A penile prosthesis is used for treating erectile dysfunction after all other forms of treatment fail (1). A considerable male population with ED can achieve erections through the use of PDE5 inhibitor medications. Some of these drugs include Stendra, Levitra, Cialis, and Viagra. For these men, such medications eliminate the need to have penile implant surgery.

Penile Implant Eligibility: Ideal Candidates for a Procedure

The male candidates eligible to undergo the surgical procedure must tick the boxes in the required criteria. For a patient to be considered for a penile prosthesis surgery, they should have: 

  • First, good physical health and be mentally fit.
  • Second, previously suffered from a medical condition such as Peyronie’s illness.
  • Also, grounded expectations on the possible perks and risks of the procedure.
  • In addition, tried and obtained little success with a penis pump.
  • Finally, A chronic ED history that interferes with the quality of sex life.

Key Exceptions

Different patients respond differently to a penile implant prosthesis. Your urologist or surgeon may recommend an alternative treatment depending on the situation (2). Some of these exempt cases are when a patient has:

  • Either, reversible or situational ED symptoms
  • And, urinary tract infection or pulmonary infection
  • Ill-managed diabetes
  • Skin contusions on the scrotum or penis

Possible Penile Implant Risks

There are certain risks associated with getting this surgery. Diabetic patients have to be on the lookout for any penile implant infection signs. Thus, those with spinal cord injuries have a higher chance of getting an infection (3). Another risk with the procedure is faulty implants.

Though new penile prosthesis designs are reliable, there are some rare malfunction cases. Surgery is necessary to repair, replace, or remove a broken implant. In a few cases, a penile implant may erode from inside the penile skin. It is rare for a prosthesis to break through the skin. Such issues are, at times, connected to infection.

Post-Treatment and Recovery

Your surgeon could prescribe anti-inflammatory and pain drugs to manage the swelling and discomfort after surgery. You will receive antibiotics to assist in fighting off possible infections. Aside from antibiotics, your medical team will provide you with guidelines on aftercare protocols. Adhering to these instructions will speed up your recovery time.

You will get a guideline on how to use your penile implant. It will help you familiarize yourself with its function and stretches the tissue area surrounding the inflatable rods. After two weeks post-surgery, you will need to have your stitches surgically removed. Your doctor will track your progress and determine how fast you can get back to specific activities. Most patients take four to six weeks after surgery to resume their sex life and other demanding tasks (4).

Penile Implant Eligibility: Infection Signs to Look Out For

Infections following a penile prosthesis operation happen in the first couple of weeks or even years later. The first signs of infection could cause fever, pus accumulation, and scrotum swelling. These infections can persist and bring about recurrent lasting pain. A surgical procedure to remove the prosthesis is the likely cause of treatment for an infection. 

Links to Sources Used:

  1. Sample records for penile prosthesis implant https://www.science.gov/topicpages/p/penile+prosthesis+implant
  2. Treating erectile dysfunction with penile implants https://www.health.harvard.edu/blog/treating-erectile-dysfunction-with-penile-implants-2009031132
  3. Penile Prosthesis Infection: Myths and Realities https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6704299/
  4. Penile Prosthesis https://www.washington.edu/urology/penile-prosthesis/