The penile prosthesis is an advanced surgical treatment applied in patients with severe erectile dysfunction who do not respond to medication and other methods. Thanks to special mechanical systems placed inside the penis, it makes controlled and adequate erection possible.
This method is considered one of the permanent solutions with the highest patient satisfaction in modern urology.
Purpose
- To provide an adequate and sustainable erection
- To restore sexual function
- To eliminate dependence on medication
- To increase couples’ sexual quality of life
- To rebuild psychological self-confidence
Who Is It Suitable For?
- Patients who do not respond to medication treatment
- Those with severe vascular-origin erectile dysfunction
- Individuals who develop erectile dysfunction due to diabetes
- Patients who experience loss of erection after prostate surgery
- Those with loss of function due to neurological diseases
Prosthesis Types
1. Inflatable (hydraulic) prostheses
- Provide the system closest to the most natural erection
- Controlled with a pump placed inside the scrotum
- Erection when desired, relaxation when desired
- Extremely difficult to notice from the outside
2. Semi-rigid (malleable) prostheses
- Remain constantly at a certain firmness
- Simpler to use
- Lower risk of mechanical failure
- A more economical option
How Is the Surgery Performed?
- It is usually a short surgical procedure
- Prosthesis cylinders are placed inside the penis
- In inflatable systems, a pump and reservoir are additionally positioned
- The entire system remains inside the body and is not visible from the outside
Advantages
1. High success and satisfaction rate
- Satisfactory results in the vast majority of patients
2. An experience close to the feeling of natural sexual function
- Especially with inflatable prostheses
3. A long-lasting solution
- Can be used without problems for years
4. Eliminates the need for medication
- There is no need for continuous treatment
5. An increase in self-confidence and relationship quality
- Its psychological impact is quite strong
Possible Risks
- Infection (rare but important)
- Mechanical failure (may develop over the years)
- Need for revision (repeat surgery)
- Temporary pain and swelling
- Very rarely, tissue compatibility problems
The Post-Operative Process
- Usually a short hospital stay
- Mild pain and tenderness in the first days
- Training on how to use the prosthesis is provided
- Active use can begin after 4
to 6 weeks - Regular check-ups are recommended
Frequently Asked Questions
Is the prosthesis noticeable from the outside?
No. The entire system is located inside the body and is not noticeable from the outside.
Is the erection natural?
With inflatable prostheses, a quite natural erection sensation is achieved.
Are orgasm and ejaculation affected?
They are usually not affected. The prosthesis only provides an erection; other functions are preserved.
How long does the prosthesis last?
Depending on use, it usually works without problems for many years.
Is it suitable for every patient?
No. Other treatment options must first be evaluated.
When does sexual life begin after surgery?
It can usually be safely started after 4 to 6 weeks.
Clinical Summary
Penile prosthesis surgery is a permanent, reliable treatment option with a high satisfaction rate in patients with severe erectile dysfunction. With the right patient selection and an experienced surgical approach, patients can regain a natural and satisfying sexual life.
