Penile Implant Surgery Brisbane

Implant surgery may be worth discussing when erectile dysfunction remains a significant problem despite other reasonable treatment, when other treatments are unsuitable or when you are considering a surgical option after appropriate counselling. Assessment should review the cause of ED, previous treatment, health conditions, penile anatomy and expectations.

No. Previous tablet response is only one part of assessment. Other treatment options may remain relevant depending on the underlying cause, severity, previous treatment and individual priorities.

Effectiveness is only one consideration. Pain, inconvenience, dislike of needles, reliability, spontaneity and individual preference can all influence whether injection therapy remains acceptable.

Penile implant surgery can be considered in appropriately selected men with persistent erectile dysfunction after radical prostatectomy. Previous pelvic surgery is relevant because it can influence anatomy and operative planning.

There is no single implant design that is best for every patient. Hand function, anatomy, scarring, previous pelvic or penile surgery and individual priorities should be considered when discussing inflatable and malleable options.

A penile implant is designed to create rigidity rather than increase penile length. Long-standing ED, prostate treatment, Peyronie’s disease and fibrosis may already have affected dimensions before surgery. Implant sizing is based on the available internal corporal dimensions measured during the operation.

The implant is designed to provide penile rigidity. It does not itself create sexual desire, sensation or orgasm. Other conditions, previous surgery and medications can independently affect these aspects of sexual function.

The implant cylinders principally provide rigidity within the penile shaft. The glans is anatomically separate and continues to depend on remaining natural blood flow and arousal for engorgement. Some patients therefore notice that the glans remains softer than the implanted shaft.

In selected men with significant ED and Peyronie’s disease, implant surgery can form part of a pathway addressing rigidity and penile deformity together. Implant placement may improve some curvature, while additional straightening or reconstructive techniques may occasionally be required.

There is no fixed lifespan that applies to every implant. Penile implants are mechanical devices and can function for many years, but mechanical failure or another complication can eventually require revision, replacement or removal.

The implant should first be assessed to determine whether the problem relates to device operation, pump position, a mechanical component, fluid loss, cylinder position or another issue. Revision surgery is a separate clinical pathway from first-time implantation.

Increasing pain, redness, rapidly increasing swelling, fever, wound discharge, skin breakdown or exposure of any implant component warrant prompt medical assessment. A significant new change in implant position or function should also be reviewed.

Yes. Problems with an implant inserted elsewhere can be assessed. If available, bring implant identification information, the original operation report, details of previous revision surgery and records relating to previous infection or implant removal.

Where clinically appropriate, previous records and implant information may help clarify what further assessment is required before major travel arrangements are made. An in-person examination is still necessary for many aspects of definitive surgical planning.