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HOW DO PENILE PROSTHESIS WORK AND IN WHAT CASES ARE THEY USED?

Erectile dysfunction or impotence is one of the sexological problems that most affect men over 45 years worldwide. There are multiple therapeutic, medical and surgical treatments to solve it. Among them are penile prostheses whose indication is made in patients with severe erectile dysfunction.

However, it is also used in cases in which patients have not responded to other conservative treatments, whether they are oral therapies or the introduction of intracavernous, intraurethral vasoactive drugs, shock wave therapies, vacuum devices, etc.

What are penile prostheses?

A synthetic prosthesis is considered to be a synthetic material that is inserted inside the penis with the aim of solving erectile dysfunction or impotence. This prosthetic surgery has undergone many advances in recent years, which has achieved a high degree of satisfaction among patients who undergo it. In fact, not only has the quality of the materials and surgical treatments improved but also the results since 90% of men improve their sex lives.

However, it is important to note that penile prostheses are aimed at improving the patient’s sexual performance but do not affect or influence sexual desire, orgasm or male ejaculation. The patient must previously know this and be informed by his urologist appropriately. Therefore, a medical evaluation by sexologist in Delhi prior to the placement of a penile prosthesis is essential.

Types of penile prostheses and their use

The prosthetic penile surgery is performed through an incision in the root of the penis binding with the scrotum. By means of this incision, dilators are introduced with which the interior of the cavernous bodies of the penis is emptied and cylinders are placed inside the penis instead.

There are usually two types of penile prostheses: malleable or semi-rigid penile prostheses and hydraulic two or three-component penile prostheses.

Malleable or semi-rigid penile prostheses

The prosthetic penis Malleable is the most classic prosthesis. Although today they are not used very often, there are cases in which their use is recommended. This occurs, for example, in patients with high surgical risk or in cases in which the patient’s anatomy prevents a prosthesis of this size. There is also an economic factor that can lead a patient to prefer this type of prosthesis over the hydraulic prosthesis because the malleable prosthesis is more economical.  

As for placement, the same procedure is performed but in a less complex way since it involves inserting two semi-rigid cylinders without any adjacent mechanism. In the case of malleable prostheses, it is necessary for the patient to handle his prosthesis when he is going to have sexual intercourse. This means that in his daily life the patient keeps the prosthesis folded and at the moment in which he wants to have sexual relations he unfolds said prosthesis.

Three-component hydraulic penile prosthesis

Hydraulic penile prostheses are the most commonly used today due to their good results. It is the same surgical procedure but with some variations since it includes a mechanism inside. In these prostheses, a liquid is introduced into the cylinders, which are usually made of surgical silicone, and a pump is used to remove the liquid.

There are two or three-component hydraulic penile prostheses although three-component ones are the most widely used at present. As for the operation of these prostheses, it is a prosthesis where a liquid is placed in a reservoir of the mechanism that is placed behind the pubis and connected to a pump inside the scrotal bag. This device, through a series of pulsations, carries the liquid from the reservoir to the cylinders at the time of erection to maintain sexual intercourse.

Once sexual intercourse has ended, the liquid returns to the reservoir, leaving the cylinders empty again. These cylinders are never perceived by the patient who can maintain their sexual and daily life with total normality.

At sexologist clinic in Delhi, we have the latest advances in erectile dysfunction treatment in Delhi. Our medical team can advise you to recover your sexual life normally. If you need it, do not hesitate to contact us here.