11 Dec Penile Prosthesis: Facts to Consider
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A penile prosthesis is a surgical option for men with erectile dysfunction (ED) when other treatments, such as medications, injections, vacuum erection devices, therapy, or lifestyle adjustments, have proven ineffective or unsuitable. This implant helps achieve and maintain an erection necessary for intercourse, offering a long-term option for managing the condition. Before deciding on this procedure, it’s important to understand key facts about how the implant works, the types available, what to expect about scarring, the aftercare instructions, potential risks and complications, lifestyle adjustments, and impact on male fertility. Knowing these factors can help patients make informed decisions about the procedure.
There are Two Types of Penile Prosthesis
Penile implants come in two primary types: inflatable and semi-rigid (malleable) implants. Inflatable implants consist of cylinders placed in the penis, a pump in the scrotum, and a fluid reservoir in the lower abdomen. By pressing the pump, it allows the user to control erection firmness. To return to a flaccid state, the user presses the deflation button or valve on the pump, allowing the fluid to flow back into the reservoir. Semi-rigid implants, on the other hand, provide a constant firmness that can be manually positioned for intercourse or rest. Each type has its benefits: inflatable implants provide more flexibility and are less noticeable, while semi-rigid implants are simpler to use, especially for patients with limited hand movement.
Scarring is an Inevitable Outcome
Scarring is a natural and inevitable part of the healing process after penile implant surgery, as the procedure involves making incisions to place the implant components. The choice of incision site depends on the surgeon’s preference and the patient’s anatomy. For inflatable implants, the incisions are created at the base of the penis, the scrotum, or the lower abdomen. For semi-rigid implants, the incisions are made at the base of the penis or along the underside of the penis. It is important to remember that the scars are permanent and may vary in visibility depending on the patient’s skin type, healing ability, and adherence to aftercare instructions. Over time, the scars will mature, resulting in a change in their appearance and texture. This, in turn, reduces the visibility of the scars.
Adherence to Aftercare Instructions is Necessary
Recovery from penile implant surgery can take 4-6 weeks, depending on the extent of the procedure and individual healing factors. It is important that patients strictly follow the post-operative instructions to ensure proper healing and reduce the risk of complications. During the initial weeks, swelling, bruising, and mild discomfort are expected as the body heals. With rest and proper care, they will gradually subside. To prevent further injury and strain on the incision sites, strenuous activities and heavy lifting should be completely avoided for several weeks. However, patients can engage in light walking to prevent blood clot formation and promote blood circulation. Patients should also avoid sexual activity for 4-6 weeks to allow the implant to integrate properly and avoid stress on the healing tissues. Most importantly, patients should attend regular follow-up appointments to monitor progress and address any concerns.
There are Potential Risks and Complications
As with any surgical procedure, penile prosthesis surgery carries certain risks. These include infection, mechanical failure (for inflatable devices), scarring, or reduced penile sensation. There is also the possibility of implant erosion or displacement, which may require additional surgery (revision surgery). In addition, medical conditions such as diabetes, high blood pressure, heart disease, or clotting disorders can increase the risk of complications, making a detailed pre-surgical assessment critical.
Long-Term Commitment and Lifestyle Adjustments are Required
Having penile implants involves not only understanding their durability but also being prepared for potential lifestyle adjustments. For instance, inflatable implants require occasional activation, even if not used for sexual activity, to keep the pump and other components functioning properly and prevent fluid stagnation. Semi-rigid implants, on the other hand, though simpler and requiring less maintenance, provide constant firmness. This may affect some of the patient’s activities of daily living.
Penile Implants Do Not Directly Affect Ejaculation or Semen Quality
Penile implants are inserted into the penis to assist with achieving and maintaining an erection. They do not interfere with sperm production or ejaculation because they do not affect the testes, prostate, or seminal vesicles—organs responsible for producing semen. As a result, patients can usually ejaculate and produce semen as normal since the implant functions separately from these reproductive processes.
Reasons to Choose Dr Campbell for Penile Implant Surgery in Gold Coast
Dr Alistair Campbell is one of the highest-volume penile prosthesis implanters in Australia, having performed over one thousand implants. To increase the success rate of his penile implant surgeries, he conducts thorough pre-surgical evaluations at the Erectile Dysfunction Clinic. This includes assessing the patient’s overall health, identifying any underlying conditions, and managing potential risk factors such as diabetes, heart disease, or other medical conditions that could increase the likelihood of complications. His experience and attention to detail help ensure patients receive a treatment plan tailored to their specific needs and health status.
Dr Alistair Campbell is committed to ensuring patients are fully informed about their treatment options when considering penile prosthesis. He dedicates time during consultations at the Erectile Dysfunction Clinic to discuss the various types of implants, including inflatable and semi-rigid options, explaining how each type works and the advantages or limitations they may have for specific lifestyles or needs. He also addresses potential risks and complications, providing a transparent view of the procedure. Dr Campbell walks patients through the entire process, from the initial evaluation to the surgery and recovery phases, answering any questions or concerns they might have. By offering this level of detail, he empowers patients to make choices that are well-suited to their individual circumstances and goals.
Beyond explaining the technical aspects of the implants, Dr Campbell places a strong emphasis on setting realistic expectations about the outcomes of the surgery. He provides clear information about how the implants function, including their durability and maintenance requirements, and discusses how they may influence day-to-day activities or intimacy. Patients are given a comprehensive understanding of what they can anticipate after the procedure, helping them feel confident and prepared. This approach creates an environment where patients feel supported, allowing them to move forward with clarity about their treatment journey.
Read more:
Dr Campbell’s Penile Prosthesis Page (Penile Implants)
Dr Campell’s Penile Implant Surgery Page
Dr Campbell’s blog: Penile Implant Surgery: Things To Consider Before Procedure
Dr Campbell’s blog: Penile Implant Surgery Recovery Tips
