Penile implant surgery, also known as penile prosthesis implantation, is a surgical procedure aimed at restoring erectile function in men with erectile dysfunction (ED) who have not responded to other treatment options. It involves implanting devices within the penis to enable erections for sexual intercourse. At SHIFAA PAN African Hospitals, our urology specialists perform penile implant surgeries with expertise and compassion, addressing the unique needs of each patient.

Understanding Penile Implant Surgery:

Purpose and Importance:

• Penile implants are recommended for men with persistent ED due to various causes, including vascular issues, diabetes, pelvic trauma, or prior prostate surgeries.
• The surgery aims to improve sexual function, restore confidence, and enhance overall quality of life for men and their partners.

Procedure Overview:

Preparation and Anesthesia:

• Before the surgery, patients undergo thorough pre-operative evaluations, including medical history reviews, physical examinations, and possibly diagnostic tests such as penile Doppler ultrasound.
• General or regional anesthesia is administered to ensure patient comfort and safety during the procedure.

Implant Placement Techniques:

• Inflatable Implants: These implants consist of inflatable cylinders placed within the penis, connected to a fluid reservoir and pump typically implanted in the scrotum. The reservoir stores saline solution, and the pump allows controlled inflation and deflation of the cylinders to simulate natural erections.
• Semirigid Rod Implants: These implants are firm but bendable rods surgically placed along the length of the penis. They remain in a semi-rigid state, providing adequate rigidity for intercourse while allowing flexibility for concealment.

Post-Procedure Care and Recovery:

Wound Care and Instructions:

• Patients receive detailed post-operative care instructions, including wound care techniques, pain management strategies, and guidelines for resuming sexual activity.
• It is crucial to follow instructions regarding device usage, hygiene, and regular follow-up appointments for optimal outcomes.

Rehabilitation and Support:

• Urology specialists and healthcare teams provide ongoing support, education, and counseling to address any concerns, ensure proper device function, and promote sexual health and satisfaction post-surgery.

 

Who is a candidate for penile implant surgery?

Candidates typically include men with persistent ED refractory to conservative treatments such as medications, vacuum erection devices, or penile injections. Candidates undergo thorough evaluations to assess suitability for surgery.

 

Are penile implants noticeable or visible during daily activities?

Penile implants are designed to mimic natural erections and are not usually noticeable under clothing or during regular daily activities. Patients can discreetly manage device activation as needed for sexual activity.

 

Can penile implants be removed or adjusted after surgery?

Penile implants are generally permanent but can be removed or replaced surgically if necessary due to device malfunction, infection, or patient preference. Adjustments to implant settings can also be made during follow-up visits.

 

Do penile implants affect sexual sensation or pleasure?

Penile implants do not affect erogenous sensation or pleasure during sexual activity. They facilitate adequate rigidity for intercourse, and patients can experience satisfying sexual experiences post-surgery.

 

What are the risks associated with penile implant surgery?

Risks may include infection, device malfunction, erosion or migration of the implant, pain, or changes in penile sensation. Adhering to post-operative care instructions and regular follow-ups help mitigate these risks.

 

How soon can patients resume sexual activity after penile implant surgery?

Patients typically resume sexual activity after a few weeks to a month post-surgery, following healthcare provider recommendations and ensuring adequate healing and device functionality.