Penile prosthesis implantation pictures

The male genitals are composed of two cavernous bodies between the bones and a urethral cavernous body in the middle of the internal oblique muscle. The cavernous body is a key part of the male genitals. The front end is sharp and placed in the depression at the bottom of the glans penis. The back end is developed into the cavernous body horn, which is fixed to the sciatic nerve branches of the upper and lower toes and covered by the sciatic nerve penis cavernous body muscle.

Male genital prosthesis implantation, also known as male genital support body implantation, is to insert a male genital prosthesis or support body into the corpus cavernosum cavity to replace the missing swelling, hardening, and support functions of the penis corpus cavernosum, so that the patient can regain the ability to have sexual intercourse and treat erectile dysfunction. At present, there are several types of prostheses, including semi-rigid prostheses, two-piece prostheses, and plastic three-piece prostheses. Plastic three-piece prostheses are more commonly used in clinical medicine.

Anesthesia for male genital prosthesis implantation

Epidural block anesthesia, saddle anesthesia, local anesthesia can be used. General anesthesia can also be selected according to the patient's condition.

Preparation before male genital prosthesis surgery

1. Choose the right prosthesis.

2. To check whether the corpora cavernosa on both sides are of equal size, and whether there is any penile nodule, inflammation or developmental deformity, a penile corpus cavernosum examination may be necessary.

3. Start using antifungal drugs such as cephalosporins one day before surgery and continue for three days after surgery. The key is to prevent Gram-positive bacteria infection.

4. Instruct the patient to clean the sexual organs with super-strong iodine for 10 minutes the night before and the morning of surgery.

5. Skin preparation before surgery.

6. Provide special equipment packages for male genital prosthesis implantation and a variety of prostheses of various models and specifications, and provide disinfection and sterilization solutions.

Indications for male genital prosthesis implantation

Irreversible organic erectile dysfunction, especially psychogenic erectile dysfunction, is the preferred indication for prosthesis insertion. Other patients with vascular, traumatic, pathological, and psychological erectile dysfunction have failed treatment.

Contraindications of male genital prosthesis implantation

1. Those with more severe fibrous corpus cavernosum and significantly shorter male genitalia.

2. Accompanied by serious systemic consequences, such as serious decline in the functions of the heart, lungs, kidneys, liver, etc., terminal malignant tumors, systemic exudative symptoms, etc.

3. Severe allergic symptoms to the prosthesis.

4. Patients with active infections, especially those with genitourinary system infections, should not undergo surgical treatment until the infection is under control.

5. Patients with significant urinary obstruction, urethral stenosis, significantly increased residual urine, or more severe neurogenic bladder are not suitable for surgical treatment recently.