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Penile Prosthesis are medical devices used to treat erectile dysfunction (ED) in men. The procedure involves the insertion of either inflatable or flexible rods into the penis. Inflatable rods require a device filled with saline solution and a pump that is hidden in the scrotum. The pump can be activated by pressing on it, which then causes the saline solution to travel to the device and inflate it, resulting in an erection. Afterward, the device can be deflated again.
Penile implants are generally reserved for men who have attempted other forms of treatment for ED, such as medications or penile injections but have not had success. They are usually recommended for those with severe or permanent ED, as the implants can provide a more long-lasting solution to the problem.
Studies have shown that the majority of men who have undergone the surgery are satisfied with the results, and report improved sexual function and quality of life. However, like any medical procedure, there are potential risks and complications associated with penile implants, such as infection or mechanical failure. Therefore, it is important to discuss the benefits and risks with a qualified healthcare provider before deciding whether a penile implant is the right treatment option for a particular patient.
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Types Of Penile Implants
There are two types of penile implants that can be used to treat erectile dysfunction (ED). The more common type is inflatable devices, which can be inflated to create an erection and deflated when not in use. Three-piece inflatable implants consist of a fluid-filled reservoir implanted under the abdominal wall, a pump, and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis. To achieve an erection, the fluid is pumped from the reservoir into the cylinders, and the valve is released to drain the fluid back into the reservoir after use. A two-piece model is also available, with the fluid reservoir as part of the pump implanted in the scrotum.
The second type is semi rigid rods, which are always firm and can be bent away from the body for sexual activity and towards the body for concealment. There are also positionable penile implants that use a central series of segments held together with a spring on each end to maintain upward and downward positions better than other semi-rigid rods. Special designs are also available to accommodate a shortened or larger-than-average penis.
In addition, some inflatable penile implants come with antibiotic coatings to reduce the risk of infection, while others have coatings that reduce friction and potentially prolong the life of the implant. It is important to discuss the options with a qualified healthcare provider to determine the best treatment plan for each individual patient.
What Happens During the Procedure?
The surgery can be performed under spinal or general anesthesia, depending on the patient’s preference and medical history. Prior to the surgery, the surgical area is shaved, and a catheter is placed to collect urine. An intravenous line is also inserted to administer antibiotics or other medications. Once the patient is anesthetized, the surgeon makes an incision in the lower abdomen, base of the penis, or just below the head of the penis. The tissue in the penis is stretched, and inflatable cylinders are inserted into it. These cylinders are designed to mimic the natural process of an erection, allowing the patient to have sexual intercourse.
How Effective Is the Surgery?
The surgical procedure usually takes around 45 to 90 minutes to complete, and it is typically done on an outpatient basis. After the surgery, the patient will be given instructions on how to care for the incision site and the implant. They may also be prescribed pain medication to manage any discomfort.
The surgery has been found to be effective in treating erectile dysfunction, with a satisfaction rate of around 86% among men who have undergone the procedure, according to a 2015 study. However, as with any surgical procedure, there are risks associated with inflatable penile implant surgery. These risks include infection, bleeding, and the formation of scar tissue. In rare cases, mechanical failures, erosion, or adhesion may require further surgery to repair or remove the implant.
Top Penile Prosthesis Implantation Doctors In Istanbul Turkey
Dr. Sefik Citci
Dr. Sefik Citci is a highly experienced Urologist. With over 20 years of expertise in various fields such as Pediatric Urology, Andrology. And the management of Erectile Dysfunction, Infertility, Kidney diseases, and Urinary tract infections, to name a few. He is a member of the Turkish Medical Association and has multiple national and international publications in accredited indexed journals. Dr. Citci is frequently invited to speak at worldwide conferences, scientific meetings. And CDE’s where he shares his knowledge about Pediatric Urology and its interventions. He has worked at prestigious hospitals like State Hospital, Beylikduzu State Hospital, and Buyukcekmece Kolan Hospital.
Prof. Dr. Faruk Yencilek
Prof. Dr. Faruk Yencilek is a renowned Urologist based in Istanbul, Turkey, with over 20 years of experience. He is an active member of multiple associations, including the Turkish Association of Urology, Turkish Endourological Association. And European Urological Association, among others. Dr. Yencilek specializes in areas such as Urooncology, Laparoscopic Urology Endourology, Prostate Surgery, and Flexible Ureterorenoscopy. He holds certificates such as the Turkish Urology Proficiency (TUYK) Certificate, European Board of Urology (FEBU) certificate. And International Applied Urological Laparoscopy Instructor Course Certificate. He has won various awards, including the AstraZeneca Success Scholarship in Uro-oncology and has 26 international. And 18 Turkish publications under his name.
Dr. Akif Mert Erda
Dr. Akif Mert Erda is an experienced Urologist with over 20 years of experience in areas such as Urethral strictures. Urinary Incontinence treatment, Functional Urology, Neurourology, Prostate diseases, and Cancers of the prostate, kidneys, bladder, penis, testicles. And adrenal glands, to name a few. Dr. Akif has completed his graduation from Istanbul University and post-graduation from Gazi University. He is a member of the Turkish Urology Association, World Endourology Association, Turkish Endourology Association, and Urological Surgery Association. He has numerous national and international publications to his credit and is frequently invited to speak at scientific meetings. CDE’s, and worldwide conferences on Kidney cancer.