Indications for penile prosthesis
The main indication for penile prosthesis is erectile dysfunction, which cannot be treated with other methods. Partial erection or its complete absence can be due to various reasons. You can learn more about erectile dysfunction and its treatment methods here.
The specialists at the Reformen Center for Male Sexual Health have extensive experience in conducting successful penile prosthetic operations. If you are planning such an operation, make an appointment with our center online or by phone
Treatment of erectile dysfunction using penile prosthesis
The third line of therapy includes penile prosthetics by implanting special synthetic structures into the organ. The goal of this stage of treatment is to ensure the elasticity of the penis sufficient for full sexual intercourse.
The advantages of the method include:
- high efficiency of achieving an erection;
- fewer complications;
- the ability to eliminate organ defects during surgery - curvature, insufficient size;
- rapid return of mental comfort;
- high satisfaction of the sexual partner.
Unlike conservative methods, penile prosthesis improves a man’s physical and mental status much faster, increases self-esteem and self-confidence.
With modern prostheses, sexual intercourse becomes as physiological as possible, the penis looks natural and in a relaxed state. The implanted implant does not have a negative effect on sexual sensations, ejaculation, or urination. The man himself determines the appropriate time for an erection to occur and its duration.
Types of penile prostheses
There are three main types of penile prostheses:
- One-component - the prosthesis consists of two flexible tubes that are installed in the cavernous bodies. After implantation, the penis is constantly erect. Under normal conditions, the penis droops and does not cause any discomfort. If necessary, the penis is raised by hand to the required state.
- Two-component – this type of prosthesis has a hydraulic mechanism. The tubes in the cavernous bodies are usually in a “deflated” state. A pump with liquid is installed in the scrotum. If necessary, it is used to pump fluid into the tubes located in the penis. This causes an erection similar to a natural one.
- Three-component - such a prosthesis is similar in its mechanism of action to a two-component one, but the reservoir with liquid is not located together with the pump, but separately in the pelvis.
Safety of penile prosthesis
All prostheses are made of special hypoallergenic durable materials. The undoubted advantage of penile prosthesis over other methods of treating erectile dysfunction is the long-term results. All types of dentures come with a lifetime warranty. Also an important safety factor is the correct installation of prostheses, since this is a technically complex operation. At the REFORMEN center, penile prosthetics are performed by Professor Sergey Nikolaevich Nesterov, who has extensive experience in this type of surgery.
Reasons provoking the need to enlarge the glans penis
Men who want to maintain their strength for a long time are recommended to undergo regular examinations with a urologist, and, if necessary, resort to appropriate treatment methods.
The main reasons for enlarging the glans penis are:
- incorrect anatomical structure;
- dystrophy of the glans penis;
- penile injury;
- decreased sensitivity;
- premature ejaculation;
- decreased self-esteem;
- desire to improve aesthetic appeal.
The main factors determining the need to enlarge the head of the male genital organ are the length and shape of the penis, the degree of erectile function and the patient's expectations. Surgery to enlarge the glans penis can be performed without prior research.
Installation of penile prosthesis, surgery
Penile prosthetic surgery is performed on the day of hospitalization and lasts about 60 minutes. A special general anesthesia is used, which does not produce side effects. After preliminary preparation, anesthesia and antiseptic treatment, a cosmetic mini-incision is made in a sterile operating room, after which the penile prosthesis is implanted into the right and left cavernous body, as well as the installation of a reservoir and pump in the case of a 3-component prosthesis.
After the operation, the patient spends 1-2 days in a comfortable room in the hospital.
Contraindications
Before performing injection augmentation of the genital organ, a cosmetologist must examine the man for any contraindications.
The method cannot be used if you have the following diseases or conditions:
- exacerbation of chronic diseases;
- infectious diseases of the genitourinary system;
- oncology;
- autoimmune disorders;
- severe mental illness;
- STD;
- injuries, burns, cracks, acne on the genitals;
- age up to 18 years.
Progress of the process
The method of penis enlargement using biofiller injections includes the following steps:
- The surface of the genital organ is cleaned of contaminants and an anesthetic cream is applied to it.
- After the application anesthesia begins to take effect, the cosmetologist introduces the biofiller in the right places in accordance with the type of penis enlargement (over the entire surface or only into the head of the genital organ). The gel is evenly distributed over the desired areas. Injections are performed with a thin needle, which minimizes patient discomfort.
- After the injections are made, the doctor applies an emollient composition to the surface of the skin at the puncture sites, which enhances cell regeneration.
- Then a sterile bandage is applied to the penis to eliminate the risk of developing an inflammatory process.
After completing all the manipulations, the cosmetologist gives the patient recommendations regarding the rehabilitation period. To achieve the desired effect, only one session is required.
Rehabilitation
The recovery period is 2-3 weeks. At this time, the puncture sites heal completely and the skin is restored. There is usually no pain, the maximum is slight discomfort at the points where the needle enters.
To avoid complications during the rehabilitation period, it is necessary to carefully monitor intimate hygiene and refrain from sexual contact. It will also be necessary to apply the composition recommended by the cosmetologist to the genital organ.
Postoperative period
After discharge, it is necessary to limit physical activity for 1 month, and also perform dressings for some time.
During the entire recovery period after surgery (about one month), it is necessary to refrain from sexual activity in any form, including masturbation. At the end of the recovery period, the man can return to intimate life in full.
Possible complications and contraindications will be discussed with you individually by your attending physician.
Male plastic surgery operations
Specific plastic surgery operations for men - plastic surgery and lengthening of the penis, restoration of the penis after injury. Intimate plastic surgery in men is quite popular, since modern methods of plastic surgery allow for correction without any risks, and the result justifies all the restrictions and difficulties of a short rehabilitation period.
Penis lengthening
The most popular intimate surgery operation in men is penile plastic surgery, aimed at lengthening the reproductive organ. The specificity of the anatomical structure of the penis is such that it is possible to increase its length with minimal interference in the natural structure of the tissues. No manipulations are even performed on the penis itself.
To gain a general understanding of the surgical technique, basic knowledge of male anatomy is required. The penis consists of three bodies, which are commonly called cavernous or cavernous. These bodies begin in the area of the pubic bone, and they are partially “hidden” under the skin in the base area.
During penile lengthening surgery, the plastic surgeon makes a U-shaped incision at the base and releases part of the corpus cavernosum. The tissue is then sutured in a Y-shape, allowing the released portion of the corpus cavernosum to remain free. Simple manipulation leads to visual and actual lengthening of the penis.
Rehabilitation . Recovery after penis lengthening may be accompanied by pain, including during erection, and difficulty urinating. This is explained by tissue swelling after surgery. There is no need to worry, everything will return to normal in a few days. On the first day after surgery, the surgeon will place a catheter in the urethra to facilitate the flow of urine.
The main rule of the rehabilitation stage is abstinence from intimacy. You can't have sex for three weeks. Many surgeons recommend abstinence for six weeks. The issue of exact timing is usually decided individually during scheduled visits to the surgeon after surgery.
Thickening of the penis
The diameter of the reproductive organ can be increased by implanting the patient’s own adipose tissue. The procedure is called lipofilling; it is actively used in plastic surgery for breast augmentation, modeling facial features, facial rejuvenation, buttock plastic surgery. Own fat is a safe transplant material that is immunologically compatible with the body. There are no side effects or complications after lipofilling.
A fat graft is inserted into the space between the skin and the corpora cavernosa. Since the skin here is very mobile, a significant amount of fat can be injected into this space and achieve excellent results. True, it is impossible to accurately predict what percentage of fat cells will survive after surgery, which is why the result cannot be called 100% predictable.
Rehabilitation . The rules of the rehabilitation period remain unchanged. After surgery, it is necessary to abstain from intimacy until complete recovery.
Penile plastic surgery
The reason for contacting a plastic surgeon may be dissatisfaction with the shape of the organ, various congenital or acquired defects. One of the typical congenital anomalies is a short frenulum. The problem can lead to injury during intercourse, so it is advisable to cut the frenulum surgically.
Some men go to a plastic surgeon to have their foreskin circumcised. As is known, in certain cultures this manipulation is carried out in infancy, motivating this, first of all, for reasons of personal hygiene. Since circumcision can be performed at any age, men sometimes make a conscious decision to remove the foreskin.
Rehabilitation . During recovery after intimate plastic surgery, men should carefully monitor their personal hygiene. The postoperative wound must be treated with an antiseptic solution several times a day. Intimacy is contraindicated for 3-4 weeks.
Where is the best penile prosthesis in Moscow?
The Reformen Center specializes in the field of male sexual health and intimate plastic surgery for men. Penile prosthetics in our center is performed by a world-class andrologist surgeon, Professor Sergey Nikolaevich Nesterov.
Book a consultation with Professor Nesterov online or call +7 (926) 543-38-83
We advise you to find out more:
- About the doctor - Professor Nesterov Sergey Nikolaevich
- Cost of penile prosthesis (price list)
- Erectile dysfunction and methods of its treatment
