Penile Implant Surgery FAQs

Penile implant surgery FAQs provide valuable insights for men with erectile dysfunction (ED) considering this surgical option. These frequently asked questions address common concerns about the different types of penile implants, how the procedure is performed, the recovery process, long-term care, and other important information. By exploring these FAQs, patients can better understand the procedure and make informed decisions about their treatment.

What are the different types of penile implants?

Penile implants come in two primary types: inflatable and semi-rigid (malleable) implants. Inflatable implants consist of cylinders placed in the penis, a pump in the scrotum, and a fluid reservoir in the lower abdomen. Pressing the pump moves fluid into the cylinders to create an erection, and releasing the pump lets the penis return to a relaxed state. On the other hand, semi-rigid implants are bendable rods that always remain firm. This firmness allows the penis to be manually adjusted into different positions, whether for sexual activity or comfort during daily activities.

Who are the suitable candidates for penile implant surgery?

Penile implant surgery is suitable for patients with severe erectile dysfunction that has not responded to non-surgical treatments, such as oral medications, injections, vacuum devices, therapy, or lifestyle adjustments. It is also suitable for patients with structural abnormalities affecting erectile function. Candidates should be in good overall health, be non-smokers or willing to stop smoking before and after the procedure, be free from active infections, be willing to adhere to aftercare instructions, and have realistic expectations about the procedure and its outcomes.

How is the procedure performed?

Penile implant surgery is performed under general anaesthesia. Once the anaesthesia has taken effect, the surgeon creates the incision to allow the implant to be inserted. Inflatable implants require the insertion of cylinders into the penile shaft, a pump in the scrotum, and a fluid reservoir in the lower abdomen. For semi-rigid implants, bendable rods are placed directly into the penile shaft. Once the implants are inserted, the incisions are closed with sutures. The procedure may take one to two hours, depending on the type of implant.

Will the implant affect penile sensation?

Penile implants do not affect penile sensation, as they are designed to achieve and maintain an erection without interfering with the nerves responsible for sensation. Patients can usually experience normal sensitivity and the ability to orgasm as before the surgery. However, if the patient already has issues with sensation due to medical conditions like diabetes or nerve problems, the implant will not address those issues.

Will the implant affect ejaculation and semen quality?

Penile implants do not directly affect ejaculation or semen quality, as it does not interfere with the structures involved in sperm production or ejaculation. The implant is inserted into the penis and works separately from other reproductive organs, like the testes, prostate, and seminal vesicles – all of which play a role in the production and release of the semen.

What are the risks and complications?

As with any surgical procedure, penile implant surgery carries certain risks. These include infection, mechanical failure (for inflatable devices), prominent scarring, reduced penile sensation, implant erosion or displacement, and the possibility of revision surgery to address complications.

When can I resume daily activities?

After one to two weeks, patients can gradually resume their daily activities, depending on the type of implant and individual healing factors. However, strenuous activities and sexual activity should be avoided for four to six weeks to prevent injury to the incision sites and implant displacement.

Will scarring occur?

Scarring is a natural and inevitable part of the healing process after penile implant surgery, as the procedure involves making incisions to place the implant components. Depending on the type of implant, the incisions are created at the base of the penis, the scrotum, the lower abdomen, or along the underside of the penis.

How long does the penile implant last?

Penile implants can last 10 to 15 years or longer, depending on the type and how well they are maintained. Over time, however, they may require replacement due to wear and tear or mechanical issues, especially with inflatable implants. Regular follow-ups with Dr Alistair Campbell at his clinic in Gold Coast can help monitor the implant’s condition and address any questions or concerns early.

How do I prepare for the procedure?

Preparing for penile implant surgery involves following the specific instructions from Dr Alistair Campbell. These may include stopping certain medications like blood thinners and avoiding food or drink before the procedure. In addition, patients may also need to undergo certain medical tests to determine the presence of any underlying medical condition that can affect the outcome of the surgery. Patients should also arrange for transportation and support for the day of surgery and the initial recovery period.

Are there aftercare instructions that I need to follow?

Yes, after penile implant surgery, patients must follow specific aftercare instructions to minimise discomfort and lower the risk of complications. These include avoiding strenuous activities and sexual activity for four to six weeks, keeping the surgical area clean and dry, and taking the prescribed medications to manage discomfort and prevent infection. Most importantly, patients must attend all follow-up appointments to monitor their healing progress and address any questions or concerns.

What are the signs and symptoms that I should report immediately?

After penile implant surgery, patients should report certain signs and symptoms to Dr Alistair Campbell right away for further evaluation and management. These include severe or worsening pain, excessive swelling or bruising, redness or warmth around the surgical site, pus draining from the incision site, fever, chills, difficulty using the implant, persistent bleeding, or any sudden changes in the implant’s appearance or function.

What is Dr Campbell’s success rate for penile implant surgery?

Dr Alistair Campbell is one of the highest-volume penile prosthesis implanters in Australia, having performed over one thousand implants. To increase the success rate of his penile implant surgeries, he conducts thorough pre-surgical evaluations at the Erectile Dysfunction Clinic in the Gold Coast. This includes assessing the patient’s overall health, identifying any underlying conditions, and managing potential risk factors such as diabetes, heart disease, or other medical conditions that could increase the likelihood of complications. His experience and attention to detail help ensure patients receive a treatment plan tailored to their specific needs and health status.