Penile prosthesis, also known as the “happiness stick”, is an implant surgically placed in the penis to solve erectile dysfunction. It can be used in men who have erection problems, in cases of loss of hardness during sexual intercourse or in cases where sufficient erection cannot be achieved. This application offers a permanent solution, especially for men who cannot get results from medication or other treatment methods.
Why is Penile Prosthesis Implanted?
Penile prosthesis is implanted to enable men with erectile dysfunction to continue their sexual life. It is generally preferred in the following cases:
- Conditions that do not respond to drug treatment
- Permanent loss of erection after diabetes, vascular diseases or traumas
- Cases caused by psychological reasons but resistant to treatment
- Structural disorders of the penis or curvature problems such as Peyronie’s disease
Thanks to the penile prosthesis, the person can achieve an erection and have sexual intercourse at any time, anywhere and for any length of time. The prosthesis is not noticeable from the outside, all the parts are inside the body, it provides a natural appearance, there is no loss in the pleasure the person receives, there is no loss in the pleasure the person receives, there is normal ejaculation (semen output), he can have a child normally, there is no problem in urinating.
Who is Penile Prosthesis Suitable for?
This surgical method is generally suitable for individuals with the following characteristics
- Long-term erectile dysfunction
- Those who do not get results with other treatment methods (medication, injection, vacuum)
- Those who cannot tolerate medication due to side effects
- Those with erection loss due to serious vascular diseases or neurological problems
- Individuals who have spousal support and can adapt to the postoperative process
Who is not suitable for?
- Patients with active infection
- Those who have a serious systemic disease that will prevent surgery
- People who are not psychologically ready for surgery or who do not have realistic expectations
What Are the Types of Penile Prostheses?
Penile prostheses are divided into two main categories based on their usage and structure.
- Malleable (Semi-rigid) Prostheses: These types of prostheses remain constantly firm but are bendable in structure. They are easy to use and are generally suitable for older patients or those with limited hand dexterity.
- Inflatable (Hydraulic) Prostheses: They provide results closest to a natural erection. The user can manually inflate the prosthesis to achieve an erection whenever desired. When not in use, the prosthesis becomes completely flaccid.
How Is Penile Prosthesis Surgery Performed?
Penile prosthesis surgery is typically performed under general or spinal anesthesia in a sterile operating room environment. The procedure takes approximately 1 to 1.5 hours. The surgeon makes a small incision to place the prosthesis inside the penis. Depending on the type of prosthesis chosen, additional components such as a pump and fluid reservoir may also be implanted.
What Are the Features of Penile Prosthesis Surgery?
- There is no loss of sensation after the surgery.
- Ejaculation function is preserved.
- The prosthesis is not noticeable from the outside.
- The erection appears natural.
- It is a permanent and long-lasting solution.
- It is under user control (especially for inflatable models).
What Are the Processes Before and After Penile Prosthesis Surgery?
Preoperative
- Detailed examination and tests are performed.
- The patient and partner are informed and realistic expectations are set.
- Suitability for anesthesia is assessed.
After Surgery:
- Stay in hospital for 1 day.
- There may be a little pain and swelling in the first week, this is temporary.
- Sexual intercourse is allowed after about 4-6 weeks.
- If an inflatable prosthesis is used, the use of the device is taught.
Frequently Asked Questions About Penile Prosthesis Surgery
1. Is the surgery painful?
There may be pain for the first few days, but it can be controlled with painkillers.
2. Can the prosthesis be felt?
No, you can’t tell from the outside. It offers a natural look and feel.
3. What happens if the prosthesis breaks?
In rare cases, a malfunction of the prosthesis may require replacement.
4. Is sexual pleasure affected?
No, there is no change in sexual pleasure and ejaculation functions.
5. When can I have intercourse after surgery?
Usually after 4-6 weeks, intercourse is possible with the approval of the doctor.