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There are many different methods used in the treatment of erectile dysfunction problems. Although there are many treatment options available, in some patients, penile prosthesis treatments, also known as penile implants, appear to be the only choice in overcoming erectile dysfunction. Treatment suitability may vary from person to person. The patient's history, age, and factors causing erectile dysfunction are important factors in the suitability of these procedures.
Erectile dysfunction refers to the inability of the penis to achieve sufficient hardness during sexual intercourse or to maintain its hardness until the end of sexual intercourse. It is one of the most common sexual function disorders in men, especially after premature ejaculation problems. Among the causes, functional disorders in the blood vessels can be identified.
One of these vascular disorders is known as arterial insufficiency. Arterial disorders can lead to circulation problems. In addition, venous insufficiency can also cause erectile problems. In the treatment of erectile problems, it is important to accurately identify the causes that lead to this disorder.
Penile prosthesis procedures are still important treatment options used today to achieve successful outcomes in cases of severe erectile dysfunction caused by both arterial and venous insufficiency. In recent years, there have been many alternative treatment methods for erectile dysfunction.
Especially in cases of moderate erectile dysfunction, treatments such as ESWT (Extracorporeal Shock Wave Therapy) and SVF (Stromal Vascular Fraction) cell therapies are used for erectile problems caused by arterial insufficiency. In cases of advanced erectile dysfunction, we can offer treatment options with penile prosthesis.
We examine the patient's history and erectile problems to determine the suitability for penile prosthesis application. We usually apply penile prosthesis as a last resort. We can list the criteria for the individuals we will apply to as follows:
There are two different types of penile prostheses that can be applied to suitable patients. The first one is the inflatable penile prosthesis. Let's take a closer look:
Inflatable penile prostheses offer the option of being 2 or 3 pieces. 3-piece penile prostheses consist of two inflatable cylinders that provide erection inside the penis, a reservoir located beneath the abdominal wall, and a pump placed in the scrotum. They are interconnected with delicate and special structures.
2-piece penile prostheses have the same functionality as 3-piece prostheses. The most significant difference is that they do not have a reservoir placed inside the abdomen. In this type, the main facilitator of erection during an erect state is the fluid contained within the pump, which is filled into the cylinders. Inflatable penile prostheses with the latest technology provide very natural and successful results. They can be used comfortably in daily life.
Bendable penile prostheses are made of silicone and are placed inside the penis. They have long structures and provide permanent results in terms of hardness. The penis needs to be straightened before sexual intercourse. Due to their inherent rigidity, they require less manual dexterity compared to inflatable prostheses. One of the questions we frequently hear from our patients is "Which is the best prosthesis?" In the new technology era, inflatable prostheses have emerged. Both types of prostheses provide satisfactory results for patients with erectile dysfunction. When choosing these prostheses, it is essential to consult your doctor and discuss the best treatment option based on your age, penis size, and body type.
The penile prosthesis procedures are performed under spinal or general anesthesia, depending on the individual. Testicular sacs are incised in the lower part during the operation. Depending on the type of prosthesis to be installed, incisions are made either from the scrotum or the abdominal wall, and implant parts are placed. The operation takes approximately 1-2 hours. Patients typically achieve full recovery in about 2 months after the surgery.