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When man suffers from severe form of erectile dysfunction penile prosthesis can become a good option. There are two kinds of devices that can suit the patient. A penile prosthesis can be bendable (or malleable) and inflatable. The prosthesis of simplest construction has a couple of malleable rods. Implantation of these parts to the erection chambers of penis are performed during serious surgery. When man is provided with such implant, penis is in semi rigid condition. One should lift the penis or make it erect mechanically in order to begin sexual penetration. Men prefer usually other type of prosthesis. It is hydraulic and inflatable. With help of such device the man is able to make love when he wishes to. It is impossible to hide the information about the implant with the first type of device, but it is achievable with the second one as it looks natural.
Doctor can appoint this remedy when it is hard to explain why erectile dysfunction occurred and there is no other solution to the problem. At times the surgery of this kind is fulfilled when penis requires reconstruction.
Penile prosthesis and the scheme of its work
There are two cylinders in the inflatable prosthesis, which are attached to each other. These are a reservoir and a pump. The surgeon places them to the body surgically. Tubing connects them. It goes to a reservoir with fluid that is inserted under the groin muscles. The pump serves to make the mechanism work. It is placed in the scrotum between the testicles and is also connected with other parts of the system.
Inflatable penile prosthesis consists of three or two parts. When this is a 2-piece device, there are 2 parts in it: the cylinders with a reservoir and a pump unit. It does not have a reservoir in the groin but it is connected with a pump unit that is located in the scrotum instead of that. This prosthesis can be more advantageous as the surgery does not take much time. It is not so complicated. No parts are installed to the abdomen. However, there are shortcomings of this choice as well. The reservoir is too little therefore the erections in some patients may not be adequate enough.
What is required for inflation of prosthesis? One should press the pump for that. This action will make the fluid run from the reservoir to the penis cylinders. When that happens it brings to inflation and, consequently, erection. The patient can also find deflation valve that is located at the base of the penis. Thanks to this penis can return to its flaccid condition.
Is it possible to conceal prosthesis?
There are scars at the basis of the penis but such things can hardly be noticeable in the restroom or locker. The embarrassment will hardly be an issue of concern. The difference between healthy man and man with a penile prosthesis is hard to see.
Is pleasurable sex possible with penile prosthesis?
Penis becomes thick and hard thanks to penile prosthesis. It is inflated and this resembles the natural process of erection. The majority of men consider that the duration of erection is even longer with prosthesis. Contemporary models include cylinders that can prolong the duration of erection and make penis thicker and stiffer.
As for the sensations of skin, it does not differ much. It also does not affect the ability of man to achieve the erection. The mechanical performance of erection does not affect ejaculation. But there is one problem. This procedure may happen to be irreversible. As soon as penile prosthesis is inserted surgically, the natural erection reflex can be destroyed. It is impossible to obtain erection without an implant. If you decide to remove it, you may have no natural erection in the future.
Efficacy of implants
Inflatable prosthesis is effective for sexual intercourse in the 90-95% of cases. Moreover, the rate of satisfaction is high as well. Up to 90% of men are pleased with the results they achieve after surgery. They said that they would do the same again and this matters much.
Safety of implants
Almost any surgery has complications and penile implant surgery is not exclusion. There can be problems of the following types:
- Bleeding
- Infection
- The formation of scar
- Erosion of implant that can negatively affect tissue around the implant
- Mechanical breakdown of the device
Medical insurance and penile implant surgery
Medical insurance usually covers the cost of operation in the event the cause of the problem is established. However, much depends upon the company and the location of the person.