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Penile Implants: A Comprehensive Guide to Permanent Erectile Dysfunction Treatment
In Brief, penile implant surgery is a short procedure that gives excellent erection and sexual power. Penile prosthesis surgery is reserved for men with erectile dysfunction. Erectile dysfunction (ED) is a common condition that affects millions of men worldwide. While there are several treatments available, including ED medications and vacuum erection devices, some men may require more advanced treatment options. Penile implants, also known as penile prostheses, are one such option. In this article, we will discuss the basics of penile implants, including their types, benefits, risks, and alternatives to penile implant surgery.
What are Penile Implants?
Penile implants are devices that are surgically implanted into the penis to help men achieve an erection. There are two main types of penile implants:
1. Inflatable Penile Implants
Inflatable penile implants consist of two cylinders that are implanted into the penis, a pump that is implanted into the scrotum, and a reservoir that is implanted into the abdomen. When the man is sexually stimulated, he can activate the pump, which will cause the cylinders to fill with fluid and create an erection. All components of the penile implant are hidden inside the body. Nothing is visible. All parts are implanted through one small incision at the base of the penis. Notably, with an inflatable penile prosthesis, sexual enjoyment , sexual pleasure and sexual desire do not change.
2. Semi-Rigid Penile Implants or Malleable Penile Implants
Benefits of Penile Implants
There are several benefits of penile implants, including:
1. Improved Sexual Function: Penile implants can help men achieve and maintain an erection, which can improve their sexual function and satisfaction. A penile prosthesis will help one exceed his best sexual performance. With a penile implant, a man can perform sex on daily basis, more than once a day of desired, mostly life-long.
2. Long-Term Solution: Unlike medications or other treatments for ED, penile implants provide a long-term solution for men who do not respond to other treatments.With a penile prosthesis, age will not affect the rigidity of the penis, nor will smoking, diabetes, heart disease or other ailements do.
3. High Success Rate: Penile implants have a high success rate, with up to 90% of men and partners reporting satisfaction with the quality of erection and sexual life after getting a penile implant.
4. Improved Quality of Life: Men who receive penile implants often report an improved quality of life due to improved sexual function and satisfaction. High satisfaction rates with penile implant surgery is documented in many research papers published internationally.
5. Penile Implants are Cost-Effective: On the long run and over the years, the cummulative cost of ED medications can easily exceed the one-time cost of penile proshesis surgery. This is paticularly true when penile implant surgery is performed in countries where there are experienced implanters, but the cost of penile implant surgery is low compared to other countries. The cost of penile implant surgery in Egypt is extremely competitive. This is becuase the health care system in Egypt allows low-cost health care services. This allows world-class famous penile implanters such as Prof.Osama Shaeer to perform the surgery at a fraction of the cost of penile implant surgery in USA or Europe.
Why Do I Need a Penile Implant?
A penile implant is the only solution for a man with severe erectile dysfunction who is not responding to any form of ED treatment. This man with severe ED will then be able to enjoy sex whenever he wants, usually life-long. Whether or not you need a penile implant surgery depends on several factors such as the types of ED medications you hav tried, their results, control of ED risk factors such as diabetes and smoking, and several more parameters that we as penile implant experts can evaluate.
How Difficult is it to get a Penile Implant?
Penile implant surgery is not difficult for the patient at all. In fact, penile prosthesis surgery is mostly a one-day surgery. Patients are able to conduct the whole process on their own, with no help or assistance from others, such that the penile implant surgery is discrete. One may return to clerical work after penile prosthesis surgery usually within less than a week. Pain after getting a penile implant is mostly mild to moderate. However, oencan resume sex within thirty to forty five days following penile implant surgery.
What are the Risks of Penile Implant?
Like any surgery, penile implant surgery carries some risks, including:
1. Infection: There is a small risk of infection with any surgery, including penile implant surgery. However, in expert hands and famous high volume implanters such as Prof.Osama Shaeer, this risk of penile implant infection is less than 1%. While it is not life-threatening, it will required a re-do of the penile implant.
2. Device Malfunction: While rare, there is a risk of device malfunction or failure, which may require additional surgery to replace the device. Some penile implant manufacturers give a life-time guarantee that covers this rare possibility.
3. Pain or Discomfort: Like any surgery, in the first few week, some men may experience pain or discomfort after surgery, which can be managed with pain medication.
4. Size of the Penis may Change: With long standing erectile dysfunction and infrequent rigid erections over the years, the penis may lose some length and width due to development of fibrotic changes. Furthermore, obesity leads to concealment of the penis with accumulation of fat around its base. When one undergoes penile prosthesis surgery, size of the penis may be a bit less than it used to be before those events happened. This is not a drawback of penile implant surgery per se. Prof.Shaeer; the expert penile implanter, has developed techniques to enhance penis size with penile prosthesis implantation such as his own Dorsal Phalloplsty technique whereby lower abdominal fat is pulled back by surgical suture to reveal the penis. Prof.Shaeer performs penile length enhancement surgery in the same session with penile prosthesis implantation, in selected cases.
Alternatives to Penile Implants
While penile implants are an effective treatment for ED, there are several alternatives that men may consider, including:
1. Medications: There are several medications available that can help men achieve an erection, including sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). Testosterone substitution is also a good option for men with low testosterone and no contraindication for testosterone therapy. In case of failure of ED treatment, penile prosthesis surgery is the last resort.
2. Vacuum Erection Devices: Vacuum erection devices are non-invasive devices that use suction to help men achieve an erection. Most men will find vacuum erection devices cumbersome, but some will use them just fine.
3. Penile Injections: Penile injections involve injecting medication directly into the penis to help men achieve an erection. Intracavernous injection (ICI) is used before every intercourse. Again, most men will find intracavernous injections cumbersome and fibrosis of the penis or priapism are not uncommon side effects. This, again, puts penile implant surgery as one of the best option for treatment of erectile dysfunction in case of failed medical treatment for ED.
In Conclusion
Penile implants are an effective treatment for men who do not respond to other treatments for ED. While there are some risks associated with the surgery, the benefits can be significant, including improved sexual function, a long-term solution, and a high success rate. Prof.Osama Shaeer is one of the most famous high-volume implanters. Penile implant surgery in Egypt is much cheaper than in many countries around the world.