Can penile prosthesis implantation be combined with other procedures?

Yes, penile prosthesis implantation can be combined with other procedures when it is medically appropriate and serves the best interests of the patient. The decision to combine procedures is typically based on the individual’s specific needs, underlying medical conditions, and treatment goals. Here are some scenarios in which penile prosthesis implantation may be combined with other procedures:

1. Peyronie’s Disease Treatment: In cases where Peyronie’s disease, characterized by penile curvature due to fibrous plaques, is associated with erectile dysfunction (ED), a penile prosthesis can be combined with procedures to correct the curvature. This may involve plaque excision, grafting, or other techniques to address the Peyronie’s-related curvature while restoring erectile function.
2. Urethral Stricture Repair: If a patient has both urethral stricture disease and ED, a combination of urethral stricture repair and penile prosthesis implantation may be considered. These procedures can be coordinated to address both issues simultaneously.
3. Scrotoplasty: Scrotoplasty is a surgical procedure to address scrotal abnormalities or discomfort. It can sometimes be combined with penile prosthesis implantation, especially if there are aesthetic or functional concerns related to the scrotum.
4. Hernia Repair: In some cases, individuals may have concurrent hernias that need surgical repair. Hernia repair can be performed along with penile prosthesis implantation if it is deemed safe and appropriate by the surgical team.
5. Implant Revision: For patients who have previously undergone penile prosthesis implantation and require a revision or replacement of their existing prosthesis due to device malfunction, infection, or other issues, the revision surgery can be combined with the removal of the old prosthesis and insertion of a new one.