A penile prosthesis as solution
Advanced erectile dysfunction
If erectile dysfunction is at an advanced stage, conventional treatment, such as medication intake (Viagra, Cialis, Levitra, etc.), will not have any effect anymore. These are cases of therapy-resistant erectile dysfunction.
Men who suffer from erectile dysfunction at this stage often experience depression, avoid intimacy, or are facing relationship problems.
Sexuality plays a vital part in every relationship. If potency problems have taken over, they are casting a shadow over something fundamentally important to the relationship.
The solution: penile prosthesis
In cases of therapy-resistant erectile dysfunction, implanting a penile prosthesis can help the patient to regain intimacy and a healthy sex life. A penile prosthesis substitutes the erectile mechanism which had been lost – it does not, what many people think at first, replace the penis itself.
How does a penile prosthesis work?
As mentioned above, a penile prosthesis does not replace the penis. It merely substitutes the mechanism of erection which had been lost. Loss of this mechanism in advanced stages of erectile dysfunction makes it impossible to maintain a good and lengthy erection and consequently impedes active penetration. To solve this problem, the penile prosthesis is implanted into the cavernous bodies of the penis.
The patient’s penis remains his own. Sensitivity and the ability to orgasm and ejaculate are not affected. Solely the stability of the penis changes – to the better.
Is the prosthesis noticeable?
Penile prostheses are a discrete solution to a weighty problem. The implant itself is not visible, it is concealed within the cavernous bodes. Other people will not be able to tell that you have an implant.
How is sex life with the prosthesis?
Studies evaluating patient and partner satisfaction with different treatment methods for erectile dysfunction have shown that penile prostheses reach the highest rating. Some studies show a satisfaction rate of 94% (In comparison: Sildenafil has a satisfaction rate of 52%) Of course, this can also be connected to the fact that most men who choose to undergo implantation surgery, have a long history of unsuccessful treatments. Regaining intimacy and sexuality naturally creates feelings of happiness and content.
What types of penile prosthesis are available?
Roughly speaking, there are two kinds of penile prostheses: Semi-rigid and hydraulic ones. Semi-rigid models contain flexible silicon rods, which can be bent into different positions.
Hydraulic prostheses, on the other hand, are shaped more naturally. By pressing a pump, which sits in the scrotal sac, the prosthesis is gradually inflated until the penis is as rigid as desired.
Which penile implant type is best for me?
Depending on your expectations, underlying disease and motoric skills we will guide you through the decision process. Dr. Kuehhas is happy to advice you and explain the differences between the different models.
Overview on penile implant surgery
|Form of anesthesia||General anesthesia|
|Duration of the surgery||60-120 minutes|
|Stationary stay?||Ambulatory treatment possible|
|Fit for work||2 days after surgery|
|Intensity of pain||low (pain is subjective)|
|Risk profile||Low – you will receive an in-depth consultation prior to surgery|
|Sexual intercourse||After 4-6 weeks possible|
|Sport||Refrain from sport activities for 1 week|
|Final result||You can fully use your penis 4-6 weeks after surgery|
I think I need a penile implant, what should I do next?
Don’t hesitate to ask for professional help. Dr. Kuehhas will answer all your questions confidentially. Following a private examination, we will be able to ascertain if a penile prosthesis is appropriate in your individual case, and if so – which one.
We care about your concerns and would like to find the best solution for your problem!
Dr Franklin Kuehhas is a medical specialist in the field of urology and andrology. He received his specialization training at the University College London. He also underwent his training at the prestigious University Hospital in Heidelberg (Germany) and at the University Hospital of Vienna (Austria). Dr Kuehhas focuses on the treatment of congenital and acquired penile curvatures (Peyronie’s disease). His research activities have resulted in many publications and improvements of surgical techniques such as the STAGE technique for congenital penile curvature treatment.