Penile Prosthesis Insertion
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Reasons for Procedure
- Not responded to other treatment options such as pills, suppositories, vacuum devices, and injections
- Certain diseases such as diabetes or vascular disease
- Physical injuries such as spinal cord injury
- Certain surgeries that have made having an erection impossible
- Scar tissue that forms
- Break down of tissue around the implant
- Mechanical failure
- Smoking or alcoholism
- Poor overall health
- Poor nutrition
- Use of certain drugs
- Bladder disease that requires a catheter
- Bleeding disorders
- Prior pelvic or genital surgery
What to Expect
Prior to Procedure
- Obtain a complete medical, surgical, and sexual history
- Do a physical exam
- Do tests to rule out problems that might be treated with medications
Talk to your doctor about your medications. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs such as ibuprofen
- Blood thinners
- Anti-platelet medications
- Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
Description of the Procedure
- Inflatable implant—two cylinders, a pump, tubing, and may have a reservoir
- Malleable implant—two semi-rigid rods inserted into the penis
How Long Will It Take?
- Inflatable implant: 1-2 hours
- Malleable implant: 30-60 minutes
Will It Hurt?
Average Hospital Stay
- Have the urine catheter removed
- Give you antibiotics and pain medications
- Be sure to follow your doctor's instructions .
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take antibiotics as directed.
For pain relief, use:
- Over-the-counter medications or those your doctor prescribes
- A warm compress
- Wear loose-fitting underwear while you recover.
- Avoid sexual activity for at least six weeks.
- Avoid difficult physical exercise and heavy lifting for six weeks.
- Ask your doctor when you can return to work. You may need to wait 10 days.
- Do not drive until instructed by your doctor.
Call Your Doctor
- Redness, swelling, increasing pain, increasing bleeding, or a large amount of fluid leaking from the surgical area
- Increased swelling in your scrotum or penis
- Blood in your urine
- Signs of infection such as fever, chills, headache, muscle aches, lightheadedness, general ill feeling
- New symptoms such as nausea, vomiting, constipation , abdominal swelling
- Pain or difficulty with urination
Urology Care Foundation http://www.urologyhealth.org
Men's Health Network http://www.menshealthnetwork.org
Canadian Diabetes Association http://www.diabetes.ca
Men's Health Centre http://www.menshealthcentre.net
ED: penile prostheses (erectile dysfunction). Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=11 . Updated July 2013. Accessed August 13, 2013.
Erectile dysfunction. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated August 8, 2013. Accessed August 13, 2013.
Montorsi F, Rigatti P, Carmignani G, et al. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol. 2000;37:50-55.
Mulhall JP, Ahmed A, Branch J, Parker M. Serial assessment of efficacy and satisfaction profiles following penile prosthesis insertion. J Urol. 2001;165:1429-1433.
- Reviewer: Adrienne Carmack, MD; Michael Woods, MD
- Review Date: 08/2013 -
- Update Date: 08/13/2013 -