Tuesday, May 14, 2013

Predicting Penile Length after Penile Prosthesis Implantation

A penile prosthesis is one of the treatment options for men who are suffering from erectile dysfunction. The device is bendable (malleable) and inflatable. The simplest kind of prosthesis involves a pair of bendable rods which are surgically implanted in the erection chambers of the male sex organ. This implant results in penis that is semi-erect all of the time. To initiate sex, it merely needs to be adjusted into the erect position.

The most popular kind today is the hydraulic, inflatable penile prosthesis which gives a man the ability to get an erection at any time. It is also a lot easier to conceal and appears more natural. Penile implants are onlythe last option when the erectile dysfunction problem is unlikely to improve whether natural or with other types of medical treatment. It should only be the last resort and not used if the purpose is increasing the size of the penis.

How Does It Work?

The inflatable penile prosthesis is made up of two cylinders (the pump and reservoir). These are surgically placed on the erection chambers of the penis. The cylinders are connected by a special kind of tubing that separates the reservoir of fluid. The reservoir is surgically implanted right below the groin muscles. A pump is also attached to the system which is located under the loose skin of the scrotal sac in the middle of the testicles. This is called a 3-piece inflatable penile prosthesis.

A 2-piece inflatable penile prosthesis is also available composed of the attached cylinders and a combined pump and reservoir unit. For this kind of prosthesis, the reservoir is not placed behind the groin but is comfortably placed within the scrotum. The surgery for the 2-piece prosthesis is shorter and less complicated and no device is placed on the abdominal area. However, there is also a disadvantage to this type of penile prosthesis. Some men are not able to achieve adequate erections due to the fact that the 2-piece prosthesis has a smaller reservoir.

To inflate the prosthesis, you just have to press on the pump. This transfers fluid from the reservoir towards the cylinders which are then inflated, causing an erection. To return the fluid to the reservoir, you just have to press on the deflation valve which deflates the penis and returns it to a flaccid state.

Sex after Surgery

According to most men who have an inflatable penile prosthesis, the erection becomes shorter than before the surgery. However, there are newer models that offer an increase in length, stiffness and thickness of the penis. According to studies, there is no difference in the sensation on the skin and the man’s ability to reach orgasm. However, once a penile prosthesis is surgically placed, it may result in damage of the natural erection reflex. Thus, if the implant is removed then natural erections may not be possible.

How Safe Are Penile Implants?

Any kind of surgery involves a certain amount of risk. There is always a possibility of complications. With penile implants, the possible complications include infection, the formation of scar tissue, uncontrolled bleeding after surgery, erosion which may require removal and mechanical failure. Satisfaction rate according to a recent survey is pretty high at about 80 to 90%.

Penile Length after Surgery

Predicting penile length after Penile Prosthesis Surgery depends on the particular type of implant used. With the old kind of implant, there is usually a very slight decrease in the length of the erect penis. However, newer models offer some increase in the length, width and stiffness of the implant. Choosing one depends on the particular preference of the patient.

1 comment:

  1. I already have the 3 piece one but not happy with the size, is it possible to get the surgery done again to get more size? I'm 51 years old
    Finding it hard to have sex with my wife in other position and it keeps slipping out.