Penile Implant Surgery

Penile Implant Surgery: Reclaiming Intimate Wellness

Penile implants are the devices that are placed inside the penis of men who are suffering from erectile dysfunction. It helps them to achieve erection. It is the last resort for the men when no other treatment option works for them.

Here, we will examine the types of penile implants available and how they work. We will also take a look at how the surgery is performed in India and why it is best to get the surgery done in India.

What is a penile implant?

A penile implant is a device that helps men to achieve erection if they have erectile dysfunction. It is of three types:

One-piece implants or semi-rigid implants

One-piece implants use flexible or semi-rigid cylinders. This implant is rigid enough for sex and remains in an erect position always. Complete concealment is not possible via clothes, as there will always be some degree of visibility.

Benefits: least expensive type of implant, fewer mechanical parts to fail

Downsides: least natural erection, no antibiotic coating; worst rigidity; worst flaccidity

Good for: men with poor hand function or men with a buried penis who need a prosthetic to hold on a condom-style catheter

Two-piece Implants or Inflatable penile implant

Two-piece cylinders are made of cylinders and a pump. The pump is hidden in your scrotum. Pumping fills the cylinders with fluid to give you an erection.

Bending your penis allows the fluid to move out of the cylinders, so your penis can become flaccid
.
Benefits: excellent rigidity; no need to place any parts in the pelvis or abdomen

Downsides: no antibiotic coating; not good flaccidity; not good for very thin men; not good for larger penises due to poor flaccidity

Good for: men who have extremely complex pelvic issues that make placement of a three-piece penile implant less desirable, such as men who have had certain pelvic crush injuries or those with complex vascular reconstruction – very few men fall into this category.

Three-Piece Penile Implant

Three-piece implants are the most commonly used devices. They consist of a pair of cylinders in the penis, a pump placed inside your scrotum near your testicles, and a reservoir of saline. Squeezing the pump in your scrotum moves the saline into the cylinders, creating a rigid erection that feels natural.
Inflatable penile Implant remains inflated as long as you desire. When you’re ready, you’ll hit a deflate button on the pump that returns the penis to a flaccid, soft state.

Benefits: excellent rigidity and flaccidity; total control over the erection; antibiotic coatings are available

Downsides: need for placement of reservoir in your pelvis/abdomen, mechanical failure of the penile implant

Good for: most men with erectile problems, including those from prostate cancer, diabetes, vascular disease, spinal cord injury, pelvic trauma, transplant patients, and others

New penile Implant Devices

Several new penile implant devices have been introduced to the market. Some of them are listed below:

AMS TACTRA

It is a semi rigid penile implant that Boston Scientific creates. It is a simple implant that is made to create a long-lasting and tough erection. It has a dual silicone construction with nitinol in the center. The design enables men to have flexibility during sexual activity and drive their penis down when not in use.

RIGICON INFLA 10 X

It is a three piece inflatable penile implant that Rigicon creates. It is easy to apply and is best for sexual intercourse. It has a polyurethane coating and dual-layer silicone construction, which provides your penis strength and sturdiness. It has a touch valve that allows it to deflate the equipment when required quickly. It is available in a range of lengths and sizes.

COLOPLAST TITAN TOUCH

The Titan Penile Implant is a three piece gadget present since 2014. It has a one-touch pump that allows it to inflate and deflate the apparatus easily. It also has a lockout valve to stop auto inflation. It is one of the best penile implant devices and is available in different lengths and sizes.

AMS 700 LGX PENILE IMPLANT

It is an inflated three-piece implant developed by Boston Scientific. Silicone and polyurethane provide flexibility and durability to it. The device has a brief squeeze pump that makes it easy for the affected person to inflate and deflate it. In addition, it has an antibiotic layer of InhibiZone that lowers the danger of contamination. A type of versions of the AMS 700 are presented, such as the AMS 700 LGX (length and girth growth), CX (managed enlargement), CXR (controlled enlargement for constrained anatomies), and MS (temporary squeezing).

These implants offer various capacities and advantages for ED sufferers searching for a surgical remedy.

Penile Implant Size options

The size of the penile implant is crucial for the one who is undergoing the surgery. You will be offered multiple sizes of implants to choose from. The main aim of the customization is to increase overall satisfaction and offer a natural appearance to the penis after the surgery. You can choose the size of the implant based on your comfort level.

Inflatable Implants: They come in different cylinder lengths to accommodate the size of the penis.

Semi Rigid or Malleable Implant: they come in the form of bendable rods, and the size of the rod can be adjusted according to the size of your penis.

How does a penile implant work?

An inflatable penile implant has two cylinders, a reservoir, and a pump surgically placed into your body.
The surgeon will insert cylinders into your penis. Tubes connect the cylinders to a separate reservoir under your lower abdominal (stomach) muscles. The reservoir contains fluid. A penile implant pump also connects to this system. It is placed under the loose skin of your scrotum, between your testicles.

To inflate the implant, you have to press the pump in your scrotum. Pressing the pump doesn’t put any pressure on your testicles. The pump transfers fluid from the reservoir to the cylinders in your penis, inflating them to the level of hardness that you want. Once erect, you can maintain your erection for as long as you wish, even after an orgasm. When you want to stop the erection, pressing a valve on the pump returns the fluid to the reservoir, which brings your penis back to its original shape.

A semi-rigid penile implant has two firm, flexible silicone rods. This type of device doesn’t require pumping. It has bendable rods that are implanted inside the penis. The rods remain in the semi-erect state and the users manually position the penis for sexual activity.

Who is a good candidate for a penile implant?

● Men suffering from erectile dysfunction
● Component of gender affirmation surgery
● Treatment of severe cases of scarring inside the penis

You are not a good candidate for penile implant if:

● You have an infection like a pulmonary or urinary tract infection
● Diabetes
● Cardiovascular disease

Understanding penile implant surgery in detail

What happens before the penile implant surgery

● If you choose to get the surgery in India, your healthcare provider will perform a physical examination and review your medical history.
● The physical exam involves a urologic exam. It includes examining your genitals, prostate, and urine samples.
● All treatment options will be considered before going ahead with a penile implant. Most doctors in India recommend surgery only when all other treatment options fail to treat ED.
● Discuss the pros and cons of the surgery with the doctor beforehand.
● Tell your healthcare provider if you are taking any medications or herbal supplements.
● Tell your doctor if you have any allergies.
● The healthcare provider will also give you specific instructions on eating and drinking before your penis implant.
● It would help if you didn’t eat or drink anything after midnight the night before your surgery. If you must take medications, you should take them with a small sip of water.
● You do not need to shave the pubic hair before the surgery. Your doctor will do it before the surgery.
● Always make sure that you do not have any active infection before the surgery. If you have, you will have to notify your doctor.

During the surgery

● The surgery is performed using spinal anesthesia or general anesthesia.
● Prior to the surgery, the pubic hair is shaved. A catheter is placed to collect urine, and an IV is placed to inject antibiotics.
● The surgeon will make an incision in the lower abdomen, the base of your penis, or just below the head of your penis.
● The two inflatable cylinders are placed inside the penis. The size of the implants will depend on your body measurements.
● If your surgeon is implanting a two-piece inflatable device, then a pump and valve are also placed inside the scrotum.
● For a three-piece penile implant, a pump goes into your scrotum, and the reservoir is inserted under your abdominal wall.
● Finally, the surgeon will close the incisions.
● The procedure is done on an outpatient basis and takes 45 to 90 minutes to complete.

After the surgery

● After the penile implant surgery, you will be moved to the recovery room.
● Once you are fully awake, after the effect of anesthesia, you may feel soreness in your groin and abdominal area.
● Your pain will be treated using pain management drugs.
● In most cases, you can go home a few hours after the implant.
● Please make sure to have a family member beside you to help take care of you after the implant.

What is recovery like?

● After the surgery, you will need medications to relieve the pain.
● A long-acting injection is given into the scrotum to reduce pain for 48 to 72 hours.
● Ask your healthcare provider about when you can resume your daily activities.
● Most men resume daily physical activities after 4 to 6 weeks.
● You will be able to resume sexual activity six weeks after the surgery.
● Your doctor will give you instructions on how to use the pump.

Are penile implants effective?

Although penile implants are the most invasive treatment for erectile dysfunction, most men who have them and their partners report satisfaction with the devices. In fact, penile implants have the highest rate of satisfaction of all erectile dysfunction treatments. Thus, if we talk about penile implants before and after, then we can only say that men have reported 100 % satisfaction after this surgery.

Benefits of the surgery

● The main benefit of the implant is that it helps you maintain an erection that is firm enough for the sex.
● The procedure is safe and has a low risk of complications
● The results of the procedure are satisfying. Over 90 percent of people are happy with the results.
● Penile implants are durable. They last for about 20 years.
● Increased self-esteem

Risks of the surgery

The penile implant complaints are:

● After the penile implant surgery, the risk of infection is possible
● New penile implants are reliable, but in some cases, there may be malfunction.
● In some cases, the implant might stick to the skin inside the penis, and it can also break through the skin.

When to see the doctor?

● Heavy bleeding in the incision area
● A fever of 100 degrees Celsius or higher
● Increased pain
● Infection at the surgical site

How common are penile implants?

Penile implants are becoming more common these days. About 63000 procedures have been performed in India since the last decade.

How long do penile implants last?

On average, a penile implant lasts for 20 years. When the average age of a penile implant passes, it stops working. Your surgeon can re-do the surgery by replacing it with a new implant.

How big can a penile implant be?

In most of the cases, the look and the size of the erection after the implant are comparable to the size of the penis before the surgery. Your surgeon will always measure the inside of your penis and place the biggest implant that is safe to put in your body.

Can you get hard with the implant?

Yes, a penile implant allows one to get an erection whenever required. It can take a couple of minutes to pump the inflatable penile implant to obtain full rigidity.

Does the penile implant feel the same?

When you inflate your penis, the prosthetic penile implant makes your penis stiff and thick, like a natural erection. Most people with a penile implant report that sex feels the same or better than before the procedure. It won’t change the sensation on the skin of your penis. A penile implant also doesn’t affect your ability to ejaculate and orgasm. It may take you a few weeks or even a couple of months to adjust to the sensation of having an implant. However, many people who get penile implants report high satisfaction once they fully heal.

Can a woman tell if a man has a penile implant?

In most cases, women cannot tell if a man has a penile implant because the implants are concealed. However, it is important to remain true to your partner about it.

Women’s Complaints about penile implant

The most common complaints of women related to penile implants are:

● Mild pain during sex
● Penile implants have less flexibility

We suggest having an open dialogue with your partner about the expectations and seeking professional guidance to have a smooth experience with implant surgery.

How is life after penile implant surgery?

Life after penile implant surgery includes:

● Restored confidence
● Good sexual relationship
● Positive impact on the overall life of an individual.

Can a man with a penile implant get a woman pregnant?

A man with a penile implant can make a woman pregnant, but fertility depends on several factors. Please speak to your surgeon or healthcare provider about it.

Transgender penile implant

Transgender penile implants are done as a component of gender affirmation surgery to increase the overall outcome of the surgery.

Top Hospitals and Doctors Doing Penile Implant in India

Dr Vikram Sharma -Director, Director Fortis Memorial Research Institute, Gurugram

Dr. Vikram is a urologist and Andrologist. He holds vast experience in Laparoscopic Urological Surgeries.

Dr. Sharma was also the Founding Director of India’s first Andrology Centre, the Alpha One Andrology Group, exclusively dedicated to the treatment of Male Sexual Dysfunction.

Dr Ajit Saxena– Robotic Urologist Andrologist, Apollo Hospital Delhi

Dr. Ajit Saxena is a highly experienced urologist as well as an andrologist and has vast experience of over 35 years of experience in the same field. He specializes in treating various male reproductive system-related disorders such as erectile dysfunction, male infertility, kidney stones, prostate cancer, sexual disorders, and urinary tract infections. Dr. Saxena has received numerous prizes for his exemplary work in the field, including the UP Ratna Award and the Japanese OISC International Award for Surgical Excellence.

Dr Ashish Sabharwal-Urologist, Apollo Hospital Delhi

Dr. Ashish Sabharwal is one of the best urologists and andrologists in Delhi-NCR, with two decades of experience. His expertise includes prostate cancer, kidney cancer, robotic surgery, erectile dysfunction, penile implants, enlarged prostate (BPH), and kidney stones.

Dr Manish Singla – Urology, Sr Consultant at RG Stone

Dr. Manish Singla is a highly skilled urologist and Andrologist with extensive experience in the diagnosis and treatment of various urological conditions. Dr. Singla’s areas of specialization include the treatment of male hypogonadism, erectile dysfunction, kidney stones, bladder and prostate cancer, and female incontinence.

Dr Abhinandan -Artemis Hospital Gurgaon

Dr. Abhinandan Mukhopadhyay specializes in the field of Urology and Andrology, dealing with several Urologic problems ranging from kidney stone disease, male sexual problems and infertility, diseases of the prostate and its management to performance of complex reconstructive procedures for urethral stricture and uro-oncological surgery.

Penile Implant Cost in India

● Single Piece / Semi Rigid –            3000 USD
● Two Piece –                                       4500 – 9000 USD
● Three Piece –                                    14000 – 17000 USD

How can you avail yourself of the best Penile Implant Surgery in India?

Cross Border Care is here for you if you are looking for trustworthy treatment consultants in India. We will help you find the best doctor in India and get your treatment done for JCI-accredited hospitals at the most pocket-friendly rates. Our team includes experienced medical professionals with you at each treatment step. So, if you are planning your Penile Implant surgery in India, fill out the form below, and we will help you to choose the best doctor and hospital providing state-of-the-art technology.

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