Category Archives: Indications for Penile Implant Surgery

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

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