What is a Penile Prosthesis?

A penile prosthesis is a medical device used for individuals experiencing erectile dysfunction (ED). This surgery, performed to restore the ability to achieve an erection, is generally preferred when other treatment methods are insufficient. Penile prostheses are typically made of silicone or similar materials, and can be either hollow or inflatable devices surgically implanted into the penis.

Goals and Benefits of Penile Prosthesis Surgery

The main goal of penile prosthesis surgery is to provide a long-term and reliable solution for individuals who cannot achieve sufficient erections during sexual intercourse due to erectile dysfunction. The primary benefits of the surgery include:

Improvement of Sexual Function: After surgery, patients can regain the ability to achieve erections and maintain a satisfying sexual life.
Psychological Relief: Individuals with erectile problems may feel sexually inadequate. A penile prosthesis can alleviate this psychological burden.
Alternative to Other Treatments: Provides a permanent solution when oral medications or vacuum devices are ineffective.

How is Penile Prosthesis Surgery Performed?

1. Preoperative Preparation: Before penile prosthesis surgery, the patient general health status is evaluated. Medical history, current health conditions, and the effectiveness of other treatments are reviewed. Preoperative steps usually include:

Physical Examination: The doctor assesses the patient overall health and the degree of erectile dysfunction.
Medical Tests: Blood tests, urine tests, and necessary imaging studies are performed.
Surgical Planning: The doctor determines the appropriate type of prosthesis and surgical method.

2. Surgical Procedure: Penile prosthesis surgery is usually performed under general anesthesia. The surgical process includes the following steps:

Incision and Placement: A small incision is made in the penis or groin area during surgery. The prosthetic device is carefully placed inside the penis.
Type of Prosthesis: There are two main types of prostheses:
Inflatable Prostheses: Use a pump mechanism to achieve erectile function. The prosthesis is inflated when needed to provide an erection.
Semi-Rigid Prostheses: Provide constant rigidity and are made of flexible materials. The user manually positions the prosthesis as needed.
Closure of Incision: After the prosthesis is placed, the incision is closed with sutures and the surgery is completed.

3. Postoperative Process: The recovery process generally includes the following steps:

Pain Management: Painkillers are prescribed to manage postoperative pain.
Recovery Period: Patients may stay in the hospital for a few days. Sexual activity should be avoided for several weeks after surgery.
Follow-up: Regular check-ups with the doctor may be necessary.

Possible Side Effects and Recovery After Penile Prosthesis Surgery

Possible side effects and important information about the recovery process after penile prosthesis surgery:

Recovery Period: The postoperative recovery period usually lasts several weeks. During this time, patients should limit physical activities and follow the doctor recommendations.
Pain and Discomfort: Some pain and discomfort may be experienced after surgery, which can generally be managed with painkillers.
Swelling and Bruising: Temporary swelling and bruising may occur at the surgical site, which usually resolves on its own.
Risk of Infection: There is a risk of infection after surgery, but this can be minimized with proper hygiene and treatment.
Sexual Function: Improvement in sexual function may take time after prosthesis placement. Some adaptation may be required during initial sexual activity.

Who Is It Suitable For?

Penile prosthesis surgery is generally recommended for the following situations:

Chronic Erectile Problems: When erectile dysfunction does not improve despite various treatment methods, and oral medications or similar treatments are ineffective, penile prosthesis surgery may be an appropriate option.
Severe Erectile Dysfunction: For individuals with permanent and severe erectile problems due to health issues such as diabetes, prostate cancer treatment, or trauma, this surgery offers a solution. In such cases, the underlying causes of erectile dysfunction are usually untreatable or unmanageable.
Psychological and Physical Distress: Individuals experiencing persistent failure in sexual intercourse and psychological distress may prefer a penile prosthesis to resolve the issue. Additionally, long-term erectile problems can cause sexual anxiety, lack of self-confidence, and relationship difficulties, which may necessitate penile prosthesis surgery.
Cases Unresponsive to Medications: If medications and other non-invasive methods for treating erectile dysfunction are not sufficiently effective, penile prosthesis surgery can be considered as a permanent and reliable solution.

Importance and Benefits of Penile Prosthesis Surgery

Penile prosthesis surgery offers a permanent and effective solution for individuals with erectile dysfunction. Successful surgery can significantly improve the patient sexual life and provide psychological relief. However, careful management of the preoperative and postoperative processes will increase the chances of success. If you have erection problems, consult a urology specialist to find out if this treatment method is suitable for you.