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    • PEYRONIE´S DISEASE
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    • CONGENITAL PENILSE CURVATURE
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    • PEYRONIE’S DISEASE
    • PENILE PROSTHESIS IMPLANT
    • CURVATURE OF THE YOUNG
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  • TREATMENTS
    • PEYRONIE’S DISEASE
    • PENILE PROSTHESIS IMPLANT
    • CURVATURE OF THE YOUNG
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  • FAQ
    • PEYRONE DISEASE
    • PENILE PROSTHESIS
    • CURVATURE OF THE YOUNG
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CONTATO
  • CLINIC
  • DOCTOR PAULO
  • SYMPTOMS
    • PEYRONIE´S DISEASE
    • PENILE PROSTHESIS
    • CONGENITAL PENILSE CURVATURE
    • EGYDIO’S TECHNIQUE
  • TREATMENTS
    • PEYRONIE’S DISEASE
    • PENILE PROSTHESIS IMPLANT
    • CURVATURE OF THE YOUNG
    • EGYDIO’S TECHNIQUE
  • FAQ
    • PEYRONE DISEASE
    • PENILE PROSTHESIS
    • CURVATURE OF THE YOUNG
  • BLOG
  • Español
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  • CLINIC
  • DOCTOR PAULO
  • SYMPTOMS
    • PEYRONIE´S DISEASE
    • PENILE PROSTHESIS
    • CONGENITAL PENILSE CURVATURE
    • EGYDIO’S TECHNIQUE
  • TREATMENTS
    • PEYRONIE’S DISEASE
    • PENILE PROSTHESIS IMPLANT
    • CURVATURE OF THE YOUNG
    • EGYDIO’S TECHNIQUE
  • FAQ
    • PEYRONE DISEASE
    • PENILE PROSTHESIS
    • CURVATURE OF THE YOUNG
  • BLOG
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Types of Penile Prostheses: How to Choose with Dr. Paulo Egydio

Penile implants represent a surgical treatment option for erectile dysfunction, usually indicated in more severe cases.
Learn about the available models and understand how the choice is made.

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Different types of penile prostheses may represent a therapeutic alternative for patients with erectile dysfunction who have not achieved adequate results with conventional treatments, always after a careful medical evaluation.

Erectile dysfunction is often related to alterations in penile blood flow and may also be associated with neurological, hormonal, or structural factors. In some cases, the presence of penile fibrosis, such as that observed in Peyronie’s disease, may further compromise erectile function.

Penile prostheses are devices surgically implanted into the corpora cavernosa with the purpose of providing mechanical support for penile rigidity, enabling penetration according to clinical indication. This treatment is indicated only in specific situations, after other therapeutic options have been exhausted.

When properly indicated, a penile prosthesis may help restore sexual activity while respecting each patient’s anatomical, functional, and emotional limits. Outcomes vary according to individual factors such as prior clinical condition, realistic expectations, and adaptation to the device. In some patients, this functional improvement may positively influence the perception of well-being and quality of life, always on an individual basis and without guarantees of results.

Available Types of Penile Prostheses

Currently, there are different types of penile prostheses that may be indicated in specific cases of erectile dysfunction, especially when other therapeutic approaches have not been effective. The choice of model depends on a careful medical evaluation, taking into account clinical, anatomical, and individual patient factors.

Malleable Penile Prosthesis

The malleable penile prosthesis consists of flexible rods with an internal metallic structure coated with medical-grade silicone. It is available in different diameters and lengths, allowing adaptation to the patient’s anatomical characteristics.

It is a device widely used in urological practice, including in public health protocols, with well-established indications for specific clinical profiles.

This model maintains the penis in a continuous functional position and can be manually adjusted for sexual activity or positioned discreetly in daily life, according to medical guidance.

Two- and Three-Piece Inflatable Penile Prosthesis

The inflatable penile prosthesis allows alternation between rigidity and flaccidity through a manually activated hydraulic system. This mechanism provides temporary mechanical rigidity as needed, according to clinical indication.

The two-piece model consists of cylinders implanted in the corpora cavernosa and a pump placed in the scrotum. The three-piece model also includes a fluid reservoir implanted in the abdominal region.

The system works by transferring saline solution to the cylinders, producing rigidity when activated. Due to its greater mechanical complexity, technical failures may occur over time, and surgical revision may be necessary in selected cases.

Articulated Penile Prosthesis

The articulated penile prosthesis features flexible segments that allow different positioning adjustments, providing greater mobility compared to the traditional malleable prosthesis.

However, this type of prosthesis may present lower axial rigidity, especially in thinner models, which limits its indication in some cases. In addition, excessive mobility may be associated with a higher risk of fibrosis formation in certain patient profiles.

For these reasons, the articulated prosthesis is not among the most commonly used options and should only be indicated after an individualized medical evaluation.

Objetivos da Cirurgia de Pênis Torto

Uma das principais funções do implante é o tratamento para doença de Peyronie, além disso tem outros benefícios como:
  • Análise da curvatura peniana baseada em princípios geométricos;
  • Alongar o lado curto do Pênis visando iguala-lo ao lado longo;
  • Utilizar protocolos e manobras adjuvantes para minimizar complicações como hematomas, redução na sensibilidade, etc;
  • Resgatar uma vida sexual saudável, com boa funcionalidade peniana.
A técnica utilizada pelo Dr. Paulo Egydio é uma possibilidade de tratamento para o pênis curvo congênito.

A curvatura pode ser para o lado, para cima ou para baixo ou em alguns casos uma combinação desses dois tipos

EMC
Urologia Especializada

Localizada em São Paulo, o Egydio Medical Center tem uma infraestrutura preparada para o diagnósticos e tratamentos de algumas áreas da saúde sexual masculina.

Nossa equipe está qualificada para um atendimento individualizado. Recebemos pacientes de todo o Brasil e exterior.
MAIS SOBRE A CLÍNICA

Rely on Dr. Paulo Egydio for Specialized Guidance

With over 26 years dedicated to male sexual health, participation in international congresses, and extensive scientific contributions, Dr. Paulo Egydio has broad experience in the surgical treatment of erectile dysfunction and penile prosthesis indication.

Medical follow-up includes accurate diagnosis, discussion of available treatment options, clarification of doubts, and postoperative monitoring, always respecting the individual characteristics of each patient.

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dr paulo egydio

Which Prosthesis is Most Recommended?

The definition of the most appropriate penile prosthesis does not follow a single standard and must always be individualized. Clinical experience shows that this choice varies from patient to patient according to specific characteristics of each case.

Several factors must be considered in this process, including lifestyle, age, associated clinical conditions, presence and extent of penile fibrosis, anatomical aspects, and personal expectations. Therefore, the indication should be made after a careful and personalized medical evaluation.

The decision between a malleable or inflatable penile prosthesis involves not only device characteristics but also the clinical context and expected adaptation for each patient profile. The surgeon’s experience and clear alignment between physician and patient regarding function, limitations, and care are essential components of this process.

When the choice is made carefully and appropriately indicated, proper follow-up tends to favor progressive adaptation to the device. Observational clinical data show that the need for model exchange over time is infrequent, reinforcing the importance of individualized indication without guaranteeing results for all cases.

Baixe o guia completo da Doença de Peyronie

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.

Ask Dr. Paulo Egydio

Phone

+55 (11) 3077-3647
Where are we?

Av. Brigadeiro Faria Lima, 4300, Torre FL Office, CJ. 710 – São Paulo – Brasil
Email
drpaulo@drpaulo.com.br
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