PENILE PROSTHESIS

Severe erectile dysfunction (ED) can compromise sexual function and strain a couple’s relationship. When clinical approaches—such as oral medications or injections—cease to be effective, are not well tolerated, or coexist with penile deformities, a penile implant becomes considered among the therapeutic options.

With a penile prosthesis, you achieve:

  • Adequate and predictable rigidity for sexual intercourse.

  • Reduced impact of sexual impotence on daily routine and quality of life.

  • Treatment for Erectile Dysfunction in cases associated with curvature or structural loss.

A penile prosthesis implant is an alternative for men seeking to restore erectile function when conventional treatments no longer meet the clinical needs.

When can a penile prosthesis be indicated?

A penile prosthesis is an implantable device used in the management of erectile dysfunction when conventional treatments do not yield a satisfactory response. A penile implant is especially considered in situations such as:

  • Refractory ED: lack of response or loss of efficacy with oral medications or intracavernosal injections.

  • ED associated with fibrosis: cases related to Peyronie’s Disease, pronounced curvature, or structural alterations such as penile thinning and loss of size.

  • Conditions with risk of progression: clinical situations where there is a possibility of worsening fibrotic conditions.

The Egydio Technique: Penile prosthesis with tissue expansion

Dimensions, certain reconstructive techniques can be applied during the penile prosthesis implantation to improve the internal space of the corpora cavernosa.

The surgical protocol utilized by Dr. Paulo Egydio incorporates tissue expansion principles and geometric adjustments described in the Egydio Technique, with a focus on restoring functional capacity and penile alignment.

The objectives of this approach include:

Increased internal space:

To promote controlled tissue expansion in both length and girth, especially in cases where size loss has been caused by fibrosis or the progression of sexual impotence itself.

Proper sizing of the prosthesis:

To fit the implant to the penis after expansion, aiming to reduce retractions and improve anatomical adaptation.

Simultaneous curvature correction:

In cases of Peyronie's Disease or other forms of penile curvature, the technique allows for the treatment of the deformity during the same procedure, promoting alignment and functionality.

Penile implants combined with reconstructive techniques offer an alternative for men with severe ED and structural changes, allowing for a more comprehensive approach to penile rigidity and anatomy.

Types of penile prosthesis: malleable (semi-rigid) and inflatable (hydraulic)

There are two main models of penile implants, and the choice should be made together with a specialist, taking into account the patient’s anatomy, medical history, and expectations.

  • Malleable prosthesis (semi-rigid): features flexible rods that keep the penis in a semi-rigid position. It can be directed for sexual intercourse or positioned discreetly under clothing.
  • Inflatable prosthesis (hydraulic): offers greater naturalness by allowing the device to be inflated to achieve rigidity and deflated to return to a flaccid state.

A detailed evaluation is essential to determine which type of penile prosthesis is best suited for each clinical case.

Your next step is to have a fulfilling sexual life

The penile prosthesis implant is a safe and well-established therapeutic alternative for men with erectile dysfunction who did not achieve an adequate response to conventional treatments.

It allows for controllable rigidity during sexual intercourse and can contribute to an improved quality of life.

Schedule an evaluation with a team specialized in penile implants and reconstructive techniques aimed at optimizing functional results.

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