Guaranteed Penile Prosthesis Surgery in Turkey

A penile prosthesis, also known as a penile implant, is a medical device surgically inserted into the penis to address erectile dysfunction (ED). These prostheses are typically recommended when other ED treatments are ineffective when other methods including erection drugs, vacuum pumps, and injections are fail to resolve the issue and it’s not caused by psychosocial factors.

Qualification for penile prosthesis surgery necessitates the complete loss of natural erections. It’s crucial that other treatments are attempted before opting for penile prosthesis surgery, as this procedure involves the removal of any remaining healthy erectile tissue, making the process irreversible.

Once a penile prosthesis is implanted, natural erections will no longer occur, even if the prosthesis is later removed. The lifespan of a penile prosthesis is typically around 15 years.

Who should consider penile prosthesis surgery?

Penile prosthesis surgery is usually recommended when erectile dysfunction (ED) has a definitive medical cause and is unlikely to improve through natural means or other medical treatments.

Penile prosthesis surgery can also be performed as part of reconstructive procedures for conditions like Peyronie’s disease, which causes curved erections due to scarring, or in severe cases of priapism, characterized by recurrent, prolonged erections.

You might be a suitable candidate for penile implant surgery if:

 

• • Your erectile dysfunction persistently impacts your sexual life.

• • You have tried erection drugs such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra), which can facilitate erections suitable for sexual activity in many cases.

• • You have utilized a penis pump (vacuum constriction device).

• • You suffer from conditions like Peyronie’s disease, where other treatments are unlikely to be effective.

• • Your ED stems from emotional issues.

• • You experience a lack of sexual desire or sensation.

• • You have a urinary tract infection.

• • You are dealing with inflammation, lesions, or other skin problems on your penis or scrotum.

It’s also important to consider the cost and price of penile implant surgery, as these factors can vary based on the type of prosthesis chosen and the specific healthcare setting.

Penile prosthesis function

The operation of an inflatable penile prosthesis involves the surgical insertion of various components into the body. This type of penile prosthesis surgery includes placing two connected cylinders within the penis, which are linked by tubing to a saline reservoir. 

The reservoir, a critical part of the penile implant, is implanted beneath the rectus muscles in the lower abdomen. Additionally, a pump, integral to the erectile tissue system, is positioned under the scrotum’s loose skin, situated between the testicles.

This configuration, comprising three separate elements, is known as a 3-piece inflatable penile prosthesis. Conversely, the 2-piece inflatable penile prosthesis simplifies the design by combining just two parts:

 

• • the integrated cylinders, and

• • a unified unit of the reservoir and pump.

In the 2-piece version, the reservoir is not placed behind the groin but is amalgamated with the pump in a single unit comfortably located in the scrotum. The primary advantage of the 2-piece penile implant is its less complicated and shorter surgical procedure, eliminating the need for abdominal equipment.

However, a notable drawback of this two-piece design is the smaller reservoir size, which may not provide a sufficiently strong erection for some men. 

When considering penile implant surgery, it’s also important to weigh the penile implant cost and price, as these factors can vary significantly depending on the type of prosthesis and the specifics of the surgical procedure.

Types of Penile Prosthesis

Penile prostheses, commonly referred to as penile implants, are medical devices implanted into the penis to help men with erectile dysfunction (ED). There are mainly two types of penile prostheses: inflatable and malleable (or semi-rigid) implants.

Inflatable Penile Prosthesis (IPP):

This is the most common type and offers the closest simulation to a natural erection. It consists of two main types:

Two-piece Inflatable Implants:

• These have a pair of cylinders implanted in the penis and a combined fluid reservoir and pump unit placed in the scrotum. Squeezing and releasing the pump moves fluid into the cylinders, creating an erection.

Three-piece Inflatable Implants:

• These include a pair of cylinders in the penis, a separate reservoir of saline solution implanted under the abdominal wall, and a pump and release valve in the scrotum.
• The reservoir sends fluid to the cylinders to inflate them and create an erection. These implants provide a more natural erection and better flaccidity when deflated.

Extendable Three-piece Inflatable Implants:

• Basic Structure Like standard inflatable implants, extendable inflatable penile implant typically consist of cylinders implanted in the penis, a pump, and a fluid reservoir.
• This extendable inflatable penile implant is an advanced variation of the traditional inflatable penile implant used to treat erectile dysfunction.
• This type of prosthesis aims to provide a more natural experience and appearance by incorporating a feature that allows for an increase in length, in addition to rigidity, during inflation.

Malleable (Semi-Rigid) Penile implant:

This type involves a pair of bendable rods surgically implanted within the erection chambers of the penis.

Men can adjust the position of the penis manually. While simpler, less mechanical failure is possible, and it’s always somewhat rigid, which can be a disadvantage.

Each type has its own advantages and disadvantages. The choice between an inflatable or malleable implant depends on the patient’s preference, medical history, physical condition, and lifestyle.

The inflatable prosthesis offers a more natural-looking erection and better flaccidity when not in use, but it’s more complex with a higher risk of mechanical failure.

The malleable implant is simpler and more reliable but offers less natural-looking erections and constant rigidity.

It’s important for patients to discuss their options with Istanbul Urology Clinic healthcare provider to choose the most suitable type based on their specific medical situation and lifestyle needs.

Advantages of Penile Prosthesis Surgery:

 

• • Ability to achieve an erection on demand.

• • The ability to maintain an erection for an extended period.

• • Eliminates the need for drugs or injections.

• • The erectile prosthesis prosthesis is not visible externally.

• • No impact on ejaculation or orgasm.

Disadvantages of erectile prosthesis Prosthesis Surgery:

 

• • Natural erections are no longer possible.

• • Potential for a shortened or curved penis (unless using the extendable model).

• • The surgery can be painful.

When considering penile prosthesis surgery, it’s essential to factor in the penile prosthesis cost and price, as these can vary depending on the type of prosthesis and the surgical requirements.

Preparing for Penile Prosthesis Surgery:

Ensuring effective anesthesia is a critical aspect of erectile prosthesis prosthesis surgery. This procedure is invariably conducted under general anesthesia.

During your pre-operative consultation, you’ll have the opportunity to discuss anesthesia details with the anesthetist to prepare for the surgery.

The medical adviser from our clinic will provide instructions on when to stop eating and drinking before the surgery, typically allowing only a small sip of water.

It’s advised to abstain from alcohol and smoking for 24 hours prior to admission.

Discontinue specific medications. Your doctor may advise you to pause aspirin and anti-inflammatory drugs before surgery to reduce bleeding risks.

Plan transportation. Confirm with your health care provider the expected time of discharge post-surgery. You might need to stay overnight after the penile implant procedure.

Restrict diet and fluids. Avoid eating or drinking after midnight prior to your surgery, adhering to your health care provider’s guidelines.

Personal hygiene is essential before erectile prosthesis prosthesis surgery. You are requested to shower or bathe before coming to the hospital, trim your nails, and avoid using creams.

On the day of the surgery, remove contact lenses, piercings, and jewelry, although you can bring your glasses.

During the pre-operative consultation, the medical adviser will guide you on which medications to continue or temporarily discontinue.

Erectile Prosthesis Surgery Day Guide

Upon your arrival at the hospital on the scheduled day and time, please check in at the reception desk of the nursing ward.

Someone will then escort you to your room and bed, conduct a pre-operative interview, and prepare you for the surgery. This is also the time to ask any lingering questions.

There might be a waiting period between your arrival at the ward and the operation. We aim to minimize this duration.

During this time, you may read or watch television, but we request that you remain within the department.

In erectile prosthesis prosthesis surgery, an incision is made at the juncture of the penis base and scrotum.

The surgery involves opening both cavernous bodies and removing the spongy tissue within. This is why, typically, after the insertion of a penile prosthesis, spontaneous erections are no longer possible.

Patients who opt for erectile prosthesis prosthesis surgery often have a history of long-term erection problems, leading to a gradual shrinkage of the cavernous bodies.

Consequently, the erect penis length with a prosthesis may be shorter compared to its length before the onset of erection issues.

The reservoir of the prosthesis is positioned either under the muscle or adjacent to the bladder, with a designated space created in the scrotum for the control pump. 

All components are interconnected, and a test run is conducted to ensure functionality.

To conclude the surgery, which typically lasts about 2 hours, the penis is brought to full erection to apply hemostatic pressure within the cavernous bodies.

Following erectile prosthesis prosthesis surgery, you will have an IV line for administering fluids and antibiotics. A urinary catheter will be in place for urine drainage, along with a drain tube for wound fluid.

In the nursing ward, nurses will regularly monitor your blood pressure, heart rate, and body temperature.

Pain medication will be provided to manage discomfort. If you feel well and are not experiencing nausea, you will be offered food and drinks.

If recovery proceeds smoothly, you can expect to be discharged the day after the surgery. 

Before leaving, the catheter, IV line, and wound drain will be removed.

 

• • For the initial 24 hours after returning home or hotel from erectile prosthesis prosthesis surgery, it is advised to wear snug underpants to minimize swelling and bruising. Position the penis upwards. After this period, you may switch back to regular underwear.

• • Avoid bathing for the first 2 days post-surgery to facilitate proper wound healing.

• • Rest is crucial during the first 3 days after the surgery. Limit physical activities as much as possible.

• • For pain management, you can take paracetamol tablets, with a maximum dosage of 2 tablets up to 4 times a day or what the doctor would prescribe.

• • Gradually resume light physical activities after 3 days, being mindful of any pain. If you experience discomfort, stop immediately. However, maintain gentle movements for the first 6 weeks.

• • Avoid sitting on hard surfaces to prevent discomfort.

• • Refrain from engaging in sports, cycling, or lifting heavy objects for the first 5 weeks following erectile prosthesis prosthesis surgery.

• • During your first outpatient follow-up, discuss with our doctor the appropriate time to resume more strenuous physical activities.

• • The timeline for returning to work post-penile prosthesis surgery varies based on the nature of your job. Consult your doctor about this during your first outpatient visit.

Remember, the erectile prosthesis prosthesis cost and price also include postoperative care and follow-up consultations, so it’s important to consider these factors when planning for the surgery and recovery period.

FAQs Regarding Penile Prosthesis Surgery