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Penile Prosthesis

Penile Prosthesis – Penis supports and implants

A penile prosthesis is an artificial support for the penis. These supports can be either external or internal.

Penile Implant

If you’re having problems in getting an erection, your penis can sometimes be ‘propped up’ – either by an external support or by an internal (surgical) implant. So the idea of these devices is to help men who suffer from some degree of erectile dysfunction (ED).

Generally speaking, you wouldn’t want to use a support or an implant unless you’d already tried medical treatments (like Viagra) and found that they hadn’t helped you.

External supports

They include ‘cock cages’ – sheath-like devices which slip over the penis and support it. Some types have special ‘bumps’ on the surface, which are supposed to stimulate the woman’s vagina.

One of the newest devices in the field is the Erektor, invented in 2014. Essentially, it is made up of two rings, connected by a rigid rod.

Also, there are artificial phalluses, which the man wears over his organ. Often, the device is attached by straps. The idea is that even if the male’s erection is rather wobbly, at least he can give some satisfaction to his partner.

Internal supports

Internal supports are devices that a surgeon places inside the penis during a delicate and quite difficult operation. The idea is to give you an artificial erection when you want it. The supports are often referred to as ‘implants’ or ‘splints’. No one should consider having an implant until the other methods have been considered carefully.

It’s best to start by consulting your Sexologist, who can probably advise you whether surgery would really help you. He can also refer you to one of the relatively small number of urologists who undertake this kind of operation.

How do surgical supports work?

There are two main types of support that a urological surgeon can put into the penis: semi-rigid and inflatable. Both types simply make you stiff enough to achieve intercourse, but do not actually give you a natural erection.

Semi-rigid internal supports

These consist of two rods of plastic or silicone that are fitted into the interior of the penis during an operation. They provide some rigidity as well as a certain amount of flexibility. They’re often described as ‘bendy.’

This means that you can use your hand to point your penis either upwards (for sex) or downwards (when you’re not using it for intercourse).

Inflatable internal supports

These much more complex implants consist of two cylinders, a pump and a reservoir. The cylinders, which are placed inside the penis by the surgeon, can be inflated with fluid when you want an erection and deflated after intercourse.

Penile Implant

During the operation, the surgeon puts a little pump inside your scrotum, and you press this when you want to have sex. It sends fluid from the reservoir into the two cylinders so your penis becomes stiff. After sex, you press a valve and the fluid runs back into the reservoir. Therefore, the erection goes down. There are several variations of this apparatus, but they all rely on a system in which the man pumps fluid from a reservoir into the cylinders inside his penis.

The main advantage of this method is that it looks more natural – despite the fact that you will have one or two scars (with luck, not very noticeable ones).

Who is suitable for a penis implant?

Men who may be suitable for implant surgery include those who have:

– Sustained injury to the erectile tissue within the penis (say, in a car crash);
– Been damaged by repeated injection treatment;
– Been damaged by previous surgery, eg for cancer;
– Had Peyronie’s disease, which causes fibrosis within the erectile tissue;
– Unsuccessfully tried all other treatments for loss of erection;
– Become paraplegic.

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