Penile implantation is indicated in severe cases of erectile dysfunction and also when it is associated with changes in penile anatomy.
The penile prosthesis is a therapeutic alternative indicated for men who do not achieve a satisfactory response to clinical treatments, such as oral or injectable medications.
The procedure may also be considered in cases of marked penile curvature, narrowing, or reduction in penile size, when the deformity causes sufficient structural instability to hinder or prevent penetration during sexual intercourse.
The main objective of the implant is to restore the penile rigidity required for penetrative function, while respecting anatomy, clinical history, and the individual characteristics of each patient, with a focus on functional recovery and quality of life.
Erectile dysfunction is characterized by difficulty in achieving or maintaining an erection sufficient for sexual intercourse.
Isolated episodes are common in situations of fatigue, anxiety, or stress, without necessarily representing a health problem.
However, persistent loss of rigidity and reduction, whether associated or not with the absence of morning erections for a period of three months or more, may indicate erectile dysfunction and warrant medical evaluation.
Penile implantation is a treatment for severe erectile dysfunction and anatomical changes that result in loss of penile functionality.
The indication for a penile prosthesis in erectile dysfunction occurs when the man does not respond or ceases to respond to oral or injectable medications.
Men with severe diabetes, prostate removal, and Peyronie’s disease — a condition characterized by penile curvature — may also require penile implantation.
The inflatable prosthesis may have 2 or 3 components; the difference is that the 3-piece model includes a pressurizing pump positioned in the scrotum.
The malleable prosthesis consists of two metal rods coated with silicone.
The joints of the articulating prosthesis facilitate handling but provide limited rigidity.
A penile prosthesis can be an effective alternative when properly indicated. In general, sensitivity and the ability to achieve orgasm tend to be preserved, although this may vary according to individual factors and the type of procedure performed.
In clinical practice and in studies, many patients report improved penile rigidity after implantation, which may positively reflect on confidence and sexual life. Results, however, depend on clinical conditions, surgical history, and the adaptation process to the device.
Oral medications assist erection but depend on the presence of sexual stimulation to work.
Penile injections, applied directly into the penis, also act by facilitating erection through pharmacological mechanisms.
Penile implantation, on the other hand, is considered when drug-based treatments do not provide an adequate response or in cases of erectile dysfunction associated with anatomical changes that compromise penile function.
Penile prosthesis surgery aims to recover, as much as possible, penile dimensions compromised by curvature, reduction in size, or narrowing.
The Egydio Technique can be an important ally in penile prosthesis implantation. Through multiple geometrically calculated and standardized incisions, the technique allows controlled expansion of the corpora cavernosa up to the safe limit imposed by nerves, blood vessels, and the urethra.
The surgeon’s experience and proper postoperative follow-up directly influence planning, safety, and procedural outcomes. Nevertheless, as with any surgery, there are inherent risks, which must be clarified and discussed during the medical consultation.
Following pre- and postoperative guidelines is essential to reduce the risk of complications, including issues related to adaptation to the penile prosthesis.
Before surgery, the urologist performs a thorough evaluation to define the best surgical strategy. This assessment may include:
palpation and measurement of the penis;
pharmacologically induced erection;
penile Doppler ultrasound to assess blood flow in the region.
The recovery period must be followed strictly and includes:
attendance at follow-up appointments;
proper wound care;
return to work within 7 to 10 days, provided there is no physical strain;
return to physical activities, generally after 30 days.
Return to sexual activity varies according to each patient, occurring in most cases between 45 and 60 days after surgery.
Penile reconstruction is a fundamental step in the appropriate selection of a penile prosthesis. Only a urologist with experience in reconstructive surgery can accurately assess the individual needs of each patient and plan the procedure safely and in a personalized manner.
Although penile prosthesis implantation is a well-established treatment with good safety outcomes when properly indicated — including availability through the public health system and private health insurance — many patients present associated conditions related to erectile dysfunction, such as fibrosis, curvature, narrowing, and reduction in penile size.
In these cases, penile reconstruction is essential to restore anatomy and create adequate conditions for correct prosthesis sizing, respecting penile length and girth as much as possible. This approach is decisive in aligning procedural outcomes with the patient’s realistic expectations, especially when there is a desire to preserve penile size.
If you still have questions about whether a penile prosthesis is an option for your case, you may complete the pre-analysis form and receive an initial assessment from Dr. Paulo Egydio, with a response within up to 24 hours by email.
If you have questions, submit your inquiry and receive specific guidance about your condition in a clear, objective manner and with complete discretion.
O conhecimento é o primeiro passo para realizar um tratamento, e nada melhor do que se instruir com um especialista no assunto: Dr. Paulo Egydio.
O Guia da Doença de Peyronie está disponível para download e também pode ser consultado tópico a tópico a seguir.
