Faloprosthetics: advantages and disadvantages

Falloprosthetics: advantages and disadvantages of the procedure

The pros and cons of penile prosthetics as a plastic surgery is important information for a man suffering from impotence. The essence of the intervention is to sew a special silicone prosthesis into the male genital organ, which makes it possible to simulate an erection and lead a full sex life.

Manipulation is carried out if drug therapy does not give positive results, and drugs to increase potency do not restore erectile function. Therefore, the advantages of having falloprosthetics prevail over the disadvantages.

The main indications for falloprosthetics:

• persistent atherosclerosis of the cavernous bodies and arteries;
• Peyronie's disease;
• injuries to the reproductive organs;
• underdeveloped penis;
• neurogenic or vascular dysfunction.

The implant is installed once and for life, so you need to seriously and reasonably approach plastic, which, rather, can be attributed to the disadvantages.

Pros and cons of falloprosthetics: types of prostheses

Substitute constructs are of three types.

1. Rigid - Silicone rods that give firmness to the penis, but not plasticity. The main advantages are low cost and availability. The main disadvantages are the inability to change position due to rigidity, immobility. The penis is in tension all the time, it has to be supported with shaping underwear. Therefore, in modern phalloplasty, silicone is practically not used.
2. Plastic - similar to paired cylinders. Pros: Accept and maintain various provisions. Inside there is a metal cylinder with plastic memory. Cons - not suitable for everyone, and also have a high cost.
3. Inflatable - are characterized by variable stiffness. Pros: they have a high aesthetic effect, are convenient to use, easy to operate. They are made of high-quality synthetic material, due to which an imitation of the physiological functions of the penis is achieved.

Let's dwell on the last type, which clearly demonstrates the pros and cons of falloprosthetics. The metal cores of the device are made of silver or a special alloy. Doctors offer three types of inflatable substitutes:

1. One-component - the simplest, but difficult to manage, have a low quality of erection, so they are rarely used.
2. Two-component - the rod and the pump are a single system, they are small in size, more reliable.
3. Three-component - made of high quality and durable polymer material. The reservoir of the prosthesis is filled with sterile saline, which is mechanically moved into the erection rods. Manual manipulation of the implant is possible through a pump placed in the scrotum.

The pros and cons of each option are determined taking into account the anatomical structure of the penis, therefore the final choice of the method of falloprosthetics depends on the doctor's recommendations, the patient's preferences and opportunities.

Feature of the procedure

Before the start of the surgical intervention, the anesthesiologist examines the patient and determines the type of anesthesia. Installation is usually performed under general anesthesia.

A falloprosthesis can be implanted through an incision:

• penoscortic method (in the foreskin);
• subpubic (subtle);
• through the skin of the scrotum (perineal).

The method by which the incision is performed also adds up to the pros and cons of falloprosthetics. The design is selected of the optimal size, taking into account the individual physiological characteristics of the patient. An implant that is too large in size can lead to tissue rupture during sexual intercourse or even to a complete loss of potency - these are the main disadvantages of falloprosthetics.

After installation, the symmetry of the prostheses is checked. The incisions of the cavernous bodies and operating tissues are sutured in layers. For a day, a catheter is inserted to drain urine and a sterile bandage is applied. The stitches are removed a week after the penile prosthesis.

After falloprosthetics, it is assumed that certain requirements are met:

• compulsory bed rest (2-4 days);
• medical examination;
• taking medications to prevent bacterial infection;
• temporary limitation of physical activity and intimacy for the period recommended by the attending physician.

A clear implementation of the recommendations ensures that the advantages of falloprosthetics outweigh the disadvantages.

Contraindications

It is impossible to carry out surgical treatment in the following cases:

• the presence of sexual (venereal) diseases;
• blood clotting disorders;
• the presence of serious chronic or infectious diseases.

The risks of falloprosthetics will be reduced if you carefully approach the choice of a clinic, an andrologist and a high-quality falloprosthesis. Only in this case all the advantages of the operation, a positive result and the preservation of sexual relations for a long time are guaranteed.

Source: http://MedBooking.com/blog/article/muzhskoje-zdorovyje/falloprotezirovanie-preimushchestva-i-nedostatki-protsedury

Falloprosthetics: surgery, price and reviews

7.06.2016, 12:44

Falloprosthetics is an operation aimed at restoring the erectile function of the penis in men.

The essence of such an intervention is the introduction of a special prosthetic material into the tissues of the penis, after which it is possible to radically get rid of problems with potency. Patient reviews confirm the high effectiveness of such an intervention.

Let us consider in more detail what the operation of falloprosthetics consists of, when it is indicated and how much this type of treatment costs.

Table of contents of the article

• 1 Description
• 2 We will take into account all the risks
• 3 Cost

Description

The essence of the surgical treatment of erectile dysfunction is the implantation of special devices into the cavernous bodies of the penis - falloprosthetics. With their help, a man can achieve an erection and have a full sexual intercourse. The intervention is performed under general anesthesia.

Surgical access is determined by the anatomical features of a particular patient and the chosen model of the endoprosthesis. Based on this, the localization of the incisions is different. This can be the area of ​​the scrotum, under the pubic bone, in the foreskin. All types of falloprosthetics surgery are divided into two main groups.

Their difference lies in the choice of a prosthesis. Allocate:

• Semi-rigid or elastic phalloprostheses (one-piece). The design consists of two silicone cylinders, which are equipped with a rod and wire. During the penile prosthesis surgery, a silicone prosthesis is placed in the cavernous bodies of the penis. Due to the presence of a rod and a wire, it is possible to maintain a given position of the male genital organ. To have intercourse, you just need to raise the penis with your hand. After intercourse, it is returned to its original position. However, the disadvantage of this method of phalloprosthetics is that after the intervention, the constant rigidity of the prosthesis remains.
• Hydraulic or inflatable (three-piece). This is the most convenient method of falloprosthetics, which is confirmed by reviews. The structure of the prosthesis consists of two cylinders with a special reservoir for fluid, which are connected by a pump. During the operation, the cylinders are placed in the cavernous bodies of the penis, the pump is placed in the scrotum, the container with the fluid is sutured in the area behind the pubic bone. To achieve an erection, you will need to squeeze the pump several times, while the liquid is pumped into the cylinders and their rigidity increases. After intercourse, to eliminate the erection of the penis, it must be bent and wait for complete relaxation. At this time, the liquid will flow back into the reservoir. Reviews note that this type of falloprosthetics provides a more natural look, including at rest. Moreover, this is the most physiological model. But its price is considerable.

It is worth mentioning the existence of rigid endoprostheses. Due to their inconvenience and due to the advent of more modern technologies of falloprosthetics, they are not used today.

The main disadvantage of rigid prostheses is that they are not able to change their rigidity, and they also lack the property of plastic memory. That is, throughout the entire time there is an imitation of an erection. Among the advantages, patient reviews note the cost of such a prosthesis.

Rigid prosthetics are cheaper than newer models. Below we will take a closer look at how much each endoprosthesis costs.

We will take into account all the risks

The indications for a falloprosthetics operation are clearly defined. Accordingly, a man's desire alone will not be enough.

As a rule, in order to have a falloprosthetics, you need a serious reason. Indeed, like any operation, this intervention is associated with multiple risks.

And the recovery period after prosthetics does not always go smoothly. The main indications for surgery include:

1. The ineffectiveness of conservative methods of treating impotence, including the psychogenic variant.
2. Erectile dysfunction due to vascular pathology (pronounced atherosclerotic lesion).
3. Peyronie's disease.
4. Impotence caused by chronic diseases such as diabetes mellitus, metabolic disorders.
5. Erectile dysfunction due to surgical interventions on the pelvic organs (after surgery on the prostate, rectum, bladder).
6. Fibrosis of the corpora cavernosa.
7. Contraindications to intracavernous administration of drugs or to the use of vacuum devices.
8. Structural anomalies or underdevelopment of the penis.
9. Having an artificial penis after gender reassignment surgery.

Among the contraindications for falloprosthetics, it is worth highlighting various types of priapism. These are conditions that are accompanied by an excessively prolonged, often painful erection of the penis.

Price

The choice of the type of endoprosthesis for falloprosthetics depends on the clinical situation, as well as on the wishes of the patient and his financial capabilities. On average, the cost of plastic surgery on the penis will cost 45,000-50,000 rubles.

It should be noted that this price does not include the cost of preoperative examination, consultation related specialists, anesthetic benefits and, most importantly, this amount excluding the cost of the prosthesis. As the reviews show, it is not cheap to make penile prosthetics.

If necessary, for an additional payment after the implantation of the endoprosthesis, it is possible to perform surgical procedures aimed at increasing the size of the penis. The table shows the average total price for surgical treatment of erectile dysfunction of the penis.

Intervention option	Price
Semi-rigid prosthesis implantation (standard)	90,000-125,000 rubles.
Semi-rigid prosthesis implantation (complicated)	RUB 110,000-145,000
Implantation of a semi-rigid prosthesis with an increase in the size of the penis	RUB 225,000-280,000
Implantation of a three-piece inflatable prosthesis (standard)	RUB 230,000-27,000
Implantation of a three-piece inflatable prosthesis with an increase in the size of the penis	RUB 350,000-400,000

In some conditions, falloprosthetics is the only effective treatment for impotence. Reviews note that it is expensive to do the operation, but after the intervention, an excellent result is guaranteed.

Source: http://EgoSila.ru/hirurgiya/falloprotezirovanie-provedenie-operacii

Penile prosthetics: indications, which prostheses and how they are selected, the course of the operation

Today, erectile dysfunction is understood as the impossibility of having sexual intercourse. In this case, a man cannot enter the penis and end copulation due to insufficient penis tension or due to the disappearance of a stressed state. There are quite a few reasons for dysfunction, and not always they can be eliminated by a surgical or therapeutic method.

Falloprosthetics

The cause of erectile dysfunction is insufficient filling of the corpus cavernosum.

With normal filling, the penis becomes sufficiently tense, retains firmness for some time, sufficient for sexual intercourse. With low fullness, difficulties arise with an erection.

With an excessively rapid outflow of blood, the penis loses firmness too early, which leads to the inability to complete intercourse.

There are several methods of treating impotence today.

The purpose of most of them is to organize the normal filling of the cavernous bodies and the retention of blood in them for a sufficient period:

• The conservative method involves taking special medications that increase the filling of the corpora cavernosa and thereby reduce the manifestation of impotence.
• Surgical - usually involves an operation on the vessels. At the same time, to fill the corpora cavernosa, another artery is connected or some veins are blocked, which prevents the outflow of blood. However, with a complete loss of erection, this method is powerless.
• Reconstructive - actually falloprosthetics. In this case, special devices are inserted into the penis and installed to achieve an artificial erection.

Falloprosthetics is the most reliable method. Implants are made from different materials, but always hypoallergenic. In 90% of cases, reconstructive surgery leads to a complete cure.

As practice shows, when using soft prostheses, the partners of former patients do not even know about the presence of implants in the penis. The only contraindication to prosthetics is the possibility of cure by conservative or surgical methods.

There are several restoration techniques associated with different shapes and types of prostheses.

Indications

If the cause of erectile dysfunction is damage and organic changes in tissues, it is impossible to restore normal blood flow. Only in such cases do they resort to falloprosthetics.

Direct indications for surgery are:

• atherosclerosis of the cavernous bodies of the penis and arteries, in this case it is impossible to restore blood flow;
• fibrosis of the corpus cavernosum - replacement of the normal tissue of the organ with a non-functional fibrous one;
• scarring of the cavernous bodies - also refers to irreversible changes;
• Peyronie's disease - a pathology of the tunica albuginea leading to dysfunction;
• complications after injuries or operations on the pelvic organs - rectum, bladder, leading to impotence;
• dysfunction against the background of severe diabetes mellitus;
• congenital abnormalities or underdevelopment of the penis;
• prosthetics are also prescribed for psychogenic impotence, if all other methods have exhausted themselves.

The undoubted advantage of falloprosthetics is the long-term result - literally until the end of life, while therapy requires constant repetition of the course of treatment, and the results of surgical intervention over time become less impressive.

Choice of prostheses

Today there are several types of prostheses. They are made of special hypoallergenic materials, but differ in design. How it is selected depends mainly on the financial capabilities of the patient.

Consider what kind of prostheses are:

• One-component plastic is the most affordable, but somewhat inconvenient to use. There are 2 types of such devices:
  • elastic - or flexible. Available in silicone or vinyl. They are flexible tubes. One phalloprosthesis is inserted into each corpus cavernosum. With this form of prosthetics, the penis is, as it were, in an erect state all the time. Since the prosthesis is flexible, in clothes the penis is simply pressed by the panties. The cost of such prostheses is the lowest, so they are installed most often. There are no special indications for choosing this particular type;
  • semi-rigid - or with a memory effect. Such a prosthesis is a multilayer silicone cylinder, inside which a wire harness is placed. The member in an erect state is provided by the latter: for this, before copulation, the member is lifted up with the hand. In the normal state, the penis is lowered. Such a prosthesis is also quite affordable, has good mechanical strength, and is much more comfortable. The disadvantages of this option include the constant hardness of the penis, which gives the organ a somewhat unnatural look. In addition, it should be borne in mind that after the installation of a semi-rigid prosthesis, the length of the penis decreases by 2–3 cm.
• Two-piece prostheses are hydraulic. The implant mimics a natural response, resulting in a more natural erection and a normal resting state. The prosthesis is a cylinder of rigidity with a sterile water reservoir built into its base. The cylinders are placed inside the cavernous bodies, the pump is placed in the scrotum. The cylinders and pump are connected by tubes.

The state of erection is provided by pumping water from the reservoir into the chambers of rigidity. To do this, it is enough to squeeze the pump placed in the scrotum several times. To remove an erection, you need to bend the penis and hold it in this state until the organ is relaxed. This feature is considered a disadvantage, since it is clearly unnatural in nature.

• Three-piece - inflatable. Today they are considered the best models and, accordingly, are the most expensive. This option provides the maximum aesthetic effect: an erection looks quite natural, at rest the penis is relaxed and does not present any inconvenience in everyday life.

The prosthesis also consists of three parts, but in this case the components are placed in a more natural way: the cylinders of rigidity are implanted into the corpus cavernosum, the reservoir is placed behind the pubis, and the injection pump is placed in scrotum. The elements of the prosthesis are connected by flexible soft tubes.

When you press the pump - 6-8 times, sterile water from the reservoir fills the chambers of rigidity and the penis "rises". There are protruding stripes on the pump, which are quite well audible to the touch under the skin. To release an erection, the strips should be squeezed with constant pressure so that the water from the chambers of rigidity returns to the reservoir.

Such a device is more complicated, and therefore the risk of mechanical damage is higher.

Manufacturers began to offer three-piece dentures with an antibacterial coating.
This model significantly reduces the risk of infectious complications after surgery or implant failure.

The falloprosthesis does not significantly affect the sensitivity of the penis, orgasm and ejaculation. But it is worth noting that the more complex the model and the more flexible the material, the less the prosthesis affects the quality of intercourse.

Operation and rehabilitation

The operation is carried out only if all other means of treatment, both medical and surgical, have been exhausted.

The patient must understand that after installing the prosthesis, it is impossible to return to a natural erection: the implant destroys the cavernous bodies.

This means that in the event of a breakdown of the prosthesis or in case of injury, it will also be possible to restore erectile function only with the help of repeated restorative surgery.

The implantation of a prosthesis is a rather complicated surgical operation, which requires careful preoperative preparation:

• First of all, the possibility of prosthetics is established: in a number of diseases, especially of the genitourinary system, implantation of an implant may be undesirable, or even impossible.
• A general examination is carried out to exclude such diseases as tuberculosis, cancer, sexually transmitted diseases, as well as cardiovascular pathologies.
• Psychological preparation - as already mentioned, after the prosthesis is installed, a natural erection becomes impossible, even if the cause leading to impotence is discovered and liquidated.
• A model is selected according to the length of the penis, while taking into account certain features of the devices: two-component an implant, for example, has a greater effect on the length of the penis, a three-piece one, as a rule, reduces the length by no more than 1 cm.

The operation can be performed under general or spinal anesthesia and takes from 40 minutes to 2 hours.

It depends on the condition of the body and on the complexity of the prosthesis: three-piece models require more extensive surgical intervention, so the operation takes longer.

If prosthetics is performed under general anesthesia, the patient is not allowed to eat or drink 8-12 hours before the operation.

Depending on the type of implant to be installed, the operation can include 3 stages:

• removal of cavernous bodies by bougienage is a mandatory step. Then, in this area, cylinders of soft or semi-rigid prostheses or rigidity chambers are implanted;
• an incision is made in the scrotum and a pump is implanted - for a two- or three-component prosthesis;
• When installing an inflatable implant, an incision is made in the lower part of the peritoneum, the reservoir is placed behind the pubic bone, which minimizes the risk of damage.

Since the aesthetic effect in this case is as important as the achievement of functionality, therefore the operation uses techniques and suture material that provides maximum invisibility seams.

When implanting plastic one-component devices, the price varies from $ 400 to $ 700. When installing a prosthesis with memory effect - up to $ 1,500, when choosing a three-component model - from $ 7,000 to $ 10,000. The cost of the operation itself depends on the type of prosthesis and the complexity of the intervention.

To ensure the maximum success of prosthetics, a number of medical prescriptions must be followed after the operation:

• The first 2 days are sometimes more, the patient must adhere to strict bed rest.
• Depending on the presence of concomitant diseases, the urologist selects an antibiotic. The drug is administered intravenously over 48 hours. In the next 5 days, the patient takes the drugs orally.
• The patient spends 4 days in the hospital. Then, if there are no contraindications, recovery takes place at home.
• In general, the healing of stitches takes place 2–3 weeks. In this case, painful sensations may be present, edema is almost always present. Typically, these symptoms disappear completely within 4 weeks.
• You must refrain from intercourse for 6-8 weeks. Before resuming sexual activity, you need to visit the surgeon and listen to his recommendations.

In the video, the operation is falloprosthetics:

Possible complications

Penile prosthetics does not affect fertility, semen production, or the act of urination. This is the most important advantage of the reconstructive operation. The main disadvantage is the inability to restore the natural mechanism of erection.

In addition, the operation may be accompanied by some complications:

• The main risk is infection. To minimize it, only absolutely sterile preparations are used. In addition, a course of antibiotics must be prescribed to prevent the possibility of infection.
• There is a small risk that the implant will not heal. If within 2 weeks after the intervention there is pain, an increase in temperature, a second operation and cleaning is necessary.
• If the implant is chosen incorrectly, the prosthesis after some time begins to squeeze the head of the penis, which can lead to necrosis. Unfortunately, this complication cannot be immediately identified.
• According to statistics, about 20% of prostheses fail after 10 years. In this case, a repetition of falloprosthetics is necessary.

Falloprosthetics is a rather complicated operation that leads to irreversible changes in the genitals. It is carried out only in cases where conservative or surgical methods cannot restore erectile function.

Source: http://gidmed.com/urologiya/lechenie-urolog/hirurgicheskoe/falloprotezirovanie.html

How is falloprosthetics performed and what is the prognosis of the operation?

Falloprosthetics is a surgical operation for the introduction of artificial implants into the penis, which allows you to replace a normal erection and have a full sexual intercourse.

Falloprosthetics is a cardinal, but one of the most effective methods of treating impotence

The problem of impotence in men is becoming more and more urgent in our time. Alas, sad statistics tell us that by the age of forty, about 20% of the male population of Russia suffer from sexual weakness.

And by the age of seventy, the percentage of men who are unable to have a full sexual intercourse has already increased to 50.

Unfortunately, even at the age of 20 to 40 years, 10% of men note some kind of potency and erection disorders.

Indications for falloprosthetics

The absolute indications for surgery are:

1. Consequences of surgical operations on the penis, rectum, prostate and bladder.
2. Vascular erectile dysfunction refractory to drug therapy.
3. Impotence in Peyronie's disease.
4. Impotence in severe diabetes mellitus.
5. Congenital dysfunctions and / or underdevelopment of the penis. Penile atrophy.
6. Fibrous lesion of the cavities of the penis.
7. Psychogenic impotence with the ineffectiveness of its treatment by other methods.

In all cases, an active position of the patient himself and his desire to go to the operation are necessary.

It must be remembered that if a man is diagnosed with impotence, this does not mean that he immediately needs to insert implants.

There are the following treatments for sexual weakness:

Of all the above, only penile prosthetics is a radical method that allows you to achieve a complete cure for impotence. All others give only a temporary symptomatic effect.

The procedure can give complications, so it is necessary to carefully weigh the pros and cons when deciding on the operation.

Preparing for surgery

The patient needs:

• Undergo a full examination to exclude such diseases as tuberculosis, cancer, sexually transmitted diseases, cardiovascular pathologies in the stage of decompensation.
• Make absolutely sure that other treatments for erectile dysfunction are not working.
• Undergo psychological training. Realize that prosthetic implants remain for life, they cannot be removed and the natural corpora cavernosa cannot be restored.

Since the operation is performed under general anesthesia, you should not drink or eat in the morning before it. The maximum allowed dinner time the day before should be checked with your doctor.

Techniques and types of prosthetics

There are the following types of prostheses, which are inserted into the spaces of the corpora cavernosa:

1. Rigid models, consisting of two rods, most often made of silicone, but without the so-called plastic memory. They were used at the dawn of prosthetics. Their advantages are simplicity and low cost. The disadvantage is the constant tension of the penis. The shape of the penis cannot be manually “tweaked”. Creating a lot of inconvenience in the everyday and psychological terms, they are more dangerous postoperative complications.
2. Plastic semi-rigid models with memory. They contain additional wire harnesses to provide the desired position of the penis. The man independently brings the penis into a "combat" state and, after the completion of intercourse, lowers it with his hand. The main disadvantage of this method is that the penis remains permanently hard.
3. Hydraulic two and three-piece phalloprostheses with a pump attached to them, forcing and releasing fluid. The implants are placed in the corpora cavernosa, and the pump is placed in the scrotum. The man activates the pump by pressing in a specific place, and the penis rises due to the fluid expanding the implants. After the end of sexual contact, you should press in another place, and the fluid returns back, and the penis drops. The method brings sexual intercourse as close as possible to physiological. The partner may not even notice the consequences of the operation in the man.

After the operation, the patient stays in the hospital for about 10 days. It will be possible to return to sexual activity in six months.

The phalloimplant consists of 2 cylinders (1), which are installed in the corpus cavernosum of the penis, a reservoir with fluid in the pelvis (2) and a pump, which is placed in the scrotum (3)

Contraindications and possible complications

The operation is contraindicated for:

• priapism (pathologically long erection);
• urinary tract infections;
• severe concomitant diseases.

A relative contraindication is the ability to restore an erection conservatively.

Falloprosthetics, like any surgical operation, requires careful observance of all necessary measures in the postoperative period. Strict bed rest is prescribed for two days.

Antibiotics are used to suppress postoperative inflammation and prevent infection. In the first 7-10 days after implantation, significant pain and swelling of the penis are possible.

This is a normal condition; conventional analgesics are prescribed to relieve pain.

If the patient's body temperature rises, intense pain lasts more than two weeks, there is a danger of implant rejection. This condition requires reoperation and cleaning.

In the long term, improperly selected prostheses can squeeze the glans penis and cause its necrosis.

Therefore, if a man, after the onset of sexual activity with a prosthesis, feels pain and numbness in the genitals, he should definitely consult a doctor.

Forecast

It should be borne in mind that after ten years, up to 20% of the phalloprostheses fail. The condition requires a mandatory reoperation, an independent erection will not be able to recover.

In general, falloprosthetics can restore sex life to almost doomed patients.

Sexual contacts are allowed two months after the operation. Constant medical supervision is not required.

In men, the sensitivity of the penis remains, while the independent control of the duration of sexual intercourse additionally gives the possibility of complete satisfaction of the partner.

Read: Using cock rings for intercourse

Recommended for viewing:

Source: http://MenQuestions.ru/urologiya/ed/falloprotezirovanie.html

Penile prosthetics: how much does penile prosthetics cost and how does the operation take place

The entire available arsenal of means, which are aimed at improving potency and growth of the male genital organ, does not always give the desired effect. In addition, physiology sometimes comes into play. Now the problem can be solved with the help of penile prosthetics.

This procedure is called penile prosthetics. This operation involves the use of special implants that mimic the erection of a healthy person.

Endoprosthetics of the penis will allow a man to preserve his privacy, the effect after the procedure remains for a long time.

Indications for prosthetics

Prosthetics of the male genital organ is a compulsory measure for people who have already tried all the available methods of conservative treatment.

These methods include traditional massage, the use of dietary supplements, expensive medicinal remedies, folk remedies and visits to a psychologist to correct psychological trauma associated with problems in the intimate life.

In addition, phaloprosthetics is required for people whose erection is impossible due to physical pathologies of the male genital organ.

Prosthetic operations should be performed in the following cases:

• in the presence of a micropenis. This ailment is associated with an underdeveloped genital organ;
• problems at the level of psychology that cannot be corrected in any other way;
• Peyronie's disease. With this disease, deformation of the genital organ may occur. In addition, during sexual intercourse, a man experiences discomfort, and often painful sensations;
• violation of blood flow in the penis area;
• unsuccessful completion of surgical intervention in the male genital organ or with the prostate;
• impotence against the background of diabetes or another type of disease.

The operation is decided by men who have physical defects of the penis or suffer from lack of erection

For men who decide to undergo penis surgery, you need to know some facts:

1. If the prostheses are inserted into the cavernous bodies of the penis, their structure will be destroyed. Even if these implants are later removed, then the natural way of getting an erection will not be possible in the future.
2. After the operation, there will be a change in the size of the penis. It will decrease within 10-40 millimeters. Penis shrinkage will occur depending on the prosthesis used. The higher the price of the prosthesis, the less will be the reduction of the penis. A preliminary examination of the genital organ cannot give an exact answer about the size of the penis, which will be after prosthetics.
3. To carry out a falloprosthetics, you will need to do a comprehensive examination. This is due to the fact that problems with the human condition may arise after the phallus is replaced. During this period, it is impossible in any case to allow the penetration of infection into the body.

Priapism, which is a very prolonged erection, can be another contraindication. She can create painful sensations for a man.

Types of phalloprostheses

There are three types of reproductive organ prosthetics. They can be one-, two- and three-component. The class of implant available affects the type of surgery.

The simplest prostheses are one-piece. They can be rigid or plastic. Rigid prostheses have a significant drawback - an unsightly appearance. The penis seems to be in a permanent erect state.

This creates certain problems in a person's daily life. The advantages of this artificial penis include its relatively low cost, a short period of time required for rehabilitation, and reliability in use.

Currently, rigid prostheses are practically not used. There are several alternatives that are significantly better than a hard penis.

These include a semi-rigid implant with plastic memory. It is made from medical grade silicone, in the form of many cylinders. In the thickness of such an implant, there are various bundles that are distinguished by their thinness.

Before having sex, you need to direct the penis to the desired position with your hands. After intimacy, it is necessary to return the penis to its original position.

The main disadvantage of this method is the tension of the muscles of the penis after ejaculation.

Appearance of a two-piece implant

It is also possible to use a hydraulic implant with two components. It consists of two inflatable cylinders and a pump. Their work is as follows: the cylinders are connected to the pump using thin tubes. The pump contains saline. The cylinders are sewn into the right and left corpuscles of the penis. The pump is located in the scrotum.

Before having sex, you must press on the scrotum, where the pump is attached. After that, the penis becomes erect. It does this by pumping saline solution from the pump into the cylinders. After that, the member increases in size. After the end of intimacy, the opposite process occurs. Saline from the cylinders returns to the pump.

There are also three-piece implants based on hydraulic force. Unlike a two-piece hydraulic implant, an additional reservoir of saline is added.

The volume of this reservoir does not exceed 100 milligrams. It is located behind the pubic bone in the bladder area. The advantage of this prosthesis is the absence of cylinder pressure on the penis tissue.

But in the presence of Peyronie's disease, this prosthesis should not be installed in any case.

The structure of a three-piece phalloprosthesis

Preparing for surgery

To insert the prosthesis, preoperative preparation is required.

First you need to find out if the implant can be placed. There are some types of diseases in which implantation is contraindicated. It is necessary to conduct a comprehensive examination of the body for the presence of such types of ailments as tuberculosis, cancer and other types of cardiovascular pathologies.

It is necessary to prepare for the procedure and psychologically. As you know, after the operation, a man will no longer be able to have a natural erection.

Special attention should be paid to the choice of prosthetic models depending on the length of the penis.

Operation progress

The process of penile prosthetics takes place under general anesthesia. The procedure for the operation depends on what anatomical features men have, and on the types of prostheses they choose for themselves. They can be inserted through the foreskin, in the scrotum, or above the pubis.

The operation itself takes place within 40-120 minutes. It depends on the patient's state of health, the chosen type of prosthesis.

After the operation, you must not drink or eat for 10-12 hours.

Rehabilitation

After the surgery is performed, the patient should be in the hospital for no more than 5 days. The seams diverge in an imperceptible way. A sexual partner will not notice the operation performed if he does not know about its fact.

After three days from the date of the operation, the patient will forget about the feeling of discomfort. The ability of the penis to erect will return after 21 days.

In the first two months, there may be a decrease in the sensitivity of the glans penis. It is not worth worrying about this, she will recover in any case.

Sex can be resumed not earlier than after 60 days, otherwise problems with the use of the prosthesis may arise.

Experience with the use of implants is gaining over time. But in the presence of hydraulic models, the most important thing is dexterity when using the pump before starting intimacy. Also, do not press on the saline drain valve after contact ends.

Ejaculation itself is not seriously affected by implants.

Possible complications and contraindications

Falloprosthetics cannot affect the male reproductive function, the process of semen production. A significant disadvantage can be the inability to recreate the natural way of getting an erection.

The main risk is associated with the penetration of infections during prosthetics. This can lead to disastrous consequences. To reduce the risk of infection, sterile instruments must be used during the operation. It is imperative to drink a course of antibiotics. This will prevent the occurrence of any infection.

It is also necessary to ensure that the implant is properly engrafted. In the event that within 14 days after the operation, a person experiences pain, high body temperature, it is required to clean and perform the operation again.

The wrong choice of prosthesis will also cause painful feelings. The prosthesis will begin to squeeze the head of the penis. This can lead to necrosis. There is no way to independently determine that the prosthesis will not fit and will lead to necrosis.

Available statistics show that every fifth prosthesis fails after a decade. In this case, you will need to re-do the prosthetics of the phallus.

The cost of the procedure

Many people are interested in how much a prosthesis costs. The price of falloprosthetics depends on which implant a man chooses. The most expensive prostheses are three-piece hydraulic.

Also, the qualification of doctors affects the price of the procedure. For example, if you install the most expensive prosthesis in an expensive clinic, the approximate price will be about 1 million rubles.

But this will get rid of possible complications and discomfort in the future.

The effectiveness of falloprosthetics

Falloprosthetics is a complex operation that will lead to significant changes in the genital organ. It should be carried out only if traditional methods do not give the desired effect.

Surgical methods are not always able to restore erectile function to its full extent. Prosthetics, on the other hand, allows a man to feel self-confidence again, to preserve his marriage or intimate relationship.

Until August 10 The Institute of Urology, together with the Ministry of Health, are implementing the program “Russia no prostatitis«. Within which the drug Predstanol is available at a reduced price of 99 rubles., to all residents of the city and region!

Source: https://ProstatitNo.ru/potentsiya/protezirovanie-polovogo-chlena/