Penile Prostheses

Overview

Penile prostheses are implantable medical devices designed to restore erectile function in men with moderate-to-severe erectile dysfunction who have not responded adequately to medical therapy. These devices provide a reliable, on-demand solution for achieving erections suitable for sexual intercourse.

Types of Prosthetics

Semi-Rigid (Malleable) Prostheses

Bendable rods that provide constant rigidity. Simple design with reliable function.

Indications: Patients seeking reliable solution, those with limited manual dexterity, preference for simplicity

Inflatable Prostheses

Hydraulic devices providing on-demand rigidity with natural flaccid appearance. Available in 2-piece and 3-piece systems.

Indications: Patients wanting natural experience, adequate manual dexterity, preference for flaccidity between uses

Surgical Considerations

Facility: Specialized surgical facilities with experienced implant surgeons

Important: Permanent procedure with irreversible effects on natural erectile tissue.

Preoperative Evaluation

✓Comprehensive erectile function assessment

✓Anatomical and vascular evaluation

✓Psychological readiness screening

✓Discussion of device options

Postoperative Care

RecoveryVariable, typically weeks

Activity RestrictionsYes, initially

Sexual Activity4-6 weeks post-op

Follow-upEnsures proper function

Safety & Outcomes

High satisfaction rates, reliable erectile function restoration, acceptable safety profile.

Risks: Infection (<2%), mechanical malfunction (1-5% over years), rare complications

Key Treatment Principle

Medical therapy (oral medications, injections) should be tried first. Prostheses are indicated when medical therapy provides inadequate response. Treatment selection is guided by patient indication, anatomy, and personal goals.