Erectile Dysfunction (ED): Symptoms, Diagnosis & Treatment

The answer to the question of how to fix the erection problem of erectile dysfunction, which is a common condition today, is wondered by many people.

Erection problem; It can occur due to many conditions such as diabetes, multiple sclerosis, tobacco use, and spinal cord injuries. Erection problem, known as erectile dysfunction in medicine, is the condition that the erection cannot be sustained long enough or that there is not enough erection for sexual intercourse. There are drugs such as sildenafil and tadalafil used to treat erection problems, and if these drugs are not helpful, a vacuum device or penile injection therapy is applied. In cases where these non-operative methods are not sufficient to correct erectile dysfunction, penile prostheses known as Penile prostheses are used. These prostheses are placed in channels called corpus cavernosum, usually found in the penis, and contribute to the formation of erection by filling with blood. Two types of penile prosthesis are used, one-piece (malleable) and three-piece inflatable.

How to Fix Erection Problem with One-Piece Malleable Penile Prosthesis

One-piece prostheses are placed in the corpus cavernosum canals in two pieces. Urology doctors are often asked how to solve the erection problem with a one-piece malleable penile prosthesis, which allows long-term use thanks to its rigid structure. Thanks to its flexible and malleable structure, one-piece penile prostheses that offer easy use are used by manually turning them into an upright position. These prostheses, which offer a high bending angle, can be easily hidden in underwear when not in use. Before these prostheses are implanted, the appropriate height and diameter for the patient’s anatomy are determined during the examination. Penile prosthesis in suitable sizes for the patient is usually placed with an operation performed under general anesthesia. There are also varieties of malleable prostheses that come with a hydrophilic coating. The hydrophilic coating provides easier placement during the implantation process and contributes to the treatment process in case of infection, thanks to its antibiotic-absorbing feature. In addition, the hydrophilic coating, which prevents bacteria from attaching and multiplying on the prosthesis surface, reduces the risk of infection. One-piece prostheses are preferred by patients for reasons such as affordable cost, no risk of deterioration since they do not contain mechanical parts, and can be used for a long time.

What is Penile Prosthesis?

A penile prosthesis or penile implant is a permanent solution that you should now consider in cases where natural or medical treatments are insufficient to treat the erectile dysfunction problem you are experiencing.

A penile prosthesis placed inside the penis helps to achieve anatomical hardening. In addition to being a permanent solution, if the non-surgical methods used in erectile dysfunction do not work, it is a treatment option with a high satisfaction rate. After a short operation, two penile prostheses placed in the penis provide hardening by bending or inflating, depending on the type.

Who gets a penile prosthesis?

Penile prosthesis treatment offers a permanent solution for people who have erectile dysfunction, that is, erectile dysfunction but do not achieve the desired level of improvement despite trying non-operative treatment methods such as medical treatment, injection therapy, and vacuum devices. Erectile dysfunction occurs in these individuals; It may occur due to conditions such as diabetes, spinal cord damage or injuries, and multiple sclerosis. It is also seen in situations such as smoking, insufficient physical activity, stress, or anxiety. Individuals who apply to a urology physician in case of erectile dysfunction apply for non-surgical treatment options prescribed by their physicians. Although the success rate of these treatments is relatively good, they cannot provide a permanent solution to the problem. In this case, Penile prosthesis treatment, a method that has been used for more than 40 years, is applied.

Penile prosthesis surgery

The surgical approach may vary depending on which type of prosthesis is used, the patient’s history, and the surgeon’s approach. During the operation performed under general anesthesia, the 3-piece inflatable penile prosthesis is inserted through a small incision on the penis, lower abdomen, and scrotum.

It is usually made with a minor surgical cut at the junction of the abdominal tissue and the penis or below the border where the scrotum (also called the scrotum) meets the penis. No tissue is removed in this operation, and blood loss is usually minimal. Patients can go home on the same day of surgery or stay in the hospital overnight if the doctor deems it appropriate. This may vary depending on the physician’s approach and the hospital’s internal procedures. This operation takes about an hour. Pain, swelling, or bruising may occur in the penis or scrotum for approximately 3-4 weeks after penile prosthesis implantation. In such cases, your doctor may prescribe you a pain reliever. If the physician approves, patients can have sexual intercourse 4-6-8 weeks after prosthesis surgery. The patients’ enjoyment of sexual intercourse, orgasm, or ejaculation is not affected by the implanted prosthesis after the operation. As in the past, the patient can have sexual intercourse as often and as long as he wants and have children naturally. Penile prostheses increase the erection of the penis, but they generally do not lengthen the penis.

How successful is a penile prosthesis?

About 90% to 95% of all prosthetic surgeries are successful, meaning penile prostheses are well-suited for long-term and satisfying sexual intercourse; according to a study, the satisfaction rates of patients and their spouses who have penile prostheses are pretty high. In the same study, 93% of men and their spouses stated that they were satisfied with the results and said they would have the same treatment again in the same situation.

Is it possible to have a child with penile prosthesis surgery?

Penile prostheses are prostheses that help harden the penis. These prostheses are placed in the corpus cavernosum, located on both sides of this channel, not in the urethra, where urine and sperm exit. It does not negatively affect sperm or urine output and contributes to sexual activity by providing an erection. Since there is no adverse effect on sperm production for individuals with a penile prosthesis, it does not pose a problem for them to have children.

How to Fix Erection Problem with Three-Piece Inflatable Penile Prosthesis

Three-piece inflatable prostheses are a prosthesis in which the pump, reservoir, and two cylindrical parts are connected with a unique tube system. Compared to one-piece prostheses, the satisfaction rate is higher (92-100% in patients and 91-95% in partners) due to the absence of a permanent feeling of stiffness and more natural-looking hardening. For this reason, patients who want to learn how to solve their erection problem with a three-piece inflatable penile prosthesis apply to their urology doctors. While the prosthesis pump is placed into the testis, the fluid-filled reservoir is hidden in the abdomen. Cylindrical parts are implanted in the corpus cavernosum channels. As a result of the pump being compressed several times, the liquid in the reservoir moves into the cylinders, and hardening is achieved. Again, hardening can be terminated thanks to the lowering button on the pump. There are inflatable penile prosthesis types that expand transversely by the anatomical structure of the people, as well as types that extend both transversely and longitudinally. In addition, narrow-diameter inflatable prostheses are used in individuals with a narrow corpus structure. These prostheses also have a hydrophilic coating, reducing the risk of infection.

For detailed information, contact us via the “Contact Form” on the website for detailed information. Those who complain of erectile dysfunction can consult a urologist who is an expert in the field for more information on how to fix the Erection Problem.