Surgical Treatment of Erectile Dysfunction

I would like to take a few moments to talk with you about the surgical treatment of erectile dysfunction or impotence. Erectile dysfunction or impotence is first treated with medications such as Viagra, Cialis, or Levitra.

Then, if those treatments do not work, then there are injections, pellets, or a vacuum penis pump. In the event of those are ineffective, then there are surgical procedures for the treatment of erectile dysfunction.

A penile prosthesis is a surgical procedure that is accomplished by the insertion of the device to very tiny 2-3 inch incision at the lower end of the abdomen. The insertion of a prosthesis allows a man to create an erection whenever he wants, and the erection will last as long as the man wants the erection to last.

There are essentially two types of penile prosthesis. There is the semi-rigid rod, and then there is the inflatable penile prosthesis. A semi-rigid rod consists of the insertion of a rod that is wrapped in silicon at the base of the penis and allows the man to either create an erection or push the erection down when he does not want to be sexually active. The main disadvantage of this procedure is there is some moderate difficulty with the concealment of this semi-rigid rod. However, the advantage is that there are no moving parts and except for the minimal problems of concealment it is very satisfactory and most men are able to elevate to engage in sexual intimacy and place it down into a flaccid position when he wishes to conceal the erection.

The most popular penile prosthesis is the inflatable penile prosthesis. This was developed in Houston, Texas by doctor Brantley Scott. There had been over 500,000 of these devices implanted worldwide, and each year 15,000 of these are implanted in the United States. Through my career,  which began in 1978, I have inserted over  3,000 of this prosthesis.

The prosthesis of the inflatable variety consists of 2 cylinders that are placed in the erectile bodies of the penis, a reservoir,  which is placed behind the muscles of the abdomen, and a pump, which is placed into the scrotum. Everything is entirely concealed and no one can detect that the device is in place. When a man wishes to have an erection, he squeezes the pump in the scrotum, and the penis then becomes erect with the fluid is moved from the reservoir to the cylinders. The fluid is nothing more than a salt solution, and there is no problem if the salt solution leaks out of the system. When the man wishes to have this erection subside and return to the flaccid position, the man squeezes the valve over the pump in the scrotum, and then the penis returns to its flaccid condition, by having the fluid moved from the cylinders to the reservoir.

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