Understanding how different types of penile prostheses work is one of the key factors patients need to know before penile prosthesis surgery.
Candidates for penile prosthesis surgery often have questions about the post-operative period and the procedure’s outcomes.
First and foremost, it’s crucial to understand how the prosthesis functions, when it’s indicated, and what realistic expectations are regarding the results.
Below, we clarify the main questions on the topic and what you need to know before penile prosthesis implantation.
What You Need to Know Before Penile Prosthesis: Who Can Undergo the Procedure?
The implant is indicated when other erectile dysfunction treatments are ineffective, as well as in severe cases of Peyronie’s Disease, with pronounced curvature or anatomical changes such as thinning and reduction in size.
It may also be recommended for conditions that increase the risk of inflammation and fibrosis, such as diabetes.
The decision for surgery should be made by a urologist, based on a review of the patient’s medical history and clinical and imaging examinations.
What are the types of penile prostheses?
How is penile prosthesis surgery performed?
Check out the main points of the procedure:
- Duration: on average, between 2 and 3 hours.
- Anesthesia: generally local, without completely blocking sensation from the waist down, and in many cases, without the need for a urinary catheter.
- Hospitalization: typically, penile prosthesis surgery does not require hospitalization, with discharge on the same day, except when performed at night.
What is the recovery like after surgery?
| Aspect | Guidelines |
|---|---|
| Recovery time | Relative rest for 7 to 10 days. Full body shower starting the day after surgery. |
| Dressing care | Keep the dressing for 5 days. After this period, change daily for another 5 days. |
| Follow-up appointment | 28 days after surgery (for inflatable prosthesis). |
| Return to work | 10 days after surgery, provided there is no physical exertion. |
| Physical activity | Generally cleared 30 days after the procedure. |
| Sexual intercourse | Between 45 and 60 days after surgery, depending on the patient’s progress. |
How does sexual life change after a penile prosthesis?
Sexual life after a penile prosthesis can improve, as the device can contribute to the restoration of rigidity and potentially facilitate sexual intercourse. Results vary according to individual clinical evaluation and patient expectations.
Erection is controlled by the patient and varies according to the type of prosthesis.
With the malleable version, it’s simply a matter of positioning the penis manually. With the inflatable version, erection occurs by activating the pump.
Regarding sensitivity and orgasm, these functions can be preserved. Some patients report that these sensations may be perceived differently after the procedure, particularly due to improved confidence and satisfaction with the results. The experience varies among individuals.
What are the risks or possible complications?
Check out the main risks of penile prosthesis:
- Infection: the risk can be reduced through adequate control of factors such as diabetes, good hygiene, and the use of specific surgical techniques, such as no-touch, which reduces contact with the skin. However, as with any surgical procedure, there is always a residual risk of infection.
- Mechanical failure: more common in inflatable prostheses due to the greater number of components.
- Need for surgical revision: may occur in cases of device failure, poor positioning, infection, or discomfort, requiring adjustment, replacement, or removal of the prosthesis.
How to choose a urologist specializing in penile prosthesis?
- Surgeon’s experience: a urologist with significant experience in implant procedures, continuous training, and participation in medical societies can contribute to the safety and outcomes of the procedure.
- Facility: clinics with adequate infrastructure and a multidisciplinary team can contribute to the safety and outcomes of the procedure.
- Post-operative follow-up: a penile prosthesis specialist can provide continuous support and clear guidance, which can contribute to patient adaptation and early recognition of possible complications.
Consult a specialist
A penile prosthesis can contribute to the restoration of sexual function. Results vary according to individual clinical evaluation and patient expectations.
For specialized guidance on your specific case, it is recommended to consult a urologist with experience in penile implant procedures.
Schedule a consultation to clarify your questions with a penile implant specialist.
