The penile prosthesis is not an indicated treatment for premature ejaculation, but in some cases it may impact erectile function. Learn more!
Premature ejaculation is a condition that affects men’s sexual health, often causing embarrassment and dissatisfaction during intercourse. For this reason, every man wants to avoid this issue.
According to the Brazilian Society of Urology (SBU), about one in three men worldwide experiences premature ejaculation. This statistic may lead them to consider a penile prosthesis for premature ejaculation—an idea that is not entirely suitable for addressing this concern.
Before exploring this possibility, it is necessary to understand the indications of the penile prosthesis, recommended for cases of severe erectile dysfunction, as well as the available treatments for premature ejaculation—this male sexual dysfunction that does have alternatives. Find out more below!
What Is Premature Ejaculation?
Premature ejaculation is one that happens long before the desired time, which often is not satisfying, especially for the sexual partner.
It is one of the most common conditions among sexually active men, who are unable to control the ejaculatory reflex, leading to ejaculation that occurs quickly and unintentionally—sometimes even before penetration or shortly after it.
The condition can be categorized into two types:
- Primary (or lifelong) premature ejaculation: occurs from the first sexual experiences and usually has a biological origin.
- Secondary (or acquired) premature ejaculation: arises over time and is generally linked to psychological factors, such as anxiety, stress, or relationship problems.
Diagnosis of Premature Ejaculation
Diagnosing premature ejaculation requires a consultation with a specialized urologist for a careful analysis of symptoms.
In addition to a detailed clinical history to identify possible causes, the diagnosis may include physical exams and laboratory tests to rule out physiological issues.
When making the diagnosis, the time between penetration and ejaculation is one of the main criteria, but the feeling of lack of control and reports of
dissatisfaction with sexual performance are also considered to confirm the condition.
It is worth noting that symptoms can occur in any man in occasional situations. Sexual life is compromised when premature ejaculation appears frequently, turning sexual encounters into negative experiences for those involved.
What Is the Penile Prosthesis and How Does It Work?
Now, it is important to learn more about the penile prosthesis, a device inserted into the penile corpora cavernosa to provide additional rigidity to the organ and to treat cases of erectile dysfunction that did not respond well to medications or injections.
There are two types of implants:
- Malleable Prosthesis: made of flexible rods, it keeps the penis in an extended position, requiring only manipulation of the organ to the desired direction—whether for penetration or to fit inside underwear.
- Inflatable Prosthesis: allows the man to control penile rigidity through a hydraulic mechanism placed in the scrotum, which can be deflated to achieve flaccidity.
The penile prosthesis is a device that helps with penile rigidity, potentially aiding erectile function in some cases.
Functions of the Penile Prosthesis
A penile prosthesis can contribute to the recovery of erectile function. It has the following functions, impacting men’s physical and psychological health:
- Restoration of erection: provides sufficient rigidity for sexual intercourse
- Control over erectile function: the patient can decide when and for how long to have an erection
- Boost in self-esteem
- Reduction of
anxiety
related to performance: decreases psychological pressure during sexual activity. - Improvement in intimate relationships
After All, Does the Penile Prosthesis for Premature Ejaculation Help?
Although the prosthesis is an effective solution for male sexual dysfunction caused by erectile dysfunction, there is no scientific evidence proving its direct efficacy as a treatment for premature ejaculation.
However, it is important to consider that men with a penile prosthesis can maintain an erection for as long as they wish and are not subject to a refractory period after
orgasm. As a result, they may continue sexual activity even after ejaculation, until all parties are satisfied.
Moreover, in some cases, when premature ejaculation is associated with severe erectile dysfunction, using the prosthesis can indirectly help by offering more confidence to the patient.
Men with premature ejaculation should seek medical evaluation to understand the most appropriate therapeutic options for their case. It is crucial that they do not expect to use a penile prosthesis for premature ejaculation, as there are no direct benefits in this scenario.
When Can the Penile Prosthesis Be Considered?
Penile surgery for implant placement is only considered in cases where erectile dysfunction severely affects the patient’s quality of life, after
other lines of treatment have failed to produce the desired effect.
Even so, this procedure is not without risks. A proper indication, a skilled surgeon, and a thorough assessment of overall health are essential before proceeding with the surgery.
Who Is It Not Recommended For?
The prosthesis is not exclusively recommended to treat premature ejaculation. Among those who live with erectile dysfunction, the device is not advised for men who are not in good health or who have not attempted other forms of treatment.
Furthermore, certain models of penile prosthesis may have restrictions. The inflatable implant, for example, is not recommended for patients who lack hand strength, since they need to pump the device to achieve an erection. Meanwhile, the malleable type can be more suitable for younger men, as it is less prone to malfunction or replacement.
It is crucial to talk with a doctor and, based on professional experience, choose the most appropriate prosthesis for your needs.
Recommended Treatments for Premature Ejaculation
There are several therapeutic alternatives for premature ejaculation, depending on the cause identified by the physician. They include:
- Kegel Exercises: these can help improve ejaculatory control.
- Psychotherapy: indicated when premature ejaculation is linked to anxiety or other emotional factors.
- Medications: antidepressants and topical anesthetics are often prescribed to delay ejaculation.
- Sexual rehabilitation: a personalized therapeutic plan can help the patient regain confidence and improve sexual life.
When Should I Seek Medical Help?
If premature ejaculation is affecting your quality of life or causing relationship problems, it’s time to seek professional guidance. It is important to remember that the earlier the condition is addressed, the less impact it will have on the individual.
A urologist can evaluate the patient’s situation, provide an accurate diagnosis, and guide the best treatment options, because a penile prosthesis for premature ejaculation may seem like a suitable choice at first glance, but there are safer and more effective alternatives.
Contact Dr. Egydio especially if the condition is linked to erectile dysfunction. Together, you can find the ideal treatment to restore your sexual health.
