Impotence

 

Penile prostheses for impotence

Impotence, or erectile dysfunction (ED), is an ongoing condition affecting men who are unable to attain and/or maintain an erection to have satisfactory erections. When initial and second-line treatments fail to remedy the situation, then the third-line treatment option penile prosthesis implantation is considered when there is a clear medical cause for erectile dysfunction and the situation is unlikely to resolve or improve naturally or with other medical care.

What are penile prostheses?

The penile prostheses are devices that are surgically implanted in the body and produce an erection-like state that enable the patient to have normal sexual intercourse

How the penile prosthesis works

A pair of cylinders is surgically implanted within the two erection chambers in the penis. There are two different types of penile prostheses: A two-component inflatable penile prosthesis and a three-component version.

As the more simpler version, the two-piece prostheses are inflatable devices that have fluid-filled cylinders implanted within the erection chambers connected to a pump that is implanted inside the scrotum. The pump transfers a small amount of fluid in and out of the cylinders causing and releasing erection.

The three-component inflatable penile prostheses have paired cylinders, a scrotal pump and an abdominal fluid reservoir. The pump transfers a larger amount of fluid in and out of the cylinders causing and releasing erection.

Implantation of penile prosthesis

Placing the penile prosthesis within the body is usually performed with one small surgical cut made either above the penis where it joins the abdomen or under the penis where it joins the scrotum. This procedure is performed under anesthesia and typically requiring the patient to spend one night in the hospital.

Depending upon pain and physical activity, men can generally use the prosthesis for sexual activity one month after surgery. After the procedure, a small surgical scar is usually the only thing that remains and neither the operation nor the device itself will interfere with sensation, orgasm, ejaculation or urination.

For additional questions or concerns, please contact us at (864) 295-2131.