in many ways very similar to two-piece inflatable implants with the exception that a reservoir attached to the pump containing a sterile solution will be implanted into the abdomen. This solution will be sent directly into the cylinders to create an erection.

The best thing about these implants is that they create the most authentic looking and satisfying erections. They also act very fast, if you don’t want to lose spontaneity during intercourse. The only issue is that these types of implants are a bit more expensive and the procedure a bit more invasive.

Now that you know the difference between different penile implant types, you’ll be able to choose which model would work the best according to your needs. If you want more information about penile implants and the procedure in general, contact us today to schedule an appointment with the best penile implant doctor in NYC.