Erectile dysfunction: Penile prosthesis
The surgical implantation of a penis prosthesis can be seen in patients who do not respond to pharmacotherapy or who prefer a permanent solution to their problem.
There are two types of prostheses: malleable (semi-rigid) and inflatable (two or three components). Most patients prefer inflatable three-piece devices as they achieve ‘natural’ erections. The implantation of prostheses offers one of the highest rates of satisfaction (70-87%) among the treatment options of ED.
Tratamiento para la disfunción eréctil con prótesis
There are different types of prostheses, although the most advanced model is the hydraulic prosthesis integrated in three components. This consists of two cylinders that are implanted in the two cavernous bodies of the penis. A mechanism of activation is located in the scrotum and a reservoir is placed in the proximity of the bladder. The mechanism is just a hydraulic system that mobilizes the liquid between the different components of the prosthesis to increase or decrease the rigidity of the penis whenever required.
The entire prosthesis is implanted by a small incision of two centimeters in the scrotum, practically imperceptible. With current models, erection and detumescence (return to flaccidity) are practically identical to physiological states.
3-piece inflatable penile prosthesis
Malleable penile implant
Aesthetic outcome and performance
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