Monthly Archives: November 2018

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

Penile 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?

More 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 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