How is a penis implant surgery performed?

Penis implant surgery, also known as penile prosthesis surgery, is a procedure performed by a skilled urologist or surgeon to implant a medical device that enables individuals with severe erectile dysfunction to achieve and maintain erections suitable for sexual activity. The surgery involves several steps and can vary based on the type of implant being used (inflatable or malleable). Here’s an overview of how the surgery is typically performed:

1. Anesthesia: The surgery is performed under general anesthesia or regional anesthesia, depending on the surgeon’s preference and the patient’s medical condition. General anesthesia will cause the patient to sleep throughout the procedure, while regional anesthesia might involve numbing the lower half of the body.

2. Incision: The surgeon makes an incision in the penis, typically along the side or the base. The length and location of the incision can vary based on the type of implant and the surgeon’s approach.

3. Creating Space: The surgeon creates a space within the penis to accommodate the implant components. This involves gently dissecting the tissue to allow room for the cylinders or rods.

4. Implant Placement: The type of implant determines the specific steps at this stage:

• Inflatable Implant: For inflatable implants, the surgeon places two inflatable cylinders into the erectile chambers of the penis. These cylinders are connected to a fluid-filled reservoir, which is usually placed in the abdomen or scrotum. A pump is also implanted in the scrotum to control inflation and deflation of the cylinders.
• Malleable Implant: For malleable implants, the surgeon implants two flexible rods into the penis. These rods can be manually bent into an erect position for sexual activity and bent back to a flaccid position afterward.

5. Connecting Components: For inflatable implants, the surgeon connects the cylinders to the pump and reservoir using tubing. The tubing is typically routed through the groin area.

6. Testing and Adjustments: Before completing the surgery, the surgeon tests the implant to ensure proper function. If necessary, adjustments are made to achieve the desired level of rigidity and flexibility.

7. Closure: Once the implant is in place and functioning as intended, the surgeon closes the incision using sutures or staples. The closure aims to minimize scarring and facilitate healing.

8. Dressing and Bandaging: The surgical area is dressed and bandaged to protect the incision site and promote healing.

9. Recovery and Monitoring: After the surgery, the patient is taken to a recovery area where they are monitored as the effects of anesthesia wear off. The patient’s vital signs are closely monitored during this time.

After the surgery, patients receive detailed post-operative care instructions, including information about managing discomfort, caring for the surgical site, and when to follow up with the healthcare provider. It’s important for individuals considering penile implant surgery to have a thorough discussion with their healthcare provider about the procedure, expectations, and potential outcomes.