To talk about penile prosthesis is always a delicate issue. Many men do not like to talk about it, because they do not want to think there is something wrong with their inseparable friend.Nonetheless, this discussion is important because the prosthesis can resume the sex life to those who suffer from some kind of erectile dysfunction, such as the aging process or problems like Peyronie's disease, diabetes or the consequences of prostate cancer. Therefore, this is a recurring subject here on the blog.
Before continuing and clarifying these and other questions, evaluate the quality of your erection. If you find it difficult to maintain sexual relations because there is a lack of rigidity in the penis, know that an urologist can be your best friend and counselor during those times.
Only a complete evaluation of a specialist will detect the actual cause of erectile dysfunction and the solutions to get rid of this condition. The prosthesis implant is one of those solutions and yes, it can be your ally. Your doctor must take care that all penile functions are maintained and then the only thing that will change in your life it will be your satisfaction.
What changes after penile prosthesis implantation
Penile prosthesis implantation is indicated for men who suffer from erectile dysfunction. Many men feel uncomfortable not only because we are dealing with the organ that is directly linked to pleasure but also because of the fear of facing a surgical process. If that is what inhibits you from looking for a treatment, it is time to change your mind. Prosthesis surgery is a fast, safe and highly successful procedure. To this end, it is enough to have planning and good medical guidance.
It is clear that, when leaving the hospital, the patient undergoes a period of adaptation in the use of the prosthesis. This period can vary for each person and depends on the type of prosthesis chosen. Nevertheless, this is not a time-consuming or painful process, nor something that will prevent you from improving your life quality. After this initial period, your life will go on normally and probably happier because you will have back a healthy sexual routine, avoid future problems due to poor erection quality and get rid of worries about the health of your penis.
Orgasm and ejaculation after implant
Do you know the difference between an orgasm before and after the prosthesis? None! Considering that the patient used to have erection problems it is in fact possible to get better. With a more rigid and prepared penis, you will be more confident that everything goes well with your buddy down below, and this will naturally reflect in your performance during sex. When the implant is done correctly, the prosthesis preserves all the nerves related to pleasure and guarantees the sensitivity and regular temperature of your penis. In addition, it does not interfere with the volume or quality of the ejaculation, as it does not affect the structure that carries the semen.
How to urinate after the placement of the prosthesis
The urethra plays an important role in the medical planning before the placement of the penile prosthesis because it determines the limits of penile length along with the size of the bundle of nerves within the penis. Yes, it is possible to expand the tissues of the penis in the same prosthesis placement procedure.
The penile prosthesis consists of two cylinders that are placed in the cavernous bodies of the penis. Its size and thickness are suited to the penis and, therefore, nothing obstructs the urethral canal responsible for transporting the urine. So if someone says that the implant will interfere in how you urinate, do not believe it. This is a myth. The prosthesis is made to solve the problem of stiffness in the penis, which has nothing to do with the process of urinating.
The most important thing is to ensure that the prosthesis is implanted along with the penile reconstruction, which I will explain in the following topic.
How does the penis look like after the implant?
As the implant is placed inside of the penis, from the outside everything remains as it is. In certain cases, however, along with erectile dysfunction, there is also a loss of penile size and caliber.
In such cases, it is important to ally the implant to penile reconstruction to ensure that the penis regains the length and thickness it had before erectile dysfunction or the problem that triggered it. All this can be done in the same surgical procedure, following the published concepts of Egydio Technique in order to obtain the best recovery of the size and caliber of the penis, up to the limit of the nerves, vessels and the urethra, besides the definitive cure of erection problems.
After these elucidations, I am sure you are feeling more confident about implanting a penile prosthesis. With appropriate care and procedure, your penis will continue with the same functions, maintaining the sensitivity and the regular temperature.
If you had questions about whether or not to have a prosthesis implant to resolve your sexual dysfunction, I believe that there are no more reasons to be worried.
Of course that other questions on the subject will always come up. That is why I invite you to fill out this pre-analysis form concerning erectile dysfunction so we begin a conversation towards your treatment.
Dr. Paulo Egydio
MD, PhD, Dedicado no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482, RQE 19514. - Vencedor do Debate do Sobrevivente da AUA em 2019.