Penile Prosthesis Istanbul - Turkey

Penile Prosthesis Istanbul/ Turkey

A penile prosthesis is a medical device often used to treat erectile dysfunction (impotence). These implants are an option for men who cannot achieve sufficient penile rigidity to achieve or maintain a natural erection. Implants are surgically placed inside the penis and help achieve erection manually. There are two main types:

Inflatable Penis Implants:

  • How It Works: These implants consist of cylinders inside the penis and can be filled with fluid. To achieve an erection, a pump inside the scrotum is pressed. This process fills the cylinders with fluid and causes the penis to become erect.
  • Features: Inflatable implants offer the look and feel of a natural erection. When there is no erection, the penis returns to its normal and natural appearance.
  • Advantages: Offering a more natural erection experience and ease of use.

Semi-Rigid Penis Implants:

  • How It Works: This type of implant consists of flexible and bendable rods that allow the penis to remain erect to some degree at all times.
  • Features: The penis can be manually adjusted to the suitable position for sexual intercourse.
  • Advantages: They have a simpler structure and less risk of mechanical failure.

Penis Implant Surgery and After:

  • Surgery: It is usually performed under general anesthesia and the patient is usually discharged the day after surgery.
  • Healing Process: Complete recovery after surgery usually takes a few weeks.
  • Risks: There are risks of infection, mechanical failure of the implant, and damage to surrounding tissues.

Who is it suitable for?

  • It is suitable for men who have serious erectile dysfunction problems and who do not benefit from other treatment methods.
  • Psychological counseling and a detailed health assessment are important steps before surgery.
  • Important notes:
  • The penis implant does not increase sexual desire or orgasm, it only provides a mechanical erection.
  • The implant does not affect fertility, but it may permanently alter the natural erection ability.
  • The success of the implant and the patient’s satisfaction depend on realistic expectations and performing the surgery correctly.
  • Like any surgical intervention, penile implant surgery is a serious decision and should be evaluated carefully. It is important to consult a healthcare professional to be fully informed of the potential risks and consequences.

What Happens During Penis Implantation?

Penile implantation is a surgical procedure used to treat erectile dysfunction (ED). This surgery involves placing an implant inside the penis and is usually preferred in severe cases of ED. The process experienced during the transaction can be summarized as follows:

Preparation Phase:

  • Patient Preparation: The patient is usually given general anesthesia, which means the patient will be put to sleep throughout the surgery.
  • Sterilization: The surgical area is sterilized and appropriate precautions are taken to minimize the risk of infection.

Surgical Procedure:

  • Incision: The surgeon makes one or more incisions at the base of the penis or in the scrotum (scrotum).
  • Access to Cavernous Bodies: The two cavernous bodies (erectile tissues) inside the penis are exposed. These tissues fill with blood during erection.

Placement of the Implant:

  • Inflatable Implants: For this type of implants, cylinders are placed inside the cavernous bodies. Additionally, a pump and fluid reservoir are placed in the scrotum or in the abdomen.
  • Semi-Rigid Implants: In this case, flexible and bendable rods are placed directly inside the cavernous bodies.

Closing Stage:
The incisions are carefully stitched and a bandage is applied if necessary.

Postoperative:

  • Recovery Process: Post-operative recovery time is usually a few weeks. During this time, the patient needs to manage pain and watch for signs of infection.
  • Activity Restrictions: Avoiding sexual activity and strenuous physical activity is generally recommended for 4-6 weeks.

Results and Follow-up:

  • The implant can successfully restore sexual function in most patients.
  • Regular follow-up appointments are important to make sure the implant is working properly and no complications occur.

Important notes:

  • Penile implantation is a permanent solution and can replace natural erection ability.
  • As with any surgical procedure, this surgery has risks and potential side effects.
  • If this type of surgery is being considered, it is important to meet with a healthcare professional for a detailed evaluation and consultation.

How Does Penis Implant Work?

A penile implant is a surgical device designed to restore sexual function in men with erectile dysfunction (ED). There are two main types: inflatable penile implants and semi-rigid penile implants. Both types are surgically inserted into the penis and use different mechanisms.

Inflatable Penis Implants
Structure:

Inflatable implants consist of two cylindrical tubes placed inside the penis, a pump in the scrotum (scrotum), and a fluid reservoir in the abdomen.

Working Mechanism:

  • Achieving an Erection: During sexual activity, the man squeezes the pump inside the scrotum, allowing fluid to be transferred to the cylinders. This process causes the penis to harden and achieve an erection.
  • Termination of Erection: When the activity ends, fluid is transferred back to the reservoir using a valve mechanism in another part of the implant and the penis returns to its natural, flaccid state.
  • Semi-Rigid Penis Implants

Structure:

These types of implants consist of one or two rods that are inserted into the penis and are permanently partially rigid.

Working Mechanism:

These implants can be manually adjusted and positioned for sexual intercourse. After intercourse, the penis can be directed back towards the body and placed in a more comfortable position for daily activities.

Advantages and Disadvantages

Inflatable Implants:

  • Advantages: Provides a more natural erection and returns the penis to its normal appearance when not used.
  • Disadvantages: Since it is a more complex device, mechanical malfunctions may occur.

Semi-Rigid Implants:

  • Advantages: Simpler and more durable, mechanical failures are less likely.
  • Disadvantages: Privacy can be more difficult as the penis remains hard to some degree at all times and lacks the appearance of a natural erection.

Neither type of implant increases sexual desire or sensation; They only provide erection. Additionally, they have no effect on fertility. The successful use of implants is closely related to correct surgical practice and the patient’s understanding of how to use the implant. Like any surgical procedure, penile implants have risks and side effects, so a detailed evaluation and consultation with healthcare professionals should be undertaken if this type of treatment is being considered.

Who is a Good Candidate for a Penile Implant?

Penile implant is an option for men who have serious erectile dysfunction (ED) problems and who do not get satisfactory results from other treatment methods. To determine whether you are a good candidate, your doctor evaluates several factors, including the patient’s general health, the causes of ED, and their expectations for treatment. General characteristics of a good candidate are:

Failure of Other Treatment Methods:
The patient must have tried other ED treatment methods, such as medications (oral ED medications), penis pumps, or injections, without satisfactory results.

Evaluation of Medical Conditions:
Some medical conditions (diabetes, post-prostate surgery conditions, etc.) can cause ED, and in these cases, an implant may be a more effective solution.
The patient’s general health condition is important to determine whether he is suitable for surgery.

Evaluation of Psychological Status:
It should be examined whether psychological factors contribute to ED. If ED has psychological causes, it is recommended to resolve these problems first.

Realistic Expectations:
Patients need to have realistic expectations about what the implant can and cannot provide. The implant does not increase sexual desire or orgasm, it only provides a mechanical erection.

Accepting Surgical Risks:
It is important that the patient understands and accepts the potential risks and long-term consequences of surgery.

Partner’s Thoughts:
If the patient is in a relationship, the partner’s thoughts and expectations should also be taken into account.

Readiness for a Permanent Solution:
A penis implant is a permanent solution and can replace natural erection ability. It is important for the patient to accept this permanence.

Penile implant is not an option suitable for every patient and therefore a comprehensive medical evaluation and counseling is required before surgery. If a person is considering implants to treat ED, it is recommended that he or she consult with an experienced urologist or other relevant healthcare professional.

How Common Are Penile Implants?

The prevalence of penile implants varies depending on regional factors, cultural attitudes, and access to healthcare. But overall, penile implants are considered a less common option for treating erectile dysfunction (ED). There are several reasons for this:

Priority of Other Treatment Methods:

  • In most cases, the first choice for treating ED is less invasive methods such as oral medications, vacuum devices, or injection treatments.
  • Penile implants are often considered when other treatment methods have failed or are not suitable.

Patient Awareness and Preference:

  • Lack of awareness and knowledge about penile implants may limit the use of this treatment option.
  • Some patients may not prefer a surgical intervention or may be hesitant about the permanent nature of the implant.

Health Insurance and Cost Factors:

  • Penile implants can be costly, especially in countries without health insurance coverage.
  • Insurance coverage and accessibility are important factors affecting the use of this treatment method.

Regional and Cultural Differences:

  • The use of penile implants may vary in different parts of the world. While it is more common in some countries, it is rarely used in others.
  • Cultural attitudes and taboos around sexual health may also affect the use of this treatment option.

Medical Advances:
New developments in the field of ED treatment and alternative treatment options may affect the use of penile implants.

Surgical Results and Satisfaction Rates:
Penile implants generally have high patient satisfaction rates, but the permanent nature of this treatment and surgical risks may be deterrents for some patients.

As a result, while penile implants are a valid and effective option for treating ED, they are often considered a last resort for patients who do not benefit from other treatment methods. The rate at which patients prefer this treatment varies depending on various factors. For each patient, determining the appropriate treatment option should be made taking into account individual health status, access to treatment, cost, and personal preferences.

Does Penis Implant Feel the Same?

A penile implant is a device used to treat erectile dysfunction (ED) and is designed to provide a mechanical erection during sexual intercourse. However, the sensation and experience provided by a penile implant may differ from a natural erection. Some important factors that affect the feel of the implant are:

Physical Sensibility:

  • The penis implant allows the penis to harden, making sexual intercourse possible. However, the implant does not provide the exact same feeling of a natural erection.
  • Inflatable implants offer a more natural erection feeling, while semi-rigid implants provide constant hardness.

Sensory Sensory:

  • The sensitivity of the penis is generally not affected by the implant. This means that sexual arousal and the ability to orgasm can be preserved.
  • If the nerves are not damaged during surgery, the ability to experience sexual pleasure is largely preserved.

Aesthetics and Appearance:

  • The visual appearance of the penis may vary depending on the type of implant. When inflatable implants are used, the appearance of the penis becomes natural when not having an erection.
  • Semi-rigid implants can cause the penis to remain somewhat rigid, which can cause some discomfort in daily life.

Sexual Function:

  • A penile implant improves sexual function, and most users achieve sufficient erection for sexual intercourse.
  • However, the implant has no direct effect on sexual desire, libido or ability to orgasm.

Psychological Effect:

  • Many men who choose penile implants to treat ED report improved sexual confidence and relationships with their partners.
  • The ability to become sexually active again can positively impact overall quality of life and psychological health.

In conclusion

Although the penis implant does not provide exactly the same feeling of a natural erection, it does make sexual intercourse possible and in most cases provides sexual satisfaction. Implant selection and post-surgical results vary from person to person, so it is important to have a detailed evaluation and consultation with a healthcare professional. Every patient needs to be fully informed about their expectations, treatment options, and potential outcomes.

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