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General Practice 2023

Própenile thesis: what é, when é indicated, types and surgery

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Própenile thesis: what é, when é indicated, types and surgery
Própenile thesis: what é, when é indicated, types and surgery

The penile prosthesis is an implant that is placed inside the penis to produce an erection, and can therefore be used to treat sexual impotence in men, in cases of erectile dysfunction, paraplegia or quadriplegia, for example.

Penile prosthesis is usually an end-of-line treatment, that is, it is recommended only for men who cannot obtain satisfactory results with the use of drugs or other treatments, since the surgery is irreversible.

It is important that the man talks to the urologist to assess the need for prosthesis placement and, if recommended, the best type of prosthesis.

How penile prosthesis works

When is indicated

Penile prosthesis may be indicated by the urologist in some situations, the main ones being:

  • Erectile dysfunction that did not resolve after using medication;
  • Peyronie's Disease;
  • Paraplegia or quadriplegia;
  • Reconstruction of the genital organ.

The indication of the prosthesis is made by the doctor after performing urological exams, characteristics of the penis and general he alth of the man.

Types of penile prosthesis

The type of penile prosthesis must be indicated by the doctor according to the purpose of treatment and age of the person, the main ones being:

  • Semi-rigid or malleable: made with material that keeps the penis always in erection, it can be placed in 3 positions that allow intimate contact and comfort of the man during his daily life, this type being more suitable for older people or people who have hand problems that prevent triggering the device responsible for inflating the prosthesis;
  • Inflatable: is made with 2 flexible cylinders inside the penis, which can be filled with saline solution to facilitate erection, allowing it to be deflated after intimate contact. For an erection to occur, the man must activate a device for the prosthesis to be inflated.

In addition, there is an articulating prosthesis, however this type of penile prosthesis is no longer being used due to the structure of the prosthesis, which can interfere with rigidity.

How the surgery is performed

Penile prosthesis surgery is performed by a surgeon and lasts about 45 minutes, being performed under general anesthesia and therefore the hospital stay is approximately 1 to 2 days.

Recovery from surgery is relatively long, and can last up to 6 weeks, after which the man can initiate intimate contact, according to the doctor's instructions. During this period, some important precautions include:

  • Keep the penis facing up to prevent it from healing when bent down;
  • Avoid strenuous physical activity or impact sports during the first 2 months;
  • Perform proper hygiene of the intimate area.

However, all precautions must be informed by the doctor, as they may vary according to the type of prosthesis or surgery.

How is sexual intercourse with the prosthesis

The experience of having intercourse with the penile prosthesis varies from man to man, however, it is important to keep in mind that the rigidity of the head of the penis will not change during erection, remaining soft. In addition, the natural erection stimulus usually disappears completely, and it is always necessary to use the prosthesis to achieve an erection.

As for sensitivity, nothing is changed and the man continues to be able to have an ejaculation, without compromising the ability to have children.

Possible risks of placing the implant

Although it is an increasingly used surgery, the placement of an implant can still have some risks such as:

  • Infection;
  • Prosthesis rejection;
  • Adhesion of the prosthesis to the tissues inside the penis.

Because there are risks, men should be aware of symptoms that may indicate complications, such as swelling of the penis, intense pain, redness or even pus coming out of the penis, for example.

If any of these symptoms appear, it is important to return to the urologist or go to the hospital to identify the complication and initiate appropriate treatment.

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