Archive for July, 2015

Risks of Penile Prosthesis

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Risks of Penile Prosthesis

Risks of penile implant surgery include:

  • Infection. As with any surgery, infection is possible. You might be at an increased risk of infection if you have a spinal cord injury or diabetes.
  • Implant problems. New penile implant designs are reliable, but in rare cases the implants might malfunction. Surgery is necessary to remove, repair or replace a broken implant.
  • Internal erosion or adhesion. In some cases, an implant might stick to the skin inside the penis or wear away the skin from inside the penis. Rarely, an implant breaks through the skin. These problems are sometimes linked to an infection.

Treating an infection

Infections after penile implant surgery typically occur in the first few weeks or possibly years later. Early infections can cause swelling of the scrotum, pus buildup and fever. Later infections might involve persistent or recurrent long-term pain.

Surgery to remove the implant is likely necessary to treat an infection. Replacing a penile implant can be complicated and can lead to a buildup of scar tissue and a decrease in penis length.

How you prepare

Initially, you’ll talk to your doctor or a urologist about penile implants. During your visit, your doctor will likely:

  • Review your medical history. Be prepared to answer questions about current and past medical conditions, especially your experience with ED. Talk about any medications you’re taking or have taken recently, as well as any surgeries you’ve had.
  • Do a physical exam. To make sure penile implants are the best options for you, your doctor will do a physical exam, including a complete urologic exam. Your doctor will confirm the presence and nature of ED, and make sure that your ED can’t be treated in another way.He or she will also try to determine whether there’s any reason that penile implant surgery is likely to cause complications. Your doctor will also examine your ability to use your hands, since some penile implants require greater manual dexterity than others.
  • Discuss your expectations. Make sure you understand what the procedure involves and the type of penile implant that suits you best. It’s also important to know that the procedure is considered permanent and irreversible.Your doctor will also explain the benefits and risks, including potential complications. Ideally, you’ll include your partner in the discussion with your doctor.

For more information please visit https://www.penisprotezi.biz/en/contact

Penile Prosthesis Age

Penile Prosthesis Age

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Types of Penile Implants

There are two main types of penile implants:

  • Inflatable implants. Inflatable devices, the most common type of penile implant used, can be inflated to create an erection and deflated at other times. Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis.To achieve an erection, you pump the fluid from the reservoir into the cylinders. Afterward, you release the valve inside the scrotum to drain the fluid back into the reservoir. The two-piece model works in a similar way, but the fluid reservoir is part of the pump implanted in the scrotum.
  • Semirigid rods. Semirigid devices are always firm. The penis can be bent away from the body for sexual activity and toward the body for concealment.A positionable penile implant is a semirigid device with a central series of segments held together with a spring on each end. It can maintain upward and downward positions better than other semirigid rods can.

Other special designs can fit a shortened penis, or one that’s larger than average. Some inflatable penile implants are also available with antibiotic coatings, which might help reduce the risk of infection.

OBJECTIVE:

To assess the satisfaction profiles following penile prosthesis surgery in patients with erectile dysfunction (ED) in their seventh decade of life.

PATIENTS AND METHODS:

In all, 174 patients received, for the first time, a penile prosthesis between 1990 and 2007 in our department. Among these, 35 patients were aged > or =70 years at prosthesis implantation. Of these, 18 patients were still alive at the time of follow-up. Using a telephone survey, patients were asked to answer the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) as well as the International Index of Erectile Dysfunction (IIEF). Another question in the survey was developed by the authors based on a comprehensive review of the literature, which assessed the usefulness of the device for the patient and the degree of their usage. This was formulated as follows: How many times per 2 weeks do you have a sexual intercourse?

RESULTS:

In all, 15 of 18 patients were either very or somewhat satisfied (83%). At follow-up 11 out of 15 (73%) patients were using their prosthesis regularly. The mean IIEF and EDITS scores were 21.80 and 75.20, respectively.

CONCLUSION:

A penile prosthesis remains a highly promising treatment in older patients with a similar satisfaction rate to those published for younger patients. Thus, the motivation of the patient and not the age of the patient should be the main determinant factor in this surgical procedure.

For more information please visit https://www.penisprotezi.biz/en/contact

Erectile Dysfunction Medical and Sexual

Erectile Dysfunction Medical and Sexual

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Erectile Dysfunction Treatment

Erectile dysfunction (ED) is a common condition. Although it is not life-threatening, it can negatively affect your quality of life. Because it can be related to other conditions, such as heart disease, it is important that you get the right treatment. There are various treatment options for ED, discuss with your doctor which option is best for your individual situation.

This section offers general information about treatment options and situations can vary in different countries.

Medical History

Your doctor will take a medical history to understand your general state of health. As part of the medical history your doctor will ask about any other conditions you may have.

Your doctor may ask you:

  • If you take any medication
  • If you smoke
  • When and how much you drink
  • If you drink much coffee or alcohol
  • If you use recreational drugs on a regular basis
  • If you ever had pelvic surgery
  • If you have any heart and/or vascular problems
  • If you have hormonal disorders
  • If you have any psychological problems

 

Lifestyle Advice

Improving your general health could help improve your symptoms. Your doctor will advise you to stop smoking, drink less alcohol, and exercise regularly.

Depending on your individual situation, your doctor may recommend that you adapt your diet. It is important to discuss this with the doctor first. As a general rule, try to have a varied diet which is low on sugar, salt, and fatty foods.

Sexual History

Your doctor will also ask you questions about your sex life, which could be very personal but are necessary for proper diagnosis and treatment. Some of the questions could be:

  • The status of your previous sexual relationships
  • Your current sexual relationships
  • Your current emotional state
  • When the erectile problems started
  • How long have the erectile problems lasted
  • If you have seen another doctor specifically for ED
  • If you have received treatment for ED before

Your doctor will ask you to describe the firmness and duration of your morning erections, and sexually stimulated ones. The doctor will also ask if you have problems with arousal, ejaculation, and orgasm.

If you have a sexual partner, it may be useful to attend this consultation together.

For more information please visit https://www.penisprotezi.biz/en/contact

Penile Prosthesis Treatment

Penile Prosthesis Treatment

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Penile Prosthesis Treatment

During Surgery

A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen.

Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is inside each of the two hollow chambers called the corpora cavernosa.

Your surgeon will choose the correct size implant and place the implant cylinders inside your penis. All sizes are customized to your exact body measurements.

If your doctor is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, your doctor will also implant a fluid reservoir under the abdominal wall through an internal incision.

Once the device is in place, your surgeon will sew the incisions closed. Penile implant surgery usually takes 45 minutes to an hour.

Penile Prosthesis After Surgery

After penile implant surgery, you’ll likely need to take medications to ease pain. Mild pain might persist for several weeks. You might also need to take antibiotics for one week to prevent infection.

Your doctor might recommend keeping your penis up on your lower abdomen and pointing toward your bellybutton during the healing process to prevent downward curvature.

Your doctor will provide specific instructions about when you can resume normal activities. Most men can resume strenuous physical activity and sexual activity about four to six weeks after surgery. You’ll likely need to return to your doctor to have your stitches removed in about two weeks.

At this point, your doctor might recommend fully inflating and deflating inflatable penile implants twice a day to give you practice using them and stretch the area surrounding the cylinders.

For more https://www.penisprotezi.biz/en/contact

Who Is Penile Prosthesis Applied

Who Is Penile Prosthesis Applied

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Who Is Penile Prosthesis Applied?

Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail.

There are two main types of penile implants, semirigid and inflatable. Each type of penile implant works differently and has various pros and cons.

The placement of penile implants requires surgery. Before choosing penile implants, make sure you understand what surgery involves, including possible risks, complications and follow-up care.

Why it’s Done?

For most men, erectile dysfunction can be successfully treated with medications or use of a penis pump (vacuum constriction device). You might consider penile implants if you aren’t a candidate for other treatments or you can’t get an erection sufficient for sexual activity by using other methods.

Penile implants can also be used to treat severe cases of a condition that causes scarring inside the penis, leading to curved, painful erections (Peyronie’s disease).

Penile implants aren’t for everyone. Your doctor might caution against penile implants if you have:

  • ED that’s situational, the result of a relationship conflict or potentially reversible
  • An infection, such as a pulmonary infection or urinary tract infection
  • Diabetes that isn’t well-controlled

Keep in mind that while penile implants allow men to get an erection, they don’t increase sexual desire or sensation. Most penile implants also won’t make your penis any larger than it naturally is at the time of surgery. In fact, your erect penis might be slightly shorter than it used to be.

For more https://www.penisprotezi.biz/en/contact

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