Penile Prosthesis Insertion
Penile Prosthesis Insertion
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Reasons for Procedure
- Not responded to other treatment options such as pills, suppositories, vacuum devices, injections
- Certain diseases such as diabetes , vascular disease
- Physical injuries such as spinal cord injury
- Certain surgeries that have made having an erection impossible
- Scar tissue that forms
- Erosion (tissue around the implant may break down)
- Mechanical failure
- Smoking , alcoholism
- Poor overall health
- Poor nutrition
- Use of certain drugs
- Bladder disease that requires a catheter
- Bleeding disorders
- Prior pelvic or genital surgery
What to Expect
Prior to Procedure
- Obtain a complete medical, surgical, and sexual history
- Do a physical exam
- Do tests (eg, blood and urine tests, psychological tests) to rule out problems that might be treated with medicines
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (eg, aspirin)
- Blood thinners, such as clopidogrelor warfarin
- Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
Description of the Procedure
- Inflatable (hydraulic) implant—two cylinders, a pump, tubing, and may have a reservoir
- Malleable implant—two semi-rigid rods inserted into the penis
How Long Will It Take?
- Inflatable implant: 1-2 hours
- Malleable implant: 30-60 minutes
Will It Hurt?
Average Hospital Stay
- Have the urine catheter removed
- Examine you
- Give you antibiotics and pain medicines
- Be sure to follow your doctor's instructions .
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take antibiotics as directed.
For pain relief, use:
- Over-the-counter medicines (eg, acetaminophen) or those your doctor prescribes
- Warm compress
- Wear loose-fitting underwear while you recover.
- Avoid sexual activity for at least six weeks.
- Avoid difficult physical exercise and heavy lifting for six weeks.
- Ask your doctor when you can return to work. You may need to wait 10 days.
- Do not drive until instructed by your doctor.
Call Your Doctor
- Redness, swelling, increasing pain, increasing bleeding, or a large amount of fluid leaking from the surgical area
- Increased swelling in your scrotum or penis
- Blood in your urine
- Signs of infection such as fever, chills, headache, muscle aches, dizziness, general ill feeling
- New symptoms such as nausea, vomiting, constipation , abdominal swelling
- Pain or difficulty with urination
- Cough, shortness of breath, or chest pain
Urology Care Foundation http://www.urologyhealth.org/
Men's Health Network http://www.menshealthnetwork.org/
Canadian Diabetes Association http://www.diabetes.ca/
Men's Health Centre http://www.menshealthcentre.net/
Erectile dysfunction. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated December 4, 2012. Accessed December 17, 2012.
Montorsi F, Rigatti P, Carmignani G, et al. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol . 2000;37:50-55.
Mulhall JP, Ahmed A, Branch J, Parker M. Serial assessment of efficacy and satisfaction profiles following penile prosthesis insertion. J Urol . 2001;165:1429-1433.
Penile prostheses for erectile dysfunction. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=11 . Updated January 2011. Accessed December 17, 2012.
- Reviewer: Adrienne Carmack, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -