Approximately 30 million men in
the United States are impotent. Implantation of a penile prosthesis
is one of several treatment options. Other options include medications,
intraurethral inserts (Muse), vacuum tumescence/constriction
devices and self-injection of the erectile tissues with a medication
that improves penile blood flow, such as Prostaglandin E-1 (Caverject). In the occasional patient, penile revascularization
is appropriate. Sex therapy or psychotherapy is appropriate
for patients with psychogenic impotence.
PENILE IMPLANT: an internal
device that is permanent and makes the penis hard enough for
penetration. There are several types with different features.
With the currently available state-of-the-art implants, a success
rate of almost 95% may be expected.
PENILE IMPLANT SURGERY:
this requires the placement of two implants in the penis; one
in the left erectile chamber and one in the right. The implants
and the pump which fills the implants are totally concealed
inside the body and give excellent cosmetic and functional results
in most patients.
The success rate is from 80 to
90% in terms of patient and partner acceptance, and almost 95%
in terms of patient satisfaction. The implants are FDA approved.
There are two categories of implants:
- the non-inflatable rods which are bendable and can be manipulated
to give an erection, and inflatable implants which contain fluid
to give a more natural erection. This fluid is transferred within
or to cylinders in the penis to give hardness.
While less than 5% of patients
choose this form of treatment initially, the final choice of
treatment is a penile implant in 10% of patients. In the U.S.A.,
approximately 14,000 implants are performed each year. Also
review the Q & A on Impotence, the Association
for Male Sexual Dysfunction page, How
One Man Confronted and Conquered Impotence for further information
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The content, illustrations and references to male
sexual dysfunction, Viagra, penile
implants and penis enlargement in
this website are for informational purposes only.
The content is not intended to be a substitute for
professional medical advice, diagnosis or treatment.
To schedule a male sexual dysfunction consultation
or a penile enlargement consultation with
Dr. Whitehead, a noted phalloplasty surgeon, call