Penile Implant Surgery: Things To Consider Before Procedure

02 Oct Penile Implant Surgery: Things To Consider Before Procedure

Penile implant surgery is a treatment option for patients with erectile dysfunction (ED) who have not had success with non-surgical treatments. While it can provide the physical ability to have an erection, there are several important factors to consider before undergoing the procedure. Here are some of the key considerations that can help patients make an informed decision.

Not Everyone with ED is a Suitable Candidate

Penile implant surgery is not for all patients with ED. Therefore, a thorough patient assessment is required prior to the procedure. During the consultation at the Erectile Dysfunction Clinic, Dr Alistair Campbell will assess the patient’s overall health, goals, and expectations. This includes identifying any underlying medical conditions, current medications, and previous surgeries.

In general, suitable candidates for the procedure are:

• Patients who have not had success with non-surgical treatments for erectile dysfunction, such as oral medications, penile injections, vacuum devices, therapy, or lifestyle changes.
• Patients who have erectile dysfunction due to physical causes, such as Peyronie’s disease (formation of scar tissue inside the penis), diabetes, or prostate surgery.
• Patients who are in good overall health, with manageable conditions like diabetes or heart disease.
• Patients who understand the surgical process and have realistic expectations about the results.
• Patients who are willing to adhere to post-surgical instructions.

Due to the increased risk of complications, penile implant surgery is not suitable for patients with the following conditions:

• Significant heart or vascular disease
• Poorly controlled diabetes
• Immune system disorders
• Active infections
• Blood clotting or bleeding disorders
• Previous pelvic surgeries, particularly related to the prostate or bladder (can increase the risk of scar tissue formation or difficulty placing the implant)

There are Two Main Types of Penile Implants

There are two main types of penile prosthesis to choose from. The choice between them depends on personal preference, health factors, lifestyle considerations, and surgeon’s recommendations:

1. Inflatable Penile Implants:This device helps achieve an erection through a manual pump mechanism consisting of three parts: cylinders in the penis, a fluid reservoir in the lower abdomen, and a pump in the scrotum. Pumping moves fluid from the reservoir to the cylinders, creating an erection. After sexual activity, a release valve is pressed to return the fluid to the reservoir, deflating the penis to its relaxed state.
2. Malleable (Semi-Rigid) Penile Implants:These implants consist of bendable rods inserted into the penis shaft. They are always firm but can be bent into a more erect position for intercourse and back down when not in use. Malleable implants are simpler to use than inflatable ones and are suitable for patients with limited dexterity or hand strength.

There are Potential Risks and Complications

As with any surgical procedure, penile implants have risks and complications that patients should be aware of. These include the following:

• Anaesthesia risks
• Auto-inflation (for inflatable implants)
• Chronic pain
• Device breakage or malfunction
• Erosion or migration
• Implant malposition
• Infection
• Mechanical failure
• Reduced sensitivity
• Scar tissue formation

The Surgery has Limitations

While the procedure can help achieve and maintain an erection, it has several limitations, such as:

• It does not increase sexual desire or sensation.
• It does not increase penis size.
• It is irreversible, meaning once the implant is placed, the natural erectile function cannot be restored.
• It does not affect the ability to orgasm.
• The erection provided by the implant may feel different from a natural erection in terms of rigidity or flexibility.
• Penile implants can last 10 to 15 years, after which they may need to be replaced due to normal wear and tear.

Pre-Surgical Preparation is Required

Before undergoing surgery, a comprehensive evaluation is necessary to minimise the risk of complications. During this process, the surgeon will consider several factors, including the patient’s overall health, goals, and expectations. Patients will also receive pre-surgical instructions, such as:

• Undergo the necessary medical tests (e.g. blood tests) prescribed by the surgeon.
• Avoid certain medications or supplements that could increase bleeding, such as aspirin or blood thinners.
• Stop smoking, as it can impair healing and increase the risk of complications.
• Do not drink alcohol, as it can affect the body’s clotting mechanism, increasing the risk of bruising.
• Maintain a healthy weight to minimise surgical risks.
• Prepare a recovery area at home with easy access to food, water, and other needs.
• Arrange for someone to drive you home after the surgery because you may feel groggy or dizzy due to the effects of anaesthesia.
• Reach a stable, healthy weight before the surgery.

Adherence to Post-surgical Instructions is Necessary

Recovery after surgery generally takes about 4 to 6 weeks, depending on the extent of the surgery and individual healing factors. During this period, the patient will need to follow specific aftercare instructions to ensure proper healing and reduce the risk of complications. Some of the post-surgical instructions that patients need to follow are:

• Take the prescribed medications to address pain, swelling, and bruising around the incision site.
• Keep the surgical site clean and dry, and apply the prescribed ointment.
• Light activities like walking can usually be resumed within a few days, but strenuous activities, including sexual intercourse, should be avoided for at least 4 to 6 weeks or until the surgeon confirms it’s safe to resume them.
• Attend all follow-up appointments to monitor healing and ensure that the implant is functioning properly.

Reasons to Choose Dr Campbell for Penile Implant Surgery in Gold Coast

Dr Alistair Campbell is a urological surgeon in the Gold Coast and is one of the highest-volume penile prosthesis implanters in Australia, having performed over one thousand implants. His fellowship in andrology and leadership roles in urological departments further demonstrate his knowledge and experience in erectile dysfunction and penile implants. Known for mentoring other urologists and urological trainees, Dr Campbell combines experience with a commitment to patient care.

Before undergoing surgery at the Erectile Dysfunction Clinic, patients must carefully consider several factors. Dr Campbell ensures that every patient is thoroughly evaluated to determine if they are a suitable candidate for the procedure. This involves reviewing the patient’s overall health, including conditions such as diabetes or heart disease, as well as confirming that non-surgical treatments like oral medications, injections, therapy, vacuum devices, or lifestyle changes have been unsuccessful.

In addition to health assessments, Dr Campbell provides detailed guidance on preparing for surgery, including stopping or adjusting certain medications, managing any chronic conditions, and following specific post-operative care instructions. Understanding the risks and potential complications, such as infection or device malfunction, is an essential part of the pre-surgical process. By carefully considering these factors, Dr Campbell helps patients make informed decisions.