June 25, 2019
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I would like to take a few moments to talk with you about the surgical treatment of erectile dysfunction or impotence.

Quick Note
Erectile dysfunction or impotence is first treated with medications such as Viagra, Cialis, or Levitra.

Then, if those treatments do not work, then there are injections, pellets, or a vacuum penis pump. In the event of those are ineffective, then there are surgical procedures for the treatment of erectile dysfunction.

penile prosthesis is a surgical procedure that is accomplished by the insertion of the device to very tiny 2-3 inch incision at the lower end of the abdomen. The insertion of a prosthesis allows a man to create an erection whenever he wants, and the erection will last as long as the man wants the erection to last.

There are essentially two types of penile prosthesis. There is the semi-rigid rod, and then there is the inflatable penile prosthesis.

semi-rigid rod consists of the insertion of a rod that is wrapped in silicon at the base of the penis and allows the man to either create an erection or push the erection down when he does not want to be sexually active. The main disadvantage of this procedure is there is some moderate difficulty with the concealment of this semi-rigid rod. However, the advantage is that there are no moving parts and except for the minimal problems of concealment it is very satisfactory and most men are able to elevate to engage in sexual intimacy and place it down into a flaccid position when he wishes to conceal the erection.

The most popular penile prosthesis is the inflatable penile prosthesis. This was developed in Houston, Texas by doctor Brantley Scott.

Brief statistics:
There had been over 500,000 of these devices implanted worldwide, and each year 15,000 of these are implanted in the United States.

Through my career,  which began in 1978, I have inserted over  3,000 of this prosthesis.

The prosthesis of the inflatable variety consists of 2 cylinders that are placed in the erectile bodies of the penis, a reservoir,  which is placed behind the muscles of the abdomen, and a pump, which is placed into the scrotum. Everything is entirely concealed and no one can detect that the device is in place.

When a man wishes to have an erection, he squeezes the pump in the scrotum, and the penis then becomes erect with the fluid is moved from the reservoir to the cylinders. The fluid is nothing more than a salt solution, and there is no problem if the salt solution leaks out of the system. When the man wishes to have this erection subside and return to the flaccid position, the man squeezes the valve over the pump in the scrotum, and then the penis returns to its flaccid condition, by having the fluid moved from the cylinders to the reservoir.

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The man, who has the device in place, can comfortably go to public showers such as the YMCA, no one can detect that it is in place, his partner, unless under the closest scrutiny could be able to identify that the man had a prosthesis.

Quick note
The procedure is usually performed on a one-day stay basis either in the ambulatory treatment center or in the hospital.

The man checks in the morning, have the procedure and then goes home an hour or two later. Most men can leave the hospital after they urinate and most men if they don’t have a problem with urination before the procedure, they won’t have any difficulty peeing in the postoperative period.

Men are given antibiotics and pain medication: antibiotics to prevent infection and pain medicine for the post-operative pain, which usually purses for two to five days after the procedure.  Most men can begin engaging in sexual intimacy four to six weeks after the process is performed . Most insurance companies, including Medicare, will pay for the operative procedure.

Clinical facts
There are potential complications associated with the surgical insertion of a penile prosthesis. These complications include infection, bleeding, and failure.

Rarely is bleeding or infection a problem occurring in less than three percent of the cases. Failure of the device to work occurs in less than five percent of the patients. If the man had the tool and used it for several years, which is common, and he experiences a failure where there is loss of fluid from the system, there is a straightforward procedure to go and make an incision and find out where the leakages in the hospital and repair the system, and the man can then return to normal sexual intimacy with his partner.  The procedure is successful in well over 98% of the patients and very seldom has the device have to be repaired or replaced . Also, I point out that patient’s partner satisfaction is nearly a 100% after the insertion of a penile prosthesis.

So in summary, erectile dysfunction is a common problem affecting millions of American men. The diagnosis is easily made, and most men can be helped with oral medication, or with injections, or pellets, or vacuum erection device. However, if those are ineffective, a surgical procedure with the insertion of a penile prosthesis is nearly a hundred percent effective in a man, who chooses this treatment option.

So in summary, almost every man, who has a problem with erectile dysfunction, can be helped. Today no one and, I genuinely mean no one, needs to suffer the tragedy of the bedroom.

Learn more about penis implants here – urologicalcare.

How To Treat Impotence Surgically
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