Monthly Archives: March 2019

Recovery after Penile Implant Surgery

Indications for Penile Implant Surgery

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

Is the implant surgery detectable to others?

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

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

What to expect immediately after surgery

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

Aftercare at home

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

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

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

How Penile Implants Work

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

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

Aspects your doctor will consider before suggesting an appropriate implant

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

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

Mechanism of how penile implants work

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

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

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

Sex life post surgery

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

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

Concluding remarks

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

References

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