Implantation of Penile Prosthesis for Treatment of Impotence
Steps Involved in IVF:
Procedure Description
Penile prosthesis implantation is a surgical procedure designed to address erectile dysfunction (ED), a condition characterized by the inability to achieve or maintain an erection firm enough for sexual intercourse. This intervention is often considered when other non-surgical treatments for ED, such as oral medications, vacuum erection devices, or penile injections, have not been effective or are contraindicated due to medical reasons. The primary goal of the penile prosthesis is to restore sexual function and improve the quality of life for men with persistent impotence.
The procedure involves placing a device within the penis, which helps achieve and maintain an erection. There are three main types of penile implants: inflatable implants (two-piece and three-piece), semi-rigid (malleable) rods, and, less commonly, self-contained single-unit devices. Inflatable implants consist of fluid-filled cylinders that can be manually inflated to create an erection and deflated for a flaccid state. Three-piece inflatable devices include a pump placed in the scrotum and a reservoir located in the abdomen, offering a more natural feel and appearance. Semi-rigid rods are bendable implants that provide a constant firm state but can be positioned upwards for sexual activity or downwards when not in use.
The selection of the implant type depends on several factors, including the patient’s lifestyle, manual dexterity, personal preference, and medical history. A detailed discussion with a urologist or specialist experienced in penile implants is critical in determining the most suitable option for each patient.
Procedure Duration
The penile prosthesis implantation surgery typically takes between one to two hours, depending on the type of implant chosen and the individual patient’s anatomy. The procedure is generally performed under regional or general anesthesia. It begins with an incision made in either the lower abdomen or at the base of the penis, through which the implant is placed. Inflatable implants require more steps due to the need for placing the pump and reservoir, while malleable implants are simpler to position.
Once the prosthesis is inserted and tested to ensure functionality, the incision is carefully closed, and the patient is moved to a recovery room. Most patients can go home the same day, though some may require an overnight stay for monitoring, depending on their overall health and the complexity of the procedure.
Recovery time varies, with most patients experiencing mild to moderate pain for the first few days. Swelling and bruising around the incision site are common but typically subside within a week. The complete recovery period can take between four to six weeks, after which sexual activity can usually be safely resumed. During this time, patients are advised to follow the post-operative care instructions provided by their healthcare provider, including wound care and limitations on physical activities.
Benefits
- Effective Treatment for Severe ED: Penile prosthesis implantation is a highly effective solution for men who do not respond to other ED treatments.
- Restores Sexual Function: The procedure enables patients to regain the ability to have an erection suitable for sexual intercourse, improving overall sexual satisfaction.
- Discreet and Natural-Looking Solution: Inflatable implants mimic the appearance and feel of a natural erection, providing an aesthetic and functional advantage.
- Minimal Impact on Sensation and Orgasm: The implant does not interfere with the sensation of the penis or the ability to achieve orgasm.
- Long-Term Solution: Most penile prostheses are durable, with a high success rate and the potential to last for many years with proper care.
Potential Destinations
- Turkey: A renowned medical tourism destination, Turkey offers advanced urological surgery with internationally trained surgeons and state-of-the-art medical facilities. The country provides a balance of high-quality care and affordability.
- India: Known for its highly skilled medical professionals and affordable healthcare costs, India is a preferred destination for penile implant surgery. Many hospitals in major cities are equipped with the latest technologies and internationally accredited.
- Mexico: Close proximity to the U.S. and top-tier medical facilities make Mexico a favorable choice for penile prosthesis implantation. The medical infrastructure is well-developed, and many surgeons have trained internationally, ensuring high standards of care.
- Germany: For those seeking cutting-edge medical technology and excellent post-operative care, Germany offers world-class urological services. The country is known for its rigorous healthcare standards, making it an ideal destination for complex procedures like penile prosthesis implantation.
- United Arab Emirates (UAE): The UAE has emerged as a prominent destination for medical tourism, with many hospitals catering to international patients. With highly qualified specialists and luxurious healthcare facilities, it is an attractive option for those looking for premium care.
Risks & Considerations
- Infection: Although the risk is relatively low, infections can occur post-surgery. Symptoms may include fever, redness, swelling, or discharge from the incision site. Prompt treatment with antibiotics is necessary.
- Device Malfunction or Breakage: Over time, the implant may malfunction or break. Inflatable implants may leak, while malleable rods could become less effective, necessitating further surgical intervention to replace or repair the prosthesis.
- Erosion or Extrusion: The implant may press against and damage the penile tissue or skin, potentially leading to erosion or extrusion. This is more likely in patients with a history of certain medical conditions, such as diabetes.
- Implant Feel and Satisfaction: While most patients are satisfied, the implant may feel different compared to a natural erection. Counseling and setting realistic expectations pre-surgery can help in improving post-surgical satisfaction.
- Mechanical Failure: Although rare, mechanical components of inflatable implants can fail over time. Regular follow-ups with the healthcare provider and proper care can minimize this risk.
How to Choose the Right Doctor and Hospital
When seeking a doctor for penile prosthesis implantation, it's essential to select a board-certified urologist or specialist with extensive experience in penile implant surgeries. Look for a provider who has a track record of successful procedures and offers a comprehensive consultation, discussing all potential risks, benefits, and types of prostheses available.
Choosing the right hospital is equally important. Consider facilities that are internationally accredited and have a strong reputation for urology and men's health. Many hospitals catering to medical tourists offer personalized care packages, multilingual staff, and post-operative support. It's advisable to review patient testimonials, ensure transparent cost structures, and confirm that the facility provides high standards of hygiene and patient care.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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