Specialty Surgeon Complete Packaged Procedure. A penile prosthesis is another treatment option for men with erectile dysfunction. Penile implants may be an option to consider if you can't get an erection sufficient for sex with these other methods or if other methods cause undesirable side effects. Penile implant surgery usually takes 45 minutes to an hour. Penile implant surgery is usually done at a surgery center or hospital by a urologist. Your doctor may give you medication to make you unconscious during the surgery (general anesthesia) or may give you medication that blocks pain in the lower part of your body (spinal anesthesia).
Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen. Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is inside each of the two hollow chambers called the corpora cavernosa. After flushing the area with antibiotic fluid to prevent infection, your surgeon will choose the correct size implant and place the implant cylinders inside the penis. All sizes are customized to your exact body measurements. If your doctor is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, your doctor will also implant a fluid reservoir under the abdominal wall through an internal incision. Once the device is in place, your surgeon will sew the incisions closed.
Inflatable implants are the most common type of penile implant used in the United States. Inflatable devices are more natural than semirigid types are because they can be inflated to create an erection and deflated at other times. Inflatable implants also reduce the possibility of damage to the inside of the penis due to constant pressure — which can be a problem for some men with semirigid implants.
Three-piece implants use a fluid-filled reservoir implanted under the abdominal wall, a pump and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis. Before you have sex, you pump the fluid from the reservoir into the cylinders to cause an erection. After sex, you release the valve inside the scrotum to drain the fluid back into the reservoir.
- Creates a more natural erection than does a semirigid implant.
- Creates a firmer erection than does a two-piece implant.
- Takes pressure off the inside of the penis when deflated, reducing the chance for injury.
- Has more parts that could malfunction than does any other implant.
- Requires the most extensive surgery of any implant.
- Requires a reservoir inside the abdomen.
Treatment cost includes the facility fee, physician's fee, related medical procedures and drugs required to administer the plan of care. Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.
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