Penile Implant Istanbul/ Turkey

A penile prosthesis, also known as a penile implant, is a medical device surgically inserted into the penis to treat erectile dysfunction (ED). This treatment is typically considered when other less invasive treatments for ED, like medication or vacuum devices, have not been effective or are not suitable.

How to Insert Penile Prosthesis?

Penile prosthesis (penile prosthesis) is a surgical method used for the treatment of erectile dysfunction (EB). This procedure is usually considered when other EB treatments (such as medications or vacuum devices) are not effective or appropriate. There are two main types of penile prostheses: inflatable and malleable.

Penile prosthesis surgery usually includes these steps:

• Anesthesia: The patient is put under general anesthesia. This ensures that the patient does not feel pain and sleeps during the surgery.
• Making an Incision: The surgeon makes a small incision at the base of the penis or in the scrotum. For inflatable prostheses, another small incision may be made in the abdomen to insert a reservoir.

Placement of the Prosthesis:

• Inflatable Prosthesis: Cylinders are placed in two erection chambers inside the penis. A pump and fluid reservoir are placed in the scrotum and abdomen. The pump controls the movement of fluid into the cylinders and back, ensuring erection and relaxation.
• Semi-Rigid Prosthesis: Flexible rods are placed in the erection chambers of the penis. These rods provide sufficient rigidity for sexual intercourse and allow the penis to be positioned separate from the body when not necessary.
• Closing the Incision: After the prosthesis is placed, the incisions are closed.
• Recovery Process: After surgery, it usually takes a few weeks for patients to fully recover. It is recommended to avoid sexual activity during this period.

Prosthesis selection and surgery process may vary depending on the patient’s health condition, preferences and surgeon’s recommendations. Penile prosthesis surgeries are among the most successful and safe methods today, but they also occur in every surgical procedure.

How is Penile Implant Surgery Performed?

Penile implant (penile prosthesis) surgery is a surgical procedure performed to treat erectile dysfunction. This surgery is usually preferred when other treatment methods (medication, vacuum devices) fail or are not suitable. There are two main types of penile prostheses: inflatable and semi-rigid. The process includes the following steps:

• Preparation and Anesthesia: The patient is prepared before the surgery and the procedure is usually performed under general anesthesia. This ensures that the patient does not feel pain and is unconscious during the surgery.
• Making an Incision: The surgeon makes an incision at the base of the penis or in the scrotum (scrotum). For inflatable prostheses, an additional incision may be made in the abdomen to insert a fluid reservoir.

Placement of the Prosthesis:

• Inflatable Prosthesis: Two cylinders are placed in the erection chambers (corpora cavernosa) of the penis. Additionally, a pump and fluid reservoir are placed in the scrotum and abdomen. The pump is used to create an erection by moving the liquid into the cylinders and to achieve relaxation by withdrawing the liquid.
• Semi-Rigid Prosthesis: Flexible rods are placed in the erection chambers of the penis. These rods provide sufficient rigidity for sexual intercourse and allow the penis to be positioned separate from the body when not necessary.
• Closing the Incision: After the prosthesis is placed, the incisions are closed.
• Healing Process: After the surgery, the patient’s recovery process begins. Full recovery is usually expected within a few weeks, and it is recommended to avoid sexual activity during this period.
• Follow-up and Controls: Regular checks and follow-ups are carried out after the surgery. An evaluation is made in terms of the function of the prosthesis and possible complications (infection, mechanical malfunctions).

Penile prosthesis surgeries are among the effective and safe treatment methods offered by modern medicine. However, as with any surgical procedure, certain risks and complications may occur. Therefore, pay attention to the doctor’s recommendations before and after surgery.

How long does a Penile Implant take?

The duration of penile implant surgery can often vary depending on the surgeon’s experience, the type of implant chosen, and the presence of any complications. Typically, this surgery takes about 1 to 2 hours. However, this period may vary for each patient and may be longer or shorter in some cases.

Factors that may affect the duration of surgery include:

• Implant Type: There are two main types of penile prostheses: inflatable and semi-rigid. Inflatable prostheses often require a more complex surgical procedure, which can increase surgery time.
• Surgeon’s Experience: An experienced surgeon can manage the surgery process faster and more efficiently.
• Presence of Complications: If any complications occur, additional time may be required to resolve them.
• Special Condition of the Patient: The general health condition of the patient and the anatomical characteristics of the penile area may also affect the duration of surgery.

To get more detailed and personal information about the duration of surgery, the patient’s recovery process and what to pay attention to afterwards, it is best for patients to consult their own doctor or surgeon.

Which Patients Can Be Applied to Penile Prosthesis?

Penile prosthesis (penile prosthesis) can be applied to patients in the following situations:

• Erectile Dysfunction (EB) Unresponsive to Medication: Penile prostheses may be an option for patients who do not respond to less invasive ED treatments such as oral medications, vacuum devices, psychological counseling, and other treatment methods.
• Severe Peyronie’s Disease: This condition is characterized by abnormal bending or bending of the penis due to a buildup of fibrous tissue. Peyronie’s disease can cause painful erections or sexual dysfunction. In some cases, penile prosthesis implantation can correct this problem.
• Other Medical Conditions: Penile prostheses may be considered for PE that occurs as a result of medical conditions such as diabetes or prostate cancer treatment.
• Post-Surgical EB: Penile prostheses may be a solution for patients who develop EB as a result of surgical procedures to the pelvic area, especially radical prostatectomy (surgical removal of the prostate).
• PE as a result of trauma: Penile prostheses may be suitable for patients who experience PE as a result of pelvic or genital area trauma.
• Congenital Anomalies: In some patients with congenital penile anomalies, penile prosthesis implantation may improve sexual function.

Before the decision to implant a penile prosthesis is made, the patient’s medical history, current health status, and the cause of EB should be carefully evaluated. This treatment is usually considered when other treatment methods have failed or are not suitable. Patients should have a detailed discussion with their surgeon about the potential risks, advantages, and expectations of this procedure.

Penile Implant Surgery After Prostate Cancer

After prostate cancer treatment, some men may experience severe erectile dysfunction (ED) as a result of treatments such as radical prostatectomy (surgical removal of the prostate) or radiation therapy. In this case, if other treatment methods (oral medications, vacuum devices, injections) are not effective or cannot be applied, penile implant (penile prosthesis) surgery may be an option.

How Does Penile Prosthesis Feel?

A penile prosthesis is a device used to treat erectile dysfunction (ED) and is often preferred when other treatment methods have failed or are not suitable. There may be variations in how the prosthesis feels, depending on the type of prosthesis and individual experience. However, some common experiences in general include:

• Look and Feel: Modern penile prostheses are designed to provide a look and feel very similar to a natural erection. Inflatable dentures are designed to have a normal, natural appearance when not in use. Semi-rigid dentures generally retain some rigidity but can still provide a natural appearance.
• Feeling During Sexual Intercourse: The prosthesis provides sufficient rigidity during sexual intercourse. Users generally experience a natural feeling during sexual intercourse. However, prostheses may alter the sensation of the penis or orgasm; For some men, sensitivity may decrease, while for others, the level of sensation may remain the same or change.
• Ease of Use: Inflatable prostheses have a pump mechanism to create and deflate erections. These pumps are generally easy to use. Semi-rigid dentures provide constant rigidity and can be positioned manually.
• Comfort: Dentures are generally designed to be comfortable when not in use. Inflatable prostheses are less noticeable and provide more comfort, especially when deflated.
• Psychological Effects: Penile prosthesis can have a positive impact on psychological and emotional well-being for men suffering from EB. Restoring sexual function can improve self-esteem and the relationship with the partner.

Because each individual’s experience is different, how the prosthesis feels may vary from person to person. It is important for patients to talk openly with their doctors about their expectations, concerns, and changes they experience before and after surgery.