04 Mar What is Inflatable Penile Implant (Penile Prosthesis)?
An inflatable penile implant, also known as a penile prosthesis, is a surgically implanted device used to manage erectile dysfunction (ED) when other treatments are ineffective. It consists of cylinders in the penis, a pump in the scrotum, and a fluid reservoir in the abdomen, allowing controlled inflation and deflation. This implant is suitable for patients seeking a long-term solution for ED that does not respond to medication or other therapies.
How the Device Works
An inflatable penile implant has three main parts: cylinders inside the penis, a pump in the scrotum, and a fluid reservoir in the lower abdomen. To create an erection, the patient squeezes the pump, which moves fluid from the reservoir into the cylinders, making the penis firm. When the pump is released, the fluid returns to the reservoir, allowing the penis to become flaccid (relaxed or soft state) again. This design gives patients control over their erections and allows for inflation and deflation when needed, making it a more adjustable option compared to non-inflatable implants.
Suitable Candidates
This type of implant is suitable for patients with erectile dysfunction (ED) that has not responded to medications, injections, or other non-surgical treatments. It may also be recommended for those with medical conditions such as Peyronie’s disease, spinal cord injuries, or severe vascular issues affecting blood flow to the penis. Patients who have undergone prostate surgery or other pelvic procedures that have resulted in ED may also consider this option. A thorough consultation is required to assess whether this device is suitable based on a patient’s medical history, overall health, and treatment goals.
Types of Inflatable Penile Prosthesis
There are two main types of inflatable penile implants:
- Two-piece inflatable implant: This design consists of two components: cylinders inside the penis and a combined pump-reservoir unit in the scrotum. When activated, fluid is transferred within the device, creating an erection. This model is simpler than the three-piece version but may provide less rigidity.
- Three-piece inflatable implant: This design includes cylinders in the penis, a separate fluid reservoir in the abdomen, and a pump in the scrotum. The three-piece model typically allows for a more controlled erection and a relaxed state due to the separate fluid reservoir. However, it requires a more complex surgical procedure.
The Surgical Procedure
The implantation of an inflatable penile prosthesisis performed under general anaesthesia and involves making an incision either at the base of the penis or in the lower abdomen. The cylinders are inserted into the penile tissue, the fluid reservoir is placed within the abdomen, and the pump is positioned inside the scrotum. The procedure can take one to two hours, depending on the patient’s overall health and the complexity of the surgery.
Recovery and Post-Surgical Considerations
Recovery after penile implant surgery varies depending on individual healing responses and the specific surgical approach used. Patients can resume light activities within a few days and gradually return to normal routines over four to six weeks. During the healing process, swelling and discomfort are expected but can typically be managed with prescribed medication. Strenuous activity and sexual intercourse should be avoided for the recommended period to allow the tissues to heal around the implant properly. Regular follow-up appointments are important for monitoring healing progress and ensuring that the implant is functioning as expected.
Potential Risks and Complications
As with any surgical procedure, penile implant surgery carries potential risks and complications, such as:
- Infection
- Mechanical failure of the device
- Pain or discomfort
- Scarring at the incision site
- Implant erosion or improper positioning
- Auto-inflation
- Reduced penile length or sensation
- Difficulty with pump activation
- Haematoma (blood collection under the skin)
- Fluid leakage from the implant
- Allergic reaction to implant materials
- Delayed wound healing
- Blood clots or deep vein thrombosis (DVT)
- Nerve damage affecting sensation
- Need for revision surgery if complications arise
Reasons to Choose Dr Campbell for Penile Implant Surgery in Gold Coast
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.
Dr Campbell ensures that patients are well-informed about their surgical options by providing comprehensive education on the different types of penile implants available. During consultations, he explains the distinctions between inflatable penile implants and malleable (semi-rigid) implants, outlining how each device functions, their features, and considerations for long-term use. He ensures that patients can make informed decisions based on their individual preferences and medical circumstances.
Beyond the procedure itself, Dr Alistair Campbell provides thorough post-operative guidance and follow-up care to support patients through the recovery process and ensure proper function of their implant. He advises on pain management, physical activity restrictions, and the timeline for resuming normal activities, including sexual function. Regular follow-up appointments at the Erectile Dysfunction Clinic allow him to assess healing progress and address any concerns that may arise after surgery.
