What are the risks and potential complications of penile prosthesis implantation?

Penile prosthesis implantation is a surgical procedure to treat erectile dysfunction (ED). It involves the insertion of a device into the penis to help men achieve and maintain an erection.

The risks and potential complications of penile prosthesis implantation include:

• Infection: This is the most common complication, occurring in about 2% of cases. It can be treated with antibiotics, but in some cases, the prosthesis may need to be removed.
• Bleeding: This can occur during or after the surgery. It is usually minor and can be stopped with stitches or pressure.
• Nerve damage: This can cause numbness or tingling in the penis. It is usually temporary, but in some cases, it can be permanent.
• Device malfunction: The device can break or malfunction. This is rare, but it can happen. In some cases, the prosthesis may need to be replaced.
• Erosion: The device can erode through the skin of the penis. This is rare, but it can happen. In some cases, the prosthesis may need to be removed.

The risks and potential complications of penile prosthesis implantation should be discussed with your doctor before the surgery.

Here are some additional things to keep in mind about penile prosthesis implantation:

• The surgery is typically performed on an outpatient basis.
• It takes about 4-6 weeks to fully recover from the surgery.
• You will need to avoid sexual activity for 6 weeks after the surgery.
• The cost of penile prosthesis implantation varies depending on the type of device used and the surgeon’s fees.

Penile prosthesis implantation is a surgical procedure, and like any surgical intervention, it carries certain risks and potential complications. It’s essential for individuals considering this treatment to be fully aware of these potential drawbacks. While the procedure is generally safe and effective when performed by an experienced surgeon, the following are some of the possible risks and complications associated with penile prosthesis implantation:

1. Infection: Infection is one of the most significant potential complications. It can occur at any time following surgery, and it may necessitate the removal of the prosthesis. To minimize this risk, surgeons take precautions such as administering antibiotics before and after surgery.
2. Mechanical Malfunction: Penile prostheses are mechanical devices, and like all mechanical devices, they can experience malfunctions. This may include issues with the pump, cylinders, or tubing. In some cases, these mechanical problems may require additional surgery to repair or replace the prosthesis.
3. Implant Erosion: In rare cases, the prosthesis may erode through the tissue of the penis, leading to discomfort, infection, and the need for corrective surgery.
4. Device Extrusion: Device extrusion occurs when a part of the prosthesis becomes visible or protrudes through the skin of the penis. This can result in infection or discomfort and typically requires surgical correction.
5. Scar Tissue Formation: Some individuals may develop excessive scar tissue (fibrosis) around the prosthesis, which can affect its function. Scar tissue may need to be surgically managed.
6. Change in Penile Length: Some men may experience a slight reduction in penile length following prosthesis implantation. This is typically a minor issue and may be more noticeable in men who had significant curvature of the penis (e.g., due to Peyronie’s disease) before the procedure.
7. Loss of Sensation: While modern penile prostheses are designed to minimize the loss of sensation during sexual activity, some men may report decreased sensitivity or altered sensation in the penis.
8. Bleeding: Although rare, post-operative bleeding can occur and may require medical attention.
9. Post-operative Pain: Pain and discomfort are common after surgery. This is usually managed with pain medications and typically subsides over time.
10. Scrotal Swelling: Swelling of the scrotum is a common post-operative side effect but usually resolves on its own.