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What’s Prosthesis Operation?

With recent impressive development of Andrology and treatment skills, the quality of life for patients with sexual dysfunction has been improved through active treatment. In treatment of erectile dysfunction, it is essential to remove the cause of the erectile dysfunction. Largely, psychotherapy, non-operative method, and operative method are used for treating erectile dysfunction. Non-operative method involves taking medicine, self-injecting of erection-inducer, inserting suppository on urethra for inducing erection, and using vacuum constriction device.

The treatment method, diagnostic approach method, and treatment course may defer depending on each patient’s situation and the treatment method shall be decided based on the patient’s preference when the patient is fully aware of each treatment method. Great number of patients who suffer from erectile dysfunction commonly have problem in overcoming the psychological cause. Treating the psychological cause will lead to better confidence, and recovery of damaged penile erection and sexual performance ability.

Consultation with a specialist will relieve the tension, provide practical expectation, and support for smooth sexual performance. Then, it will bring considerable effect in treating erectile dysfunction. In treating erectile dysfunction, combining psychological counseling and treatment with medical and surgical treatment is crucial. Furthermore, the patient and partner’s will and agreement on treatment are essential and it’s important to have understanding on combining medical and surgical treatment.

Surgical Treatment – Penile Prosthesis Operation

Penile Prosthesis Operation

Penile Prosthesis Operation involves insertion of artificial prosthesis on a penis. It allows the
patients to adjust the erection status without change in penile sense or ejaculation.
Penile Prosthesis Operation is the most infallible treatment method for any erectile dysfunction
cases. The operation is safe with low risk of complications. Although it requires re-operation in case
of defective prosthesis, the percentage of re-operation due to mechanical issue is less than 3% in 5
years and it can be solved with a simple corrective operation.
After the operation, the penis looks natural. Others can hardly notice whether the penis had Penile
Prosthesis Operation.After the operation, patients can enjoy hiking, tennis, golf without any
problem. It also allows the patients to adjust erection status at any time they want.

Type of Penile Prosthesis
Penile prosthesis is permanent and the prosthesis is selected after consultation with expert by considering the penis size, penis shape,
status of lesion inside corpus cavernosum, the patient’s mental health, ability to operate the device, age of patient, financial status, and partner’s expectation.

Curve
Type

At other times, curve-type prosthesis is curved and it is invisible to others. Then, the patient can stretch the prosthesis to erect their penis when necessary. Curve-type is easy to operate with local anesthesia and the patient can leave the hospital on the day of operation. The operation expense is cheap and the device failure rate is very low.
However, the stiffness of the erection is lower than inflatable-type and the thickness of the penis doesn’t expand. Thus, curve-type prosthesis looks smaller than the size of penis in natural erection. Furthermore, since the penis is in half-erection status, the patient needs to care about others in public bath. Since better prostheses are available these days, curve-type prosthesis is used only on special cases.

Three-Piece
Penile
Implant

In 1973, Dr.Scott from United States first introduced Three-Piece Penile Implant. A cylinder is placed on each place and a small pump is installed on the scrotum. Then, storage with 60~100cc of solution is planted on lower abdomen behind the pubic bone. When the small pump inside the scrotum is pressed several times, the solution moves to the cylinder to erect the penis. When the lower part of the pump is lightly pressed after having a sexual contact, the solution inside the penis moves back to the storage to deflate the penis. Three-Piece Implant is the most similar to penis in natural erection among other prostheses and it is regarded as the most standard penile prosthesis. In addition, it has the highest mechanical credibility with excellent patient satisfaction, stiffness of penis, increase in penis size, and natural erection status. The patient satisfaction reaches up to 95% one year after the operation.

The patient’s ejaculation and pleasure are maintained to satisfy both patient and partner.