Penile Implants – The In’s and Out’s and Risks

There are various types of penile implants so choosing which implant is best for you is obviously worth noting.

Why men have penile implants:

For most men, erectile dysfunction can be successfully treated with medications to relax the blood vessels so as to increase the amount of blood that fills the penis, or use of a penis pump which traps the blood in the shaft.

Essentially, penile implants are generally considered an option if you can’t get an erection sufficient for sex using pills or a pump or if other methods have caused undesirable side effects.

Penile implants are also used to treat Peyronie’s disease, the condition that causes scarring inside the penis, leading to bent, painful erections.

For Peyronie’s disease, penile implant surgery is only considered when other treatments have failed and penis curvature is severe.

There are also several factors to take into consideration if you are deciding to try this type of surgery:

Age of the patient and partner.
Overall size of scrotum.
Overall penile size.
Size of penis glans.
Patient’s body type.
Presence of a very prominent supra-pubic fat pad.
Whether or not the penis is circumcised.
History of any previous implant.
Presence of penile shaft or glans penis atrophy or deformity.
Previous abdominal surgery (bladder, prostate and colon), type of previous surgery (open vs. laparoscopy or robot).
Presence or absence of penile curvature or fibrosis.
Presence of an ostomy or ileal conduit.
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Previous peripheral vascular surgery (femoral to femoral artery bypass).
History of kidney transplant or other major pelvic surgery.
Ratio between the length to girth of penile shaft.
Ratio between crus (buried) and pendulous penis.
Ratio between penile length and size of scrotum.
A patients health and life expectancy is also an additional factor to consider when choosing which implant is the best for that particular individual.

Penile Implant Risks:

Implant problems:
As with any surgery, infection is a possibility. In rare cases the implants may not work correctly. For example, semirigid devices internal parts can break down over time. However with inflatable devices, fluid can leak or the pump device can fail. Surgery will therefore be necessary to remove, repair or replace a broken implant.

Infection:
If you have a spinal cord injury or diabetes you may be at an increased risk of infection. Men who need revision surgery, (surgery to adjust or replace an implant) are at higher risk of infection than they were with the first surgery.

Internal erosion or adhesion:
Rarely will an implant break through the skin but occasionally this does happen, however these problems are mostly linked to an infection. In other cases, an implant may wear away the skin from inside of the penis or stick to the skin inside the penis.

Treating an infection:

At any time after surgery an infection may occur. Surgery to remove the implant is always necessary to treat a serious infection which can cause swelling of the scrotum, pus buildup and fever.

Replacing a penile implant can also be complicated and costly and can lead to a loss of sensation in the penis, a buildup of scar tissue and a decrease in penis length.

Bottom line:
There are few men who actually do take the drastic measure and undergo this operation.

Should you suffer from slight penile curvature or feel the need to gradually increase your penile shaft through length and girth, then urologist’s which specialize in this organ will more often advise that you use a Class 1 Medical device.

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