
Penile Prosthesis
A penile prosthesis is a definitive treatment for severe erectile dysfunction when other methods fail, consisting of the surgical insertion of rods (inflatable or malleable) into the penis to provide rigidity. The procedure lasts about 1 hour, with high satisfaction and sexual recovery in 6-8 weeks, but it is irreversible.
Treatment Details:
Indications: Cases of sexual impotence where medications (such as Sildenafil/Tadalafil) or injections do not work, including Peyronie's disease.
Types of Prostheses:
Malleable (Semi-rigid): Flexible rods that leave the penis constantly rigid but moldable.
Inflatable (2 or 3 pieces): Device that allows the patient to simulate a natural erection (inflate) and deflate when desired, with a more natural aesthetic result.
Procedure: Performed under general or spinal anesthesia, with an incision at the base of the penis or scrotum. The surgery is internal and invisible externally.
Postoperative: The use of antibiotics and local ice is recommended. Return to sexual activity typically occurs after 6 to 8 weeks.
Risks and Limitations: The original tissue is replaced, making the process irreversible.
The prosthesis does not enlarge the penis, alter sensitivity, or interfere with libido/ejaculation, acting only on mechanical rigidity.
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