The surgeon’s experience with penile prosthesis surgery may contribute to more structured technical planning of the procedure. Learn about other criteria when choosing a penile prosthesis specialist.
Penile implant surgery is indicated for men with severe erectile dysfunction who have not had a satisfactory response to medication-based treatment.
Adequate management of the procedure involves factors such as the surgeon’s experience, preoperative assessment and the patient’s clinical condition. Find out more.
Experience and surgical volume when choosing a penile prosthesis specialist
The penile prosthesis specialist usually combines specific training and accumulated clinical practice. Understand how these aspects are related.
- Surgical volume of the specialist
Surgical volume may offer the professional greater familiarity with different technical scenarios.
Experience with different cases can help the specialist deal with anatomical variations and intraoperative situations.
- Experience in penile reconstruction
Previous experience can be especially relevant in complex cases, such as severe penile curvature, which requires in-depth anatomical knowledge.
Experience in penile reconstruction allows the urologist to use specific techniques that can be applied to cases requiring greater complexity.
An appropriate anatomical assessment helps in choosing the most suitable penile prosthesis and in surgical planning.
Certifications, training and medical credentials
In addition to experience and number of surgeries, anyone considering a penile prosthesis should check the surgeon’s certifications and medical credentials.
These elements show that the professional has undergone training and follows surgical safety protocols, which reflects commitment to medical practice. See below:
- Specialization in urology and erectile dysfunction: a urologist who specializes in erectile dysfunction is better prepared to provide an accurate diagnosis and suggest appropriate treatment options.
- Specific courses and training in penile prosthesis: this type of training supports safer and more consistent performance of the procedure, especially in severe cases of penile curvature.
- Participation in recognized medical societies: being a member of the Brazilian Society of Urology (SBU) and the International Society for Sexual Medicine (ISSM), for example, reinforces a commitment to scientific knowledge.
Surgical techniques and knowledge of prosthesis types
There are two main types of penile prosthesis (semi-rigid and inflatable), and the implant price varies between models.
Each option has specific characteristics, and this requires solid technical knowledge from the surgeon.
- Semi-rigid prosthesis and inflatable prosthesis
The first model keeps the penis in a semi-erect position, while in the second option the erection depends on activating the pump attached to the prosthesis.
The semi-rigid prosthesis is often considered for selected patients, according to clinical criteria assessed by the physician.
The inflatable prosthesis may be recommended in some cases of penile deformity, after careful medical evaluation.
- Penile prosthesis techniques used by the specialist
The specialist should be familiar with different surgical approaches and the various penile implant models, always seeking to adapt the technique to each patient’s clinical needs.
Correction of severe penile curvature and intense fibrosis are examples of procedures used in cases that require anatomical correction, according to individual assessment.
Other techniques are the penoscrotal and infrapubic approaches. The former allows more direct visualization of the corpora cavernosa and can shorten surgical time.
The infrapubic technique, in turn, reduces contact between the surgeon’s hands and the scrotum, which may help in infection-prevention strategies.
Preoperative assessment: what a penile prosthesis specialist should offer
The preoperative assessment for penile prosthesis helps provide a more complete view of the patient’s condition before surgery.
See below what this assessment usually includes when choosing a penile prosthesis specialist.
- Essential clinical exams: penis measurement, penile palpation, pharmacologically induced erection, rigidity testing and penile Doppler to assess penile blood flow.
- Assessment of expectations and sexual profile: understanding what the patient expects from surgery, his functional needs and level of sexual activity.
- Evaluation of comorbidities (diabetes, heart disease): identifying conditions that may affect surgery and recovery, such as diabetes and high blood pressure.
- Individualized surgical planning: the surgeon who performs penile prosthesis surgery should develop personalized strategies to choose the most suitable implant model.
Postoperative period and ongoing follow-up
Postoperative follow-up with a specialist is an important part of adapting to the implant. See how this support usually works:
- Follow-up in the first days and weeks: monitoring symptoms such as pain, swelling and signs of infection, adjusting pain medication, guiding hygiene, dressings, temporary restrictions and patient adaptation.
- Guidance on penile prosthesis activation: explaining step by step how to handle the prosthesis and what discomforts may appear in the first days.
- Rehabilitation and guidance on returning to sexual activity: defining an appropriate time to resume sexual intercourse and providing guidance on positions that may be more comfortable in the first relations.
Patient reports and the specialist’s reputation
Patient reports and testimonials after penile prosthesis surgery may include comments on self-perception and quality of life, which vary according to each clinical situation.
These opinions can be consulted when choosing a penile prosthesis specialist.
In addition, overall satisfaction with the care provided by the medical team is also part of this assessment process.
Schedule a consultation with Dr. Paulo Egydio, penile prosthesis specialist
The combination of surgical technique and professional experience helps provide structured execution of the procedure and careful follow-up.
Dr. Paulo Egydio developed the Egydio Technique, a methodology that uses geometric principles to bring precision to implant surgery in selected cases.
The technique has been presented at several urology congresses and has been used in more than 7,000 surgeries in his clinical practice.
Fill out the pre-analysis form to schedule a consultation and discuss which type of penile prosthesis may be most appropriate for your case.
