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Impotence : Penile Implant Surgery
Penile implant surgerySurgery of this kind has now been in existence for over 30 years, and over this time 3 distinct types of implant have emerged as most popular. These are, respectively:1. Multi-component implants 2. Semi-rigid rods 3. Self contained devices With all of these implants, synthetic cylinders are surgically placed inside the corpora cavernosa in the penis in order to create the means of attaining an erection via the use of liquid transfer or mechanical action. It usually takes about 4-6 weeks after you have the operation before you can engage in sexual intercourse again. It is important to remember when considering implant surgery that the nature of the operation means that the structure of the penis is permanently altered, ending all hope of returning to naturally-occurring erections. Additionally there are always the usual risks of implant surgery such as infection and eventual deterioration or malfunction of the device. Obviously it would be wise to consider surgery as the final step in your search for treatment, rather than first or second. Types of implant 1 Multi-component inflatable implants This device works by placing two inflatable cylinders into the corpora cavernosa located either side of the penis. A small reservoir containing fluid (saline solution) is placed in the abdomen or scrotum and a small pump is placed in the scrotum. When an erection is required you squeeze the pump which moves the fluid from the reservoir into the cylinders, causing rigidity. Another squeeze of the same pump releases the liquid and the penis returns to its natural state. 2 Semi-rigid rods This device works by implanting two flexible rods made out of silicone and containing parallel wires or interlocking plastic joints held together by a cable. Essentially the penis from then on is always in an erect state but it is bent downwards when not “in use”. To prepare for intercourse, the penis is simply bent into an upright angle. Advantages of this treatment include a low rate of post-operative complications and the possibility of the device being inserted as an outpatient procedure and under general anaesthetic. Apart from the usual disadvantage of this procedure being non-reversible, it is worth noting that it is difficult to hide the fact that the penis is in a semi-erect state under some clothing, tight swimming trunks and so on. 3 Self-contained (inflatable) implants As with the multi-component inflatable implant, during this procedure two cylinders are placed inside the penis which are filled with fluid in order to create rigidity. The difference with this implant is that instead of having multiple components placed in different parts of the body, all of the necessary parts are contained within the device and located in the penis itself. Each cylinder contains a pump, fluid and release valve. A squeeze of the head of the penis forces a fluid transfer to the chamber at the front of the device which causes an erection. When the erection is no longer required, the penis is simply bent in a different way and the fluid transfer is reversed. This type of implant has similar risks of complication as the multi-component implant. For Further InformationDiagnosis
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