Penile implantation is indicated in cases of erectile dysfunction that do not respond to other treatments. It allows for a good quality erection and maintains normal sensations during sexual intercourse.

Some of the patients with erectile dysfunction They do not respond to oral, topical, or intracavernosal drug treatments.

In these cases, the best treatment option is the implantation of a penile prosthesis, a device placed inside the corpora cavernosa of the penis that allows for an erection sufficient for sexual intercourse. It is the last resort, as it is considered irreversible.

The procedure involves a small incision between the penis and the root of the scrotum, opening the corpora cavernosa, and placing cylinders of the appropriate length and thickness.

Prostheses can be of two types: malleable or inflatable.

malleable These are two cylinders that maintain a permanent erection and which the individual can lift towards the abdomen to maintain penetration or can conceal. It is not the ideal prosthesis, but in certain patients with manual dexterity problems, it may be the best option.

inflatable prostheses These are the ideal prostheses because they can be inflated at will, achieving the closest possible natural erection, and they are perfectly concealed in flaccidity.

It is a very safe surgery, with a low complication rate, although infection is the worst possible outcome and requires removal of the prosthesis. The hospital stay is approximately 24 hours, and sexual relations can be resumed after about six weeks.

Current prosthesis models achieve excellent results in terms of satisfaction for both the patient and their partner, and are an absolutely effective and safe means of resolving erectile dysfunction problems.

Addiction

Dr. Luis Llanes González

Addiction

Dr. J. Pablo Pedraza Sánchez
Dr. José Miguel Arroyo Maestre

Diseases where it is applied

Erectile Dysfunction and Peyronie's Disease

Current state of the technique

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