What is Penile Implant Surgery ?

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Why do you need Penile Implant Surgery ?

Penile implant surgery is indicated for:

  • Erectile dysfunction (ED):
    • Severe ED unresponsive to oral medications (e.g., PDE5 inhibitors like sildenafil), injections, or vacuum devices.
    • Common causes: Diabetes (30–50% of ED cases in India), vascular disease, post-prostatectomy (as in your query, 30–50% risk), or Peyronie’s disease (penile curvature).
    • Prevalence in India: 20–30% of men over 40 years; higher in diabetics.
  • Other indications:
    • Penile fibrosis (e.g., from prior priapism or injections).
    • Gender-affirming surgery (rare, for transgender men; different procedure).
  • Associated treatments:
    • Often combined with Peyronie’s correction (e.g., plaque incision) if curvature present.
    • Counseling pre-op to set expectations (e.g., no change in penile length or sensation).
  • Timing:
    • Performed in adults (average age 50–70 years for ED); elective procedure after failed conservative treatments.

The procedure aims to restore the ability to achieve erections, improve quality of life, and maintain sexual function, offering a permanent solution for ED with high satisfaction rates (85–90%).

Why Do Costs Vary in Philippines?

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Penile Implant Surgery Procedure

  • Before Surgery Evaluation:
    • Assessment:
      • History/physical exam: Confirm ED cause (e.g., vascular, neurogenic); assess penile anatomy.
      • Blood testsBlood sugar (diabetes control), testosterone levels, clotting profile.
      • Doppler ultrasound: Evaluates penile blood flow (if needed for diagnosis).
    • Preparation: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe; antibiotics pre-op to reduce infection risk.
    • Consent: Risks, including infection, are explained; patient chooses implant type.
  • Surgical Technique:
    • Penile Implant Surgery:
      • Performed under general or spinal anesthesia, lasting 1–2 hours.
      • Types of implants:
        • Inflatable penile prosthesis (IPP): Most common (70–80% of cases); 2- or 3-piece device; cylinders in penis, pump in scrotum, reservoir in abdomen; allows on-demand erection.
        • Malleable (semi-rigid) prosthesis: Bendable rods; simpler, less expensive; penis remains semi-rigid.
      • Process:
        • Incision: Infrapubic (above penis, 3–5 cm) or penoscrotal (at base of penis/scrotum); minimizes visible scarring.
        • Corpora cavernosa (erectile tissue) dilated; cylinders (IPP or malleable) inserted into penis.
        • IPP: Pump placed in scrotum; reservoir (if 3-piece) in lower abdomen; system connected.
        • Closure: Sutures in layers; absorbable sutures for skin; drain (if needed) for 1–2 days.
      • Post-op: Device left deflated (IPP) for 4–6 weeks to allow healing.
    • Intraoperative Tools:
      • Dilators: Create space in corpora for cylinders.
      • Antibiotic irrigation: Reduces infection risk.
      • Sizers: Ensure proper implant fit.
  • After Surgery:
    • Hospital stay: 1–2 days.
    • Care: Ice packs to reduce swelling; antibiotics for 7–10 days; avoid sexual activity for 6 weeks.
    • Pain management: Mild to moderate pain for 3–5 days; managed with painkillers (e.g., paracetamol).
    • Instructions: Learn to use device (IPP pump training at 4–6 weeks); monitor for infection.

Recovery After Penile Implant Surgery

  1. Hospital Stay: 1–2 days.
  2. Post-Surgery Care:
    • Pain/Swelling: Mild to moderate pain for 3–5 days; swelling resolves in 1–2 weeks.
    • Activity: Avoid strenuous activity for 4–6 weeks; light activities in 3–5 days.
    • Incision: Sutures (if non-absorbable) removed in 7–10 days; scar fades in 3–6 months (hidden in pubic area).
    • Device use: IPP training at 4–6 weeks; sexual activity resumes at 6–8 weeks.
    • Sensation: No change in sensation or orgasm; erection rigidity restored.
  3. Follow-Up:
    • Visits at 1 week (check healing), 4–6 weeks (device training), and as needed.
    • Monitor: Device function, infection signs; implants last 10–15 years (90% still functional at 10 years).

Most resume normal activities in 1–2 weeks; sexual activity resumes in 6–8 weeks. Satisfaction rate: 85–90% for patients and partners; improves quality of life significantly.

Risks and Complications

  • Surgical Risks:
    • Bleeding (1–3%): Hematoma at site; may resolve or need drainage.
    • Infection (1–3%): Higher risk in diabetics; may require implant removal (devastating complication).
    • Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
  • Post-Surgery:
    • Pain (5–10%): Persistent discomfort; usually resolves in 2–4 weeks.
    • Device malfunction (2–5%): Pump or cylinder failure (IPP); may need revision surgery.
    • Erosion (1–2%): Implant erodes through skin; requires removal.
    • Penile shortening (5–10%): Perceived due to fibrosis; counseling pre-op helps.
  • Long-Term:
    • Mechanical failure (5–10% at 10 years): IPP components wear out; revision surgery needed.
    • Infection (delayed, <1%): Can occur years later; requires removal.

Report fever, severe swelling, redness, or device malfunction promptly.

Frequently Asked Questions (FAQs)

What causes the need for penile implant surgery?

Severe ED (unresponsive to medications), often due to diabetes, vascular disease, post-prostatectomy, or Peyronie’s disease.

Can I avoid penile implant surgery?

Yes, if milder ED: Try oral medications (e.g., sildenafil), injections, vacuum devices; surgery is last resort for severe cases.

Is penile implant surgery painful?

Mild to moderate pain for 3–5 days, managed with medication; resolves in 1–2 weeks.

How soon can I resume normal activities?

Light activities: 3–5 days; sexual activity: 6–8 weeks; full recovery: 4–6 weeks.

Is penile implant surgery covered by insurance in India?

Coverage varies; often not covered (elective for ED); confirm with your provider; Ayushman Bharat may not apply.

Signs of complications?

Fever, severe swelling, redness, or device malfunction.

Will the implant feel natural?

Mostly: IPP mimics natural erection (85–90% satisfaction); malleable less natural but simpler; sensation unchanged.

Lifestyle changes post-surgery?

Learn device use (IPP), avoid trauma to penis, monitor for infection, and attend follow-ups.

Conclusion

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Looking for Best Hospitals for Penile Implant Surgery

Note: we are not promoting any hospitals

We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)

  • click on your city and schedule your surgery now done in good hands.
City Minimum Price (₱) Maximum Price (₱)
Angeles City
Antipolo
Bacolod
Bacoor
Baguio
Butuan
Cagayan de Oro
Caloocan
Cebu City
Dasmariñas
Davao City
General Santos
General Trias
Iligan
Iloilo City
Las Piñas
Makati
Malolos
Manila
Muntinlupa
Parañaque
Pasay
Pasig
Puerto Princesa
Quezon City
San Fernando
San Jose del Monte
Taguig
Valenzuela
Zamboanga City

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.

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