Question 1

What is a penile prosthesis?

Accepted Answer

A penile prosthesis is a medical device implanted inside the penile tissue to treat severe erectile dysfunction that does not respond to other treatments like medications or injections. This penile prosthesis offers a permanent and effective solution for restoring sexual function. It is widely used in men with chronic conditions who desire reliable erectile support.

Question 2

What is the difference between penile implants and penile prosthesis?

Accepted Answer

There is no difference — both terms refer to the same medical device implanted into the corpora cavernosa of the penis. Penile implant surgery enables patients to achieve an artificial erection when desired. The terms penile prosthesis and penile implants are used interchangeably in clinical practice.

Question 3

What is an inflatable penile prosthesis?

Accepted Answer

An inflatable penile prosthesis (or expandable type) is an advanced implant consisting of fluid-filled reservoirs, a pump, and inflatable cylinders. When an erection is desired, the patient transfers fluid from the reservoir to the cylinders, causing the penis to stiffen. After intercourse, the fluid is returned to restore a flaccid state. This three-piece penile implant is the most preferred due to its natural appearance and function.

Question 4

What is a malleable penile prosthesis?

Accepted Answer

A malleable penile prosthesis consists of two semi-rigid rods implanted into the corpora cavernosa. The penis remains firm at all times but can be manually bent downward when not in use. This malleable penile prosthesis is less expensive than the inflatable type, though it offers a less natural look and feel.

Question 5

What are the drawbacks of a penile prosthesis?

Accepted Answer

Possible penile implant complications include: Need for surgical implantation. Low risk of infection. Potential mechanical failure over time. Loss of natural erections after implantation. However, these drawbacks are outweighed by excellent outcomes in improving sexual quality of life.

Question 6

Can a penile prosthesis be implanted without surgery?

Accepted Answer

No, penile prosthesis without surgery is not possible. Implantation requires precise surgical access to place components within the corpora cavernosa. However, the procedure is minimally invasive, and most patients are discharged the same day.

Question 7

Is a penile prosthesis used for elderly men?

Accepted Answer

Yes, penile prosthesis for elderly men is very common, especially for those with chronic ED unresponsive to oral drugs. When performed by an experienced surgeon, it is safe and significantly improves quality of life.

Question 8

Is a penile prosthesis used for severe erectile dysfunction?

Accepted Answer

Yes, penile prosthesis for severe erectile dysfunction is the optimal solution when all other treatments fail. It is the only permanent and reliable option, particularly for diabetic patients or those post-prostatectomy.

Question 9

Is a penile prosthesis used after prostatectomy?

Accepted Answer

Yes, penile prosthesis after prostatectomy is one of the most common indications. Prostate surgery often causes permanent erectile dysfunction. Here, penile prosthesis after prostatectomy offers the most effective and stable long-term solution.

Question 10

Is a penile prosthesis used for children?

Accepted Answer

No, penile prosthesis for children is not performed. Erectile dysfunction is a condition related to adulthood and sexual activity. Implants are only indicated for adult men, typically over 18 years old, and most commonly aged 40 and above.

Question 11

Is a penile prosthesis used for diabetic men?

Accepted Answer

Yes, penile prosthesis for diabetic men is a highly successful treatment. Diabetes often causes nerve and vascular damage leading to persistent ED. The penile prosthesis for diabetic men bypasses these issues, delivering reliable, long-term results.

Question 12

What are the complications of a penile prosthesis?

Accepted Answer

Possible penile prosthesis complications include: Infection at the implant site — rare but serious. Leakage or malfunction in inflatable models. Tissue erosion or cylinder migration. Need for future replacement. With skilled surgical technique and proper care, complications are infrequent and often treatable.