Prosthetics of the penis( falloprosthesis) - Causes, symptoms and treatment. MF.

Surgical treatment of erectile dysfunction( ED)

The most effective method of treating ED worldwide is the surgical method. Surgical treatment is recommended in cases where erectile dysfunction is caused by irreversible causes. These include:

• Vascular Lesion of the Penis
• Peyronie's Disease
• Diabetes Mellitus
• Effects of Radiation Damage or Radiation Therapy
• The effects of injuries and surgeries on the penis, prostate, urethra.

If there is a prolonged and persistent ED caused by the above organic causes, then at the present time there are no other non-surgical therapies that can relieve it permanently.

The most effective treatment for ED is the implantation of prostheses( phalloprosthetics).Falloprosthetics is the "gold standard" for treatment of ED, which guarantees the restoration of a harmonious sexual life after surgery in 97-100% of patients.

The principle of operation is based on restoring the rigidity( elasticity) of the penis and consists in implantation( implantation) inside the cavernous bodies of paired elastic silicone rods or inflatable cylinders.

It is known that the ability to achieve and maintain an erection is inherent only in humans. In animals, the sexual intercourse is fast enough, so there is no need to maintain an erection for a long time. In some mammals( walrus, whales, orangutans, dogs), there is bone in the penis. It is clear that this feature excludes the possibility of developing erectile dysfunction. On the same principle, the operation of the falloprosthesis is based.

The following basic types of falloprosthesis are available:

• Semi-rigid prostheses
• Plastic prostheses
• Functional( inflatable) prostheses

Semi-rigid prosthetic knees
These prostheses are the simplest and least convenient for patients due to the constant "stretching" and "constant erection condition" of the penis on the implanted prosthesis. This makes it difficult for the patient's everyday and social adaptation, creates cosmetic discomfort. The main advantage of this type of prosthesis is their low cost and prostate implantation.

Plastic phalloprosthesis

These prostheses are multilayered silicone cylinders, in the middle of which are installed strands of silver wire, providing the necessary rigidity and retention of the penis in the desired position.

After engrafting the prostheses, the penis goes upward to raise the "combat readiness".

And after the commission of the act, he falls down, reducing the cosmetic inconvenience. Thus, the penis has a more natural appearance, while maintaining the ability to sexual intercourse.

Advantages of this model are mechanical reliability, impossibility of breakdowns and relatively low price. The main disadvantage is the constant hardness of the penis after the operation.

Functional( inflatable) falloprosthesis

These prostheses are the most perfect in terms of the naturalness of the erection and the softness of the penis in a relaxed state.

They consist of inflatable cylinders( implanted in cavernous bodies), a reservoir( installed in the space behind the pubic area) and a pumping pump( placed in the scrotum).

All three components are connected by tubes.

To get an erection it is enough to squeeze the pump several times in the scrotum. The hardness of the penis is provided by the flow of liquid( sterile water) from the reservoir into the cylinders. To remove the erection, you must press the same pump.

The main advantage of these falloprostheses is their ability to provide the best functional and cosmetic result.

Features of the postoperative period
A very detailed interview is conducted before the operation with the patient explaining all the advantages and disadvantages of the falloprosthesis. The main thing is that you do not have unreasonable expectations and you made a reasonable informed decision.

The operation of the falloprosthesis is a very complex and, even, a jewelery process. You should know that this operation has a lot of features, requires a lot of experience in the surgery of the penis, perfect knowledge of the anatomy and physiology of this organ, possession of a set of special operational techniques. Moreover, not all operations of penile prosthesis proceed as standard. The difficulties that arise during the operation can be successfully overcome only if there is adequate knowledge and experience. Therefore, not all urologists and andrologists perform qualitatively the operations of phalloprosthetics. You should know who to turn to for help in solving such a delicate, but very important issue, especially if it is a question of surgical treatment of ED.

Operations are carried out in compliance with all necessary requirements to exclude the possibility of infection of the wound. To prevent complications in the postoperative period, especially infectious, it is necessary to strictly observe all the prescriptions and instructions of the surgeon.

The first 2-3 days after the operation, the patient is placed in bed. Within a week after the operation, there are minor pain and swelling of the penis. To prevent infection in the postoperative period, antibiotics are prescribed.

Approximately 2-3 weeks after the operation, you can return to work. Sexual life is allowed to resume after 6-8 weeks.

Sexual life after surgery is not fundamentally different and is completely normal. Falloprostheses do not interfere with the sensitivity of the penis, do not affect the quality of orgasm and ejaculation. On the contrary, you can conduct repeated sexual acts without the risk of weakening the erection and regardless of the duration of the sexual intercourse. And if the sexual partner was not informed about the presence of prostheses, she can not even notice it!

The drawbacks and complications of the falloprosthesis

The operation of the falloprosthesis, like any operation, has a surgical risk and is accompanied by certain complications:

• Most often it is an infection or non-prosthesis of the falloprosthesis( complication rate is not more than 3%).The risk of an unsuccessful operation is higher in diabetic patients, in patients with spinal cord injuries, with repeated operations on the penis.
• In case of technical failure of the falloprostheses, a new operation will be required for its revision or replacement( the complication frequency is not more than 0.5-1%).In these cases, the manufacturer of prosthetic devices replaces them for free.
• After surgery, in most patients, the length of the erect penis can be 1 to 1.5 cm shorter than it was with full-blown natural erections. However, if necessary, during the falloprosthesis, you can simultaneously perform an operation of elongation and thickening of the penis.
• When implanting semi-rigid prostheses, cosmetic difficulties arise due to the constant presence of the penis in the state of erection.

The operation of prosthesis implantation in the penis is the final stage of ED treatment. However, all the dangers and complications of the operation of penile prosthesis are minimal, if performed by experienced urologists - andrologists, with observance of all necessary standards and requirements for such operations.

Ultimately, the main goal of the operation is the restoration of a harmonious sexual life, justifies all the difficulties that arise and the inevitable costs.

Know that there are currently no incurable erectile dysfunction