By installing a penile implant - prosthesis,
a permanent - lifelong solution to the problem of impotence is achieved.
The implant consists of two cylinders that are inserted into the corpora cavernosa, and provide support to the penis for normal sexual intercourse.
When is the installation of a penile prosthesis indicated?
It is not possible to judge whether a penile implant is necessary based on a conversation alone. A detailed examination is required - a Doppler echosonographic examination of the blood vessels of the penis, which assesses the ability of the blood vessels of the penis to produce an erection.
A penile implant is installed when the reconstruction of the penis due to Peyronie's disease is planned
In case of loss of erection after prostate cancer surgery - prostatectomy
In case of loss of erection due to operations on abdominal blood vessels
In erectile dysfunction due to diabetes
When the clinical treatment of impotence did not give results or the effect of the treatment decreased
When a man cannot or does not want to use drugs and injections to achieve an erection
When penile fibrosis is associated with sexual dysfunction and impotence
When an episode of ischemic priapism has led to permanent loss of erection
The penile implant installation operation is performed under general anesthesia, but if necessary, it can also be done under regional - spinal anesthesia.
The penile implant installation operation takes about 60 minutes.
Discharge from the hospital is one day after the operation.
Daily controls are carried out for the first 10 days.
You can expect to return to work 7 to 10 days after the intervention, of course depending on the type of work you do.
Permission to start sexual relations is usually given by the doctor 4 to 5 weeks after the surgical intervention.
The scar after 6 weeks of healing so that it is no longer visible. After the period of adaptation to the prosthesis, which is usually about 8 weeks, you will not even notice that the prosthesis is installed. When properly installed, penile prostheses do not change the aesthetic appearance of the penis, the prosthesis is located in the center of the penis and cannot be seen. Touch, erogenous sensitivity and sensation during orgasm and ejaculation are completely preserved after a properly performed operation.
You will not feel that you have an implant, and when you need it - it is there at any time
Dr. Nikola Stanojević, urologist, talks about the problems that occur after prostate cancer surgery. Impotence occurs in about 50% of men after radical prostatectomy. The only solution for the return of an erection, if there is no recovery of the erection within 6 to 12 months after prostate surgery, is the surgical intervention of installing a penile implant. After that, the man can have a completely normal sex life. The implant is permanent, ie. a lifelong solution to erectile dysfunction.
The Coloplast company has produced one of the best and most reliable inflatable penile prostheses called TITAN.
The system consists of two inflatable cylinders, a control pump with a valve and a reservoir for the liquid necessary for the normal functioning of the prosthesis.
This three-component system achieves a completely natural cycle of erection and a relaxed state of the penis.
The prosthesis does not change the sensation inside the penis, neither during intercourse nor during orgasm.
One month after the intervention, the man starts exercising with the penile prosthesis.
By activating the penile prosthesis on the button (by pressing the pump), an erection is achieved, and by deactivating the penile prosthesis by pressing the return valve, the cylinders of the prosthesis are emptied and the penis returns to a completely relaxed state.
This system also has a tank for the liquid that is needed for the system to function.
None of the components of the penile prosthesis are noticeable either visually or under the hand after installation and the healing period.
The entire surgical intervention is performed through a relatively small incision under the penis.
The operation lasts about two hours.
The patient stays in the hospital for up to two days.
Postoperative controls are done every two days.
Activation of the prosthesis is done 4 weeks after the operation.
A penile prosthesis is the only safe solution for permanent loss of erection.