Penile Prosthesis

 

One in four men over the age of 60 experience some degree of erectile dysfunction. And although we offer many different treatments at Verve, such as oral therapy, shockwave therapy, injection therapy and vacuum devices, not all these treatments are effective for every patient.

 

But one highly effective and satisfying option for men for whom other therapies have failed, is a penile implant, or penile prosthesis. Every year approximately 20,000 men worldwide reclaim their sexual relationships by using this kind of device.

 

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What are penile prostheses?

 

Penile prostheses, also known as penile implants, are devices placed inside the penis to allow men with erectile dysfunction to get an erection. Penile implants are typically recommended after other treatments for erectile dysfunction fail.

 

There are two main types of penile prostheses which are either inflatable or malleable. Each type of penile prosthesis works differently and has various pros and cons.

 

The placement of a penile prosthesis requires surgery. Before you choose a penile prosthesis, we want to make sure you understand what the surgery involves, including possible risks, complications, follow-up care and costs.

Dr Philippe Wolanksi

 

At Verve Men’s Clinic, penile prostheses are arranged by our Urologist Dr Philippe Wolanski at our Townsville City location, however surgery takes place at Townsville’s private hospital.

 

We recommend that patients considering this surgery have private health insurance, however there are options for those without, and you can find out more by contacting our reception staff for a quote.

 

It is important to note that although many patients benefit from the use of this device, results may vary. In order to discuss your penile prosthesis journey, we recommend booking an initial erectile dysfunction consultation today.

 

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Inflatable penile prosthesis

 

A three-piece inflatable penile prosthesis is the most common type of penile implant. It can be inflated to create an erection and deflated at other times for dressing. These implants have two cylinders that are placed within the penile erectile bodies, a fluid reservoir that’s placed under the abdominal wall, and a pump with a release valve that is placed within the scrotum.

 

To achieve an erection, you pump the fluid (salty water or saline), from the reservoir into the cylinders. Afterward, you release the valve inside the scrotum to drain the fluid back into the reservoir. The reservoir is filled with salt water the day of surgery and remains in the device.

 

Malleable penile prosthesis

 

A malleable penile prosthesis features two semi-rigid rods that are placed within the erectile tissues of the penis. They can be bent to maintain a position.

 

The malleable prosthesis offers a simpler solution for patients with finger or hand dexterity issues, hand muscle fatigue, limited reach and range of mobility.

What devices do we use?

 

At Verve Men’s Clinic, we use a range of penile prostheses produced in Australia.

 

At your initial erectile dysfunction consultation, Dr Philippe will talk through the different types of prostheses and give advice as to what might suit you and your lifestyle.

 

See below for some educative resources detailing the different types of prosthesis and procedural information.

Penile Prosthesis Procedure Information Leaflet

FAQs

WHAT DOES THE PROCEDURE INVOLVE?

Insertion of implants (prostheses) into your penis to allow erections for sexual intercourse.

The entire device is implanted into the body and is not otherwise visible. Penile prostheses are usually reserved for patients who failed to respond to other treatments. They may also be used in patients with other conditions in which erections have been affected e.g. priapism (prolonged, painful erections) or Peyronie’s disease.

ARE THERE ANY ALTERNATIVES TO A PENILE PROSTHESIS?

Although surgery is reserved for patients who have exhausted other treatments, you should discuss the merits of any treatment you have not tried with our Urological Surgeon Dr Philippe Wolanski. You may not be suitable for certain treatments, as a result of specific medical factors.

DO I NEED A REFERRAL?

No referral required. Simply book an initial consultation with the Specialist Verve Doctors.

HOW MUCH DOES A PENILE PROSTHESIS PROCEDURE COST?

Please see our penile prosthesis pricing index below. This index details all associated costs which shall be processed through your private health provider.

If you do not have private health insurance, please contact our friendly reception staff for more information on how to obtain a quote.

WHAT SHOULD I EXPECT BEFORE THE PROCEDURE?

You will be required to obtain blood and urine tests several days prior to the surgery. You will usually be admitted to hospital on the same day as your surgery and you will need to fast before the procedure. Once you have been admitted, you will be seen by the Verve Doctors. Immediately before the operation, the anaesthetist may give you a pre-medication which will make you dry-mouthed and pleasantly sleepy.

 

If you regularly take aspirin, clopidogrel, warfarin or other “blood thinning agents” you must discuss this with Dr Philippe, because these drugs can cause increased bleeding after surgery. Stopping them may reduce the risk of bleeding but this can result in increased clotting, which may also carry a risk to your health. You will need to discuss the risks and benefits of the treatment with Dr Jonny or your regular GP, and Urologist Dr Philippe.

 

At your initial erectile dysfunction consultation, if you suffer from any of the following health conditions, please discuss with Dr Philippe:

  • An artificial heart valve
  • A coronary artery stent
  • A heart pacemaker or defibrillator
  • An artificial joint
  • An artificial blood-vessel graft
  • A neurosurgical shunt
  • Any other implanted foreign body
  • A regular prescription for warfarin, aspirin, clopidogrel (Plavix®, Iscover®), dabigatran (Pradaza®), apixaban (Eliquis®) or rivaroxaban (Xarelto®)
  • A previous or current MRSA infection or VRE infection
WHAT HAPPENS DURING THE PROCEDURE?

Either a full general anaesthetic (where you are asleep) or a spinal anaesthetic (where you are unable to feel anything from the waist down) will be administered. All methods reduce the level of pain afterwards. Your anaesthetist will explain the pros and cons of each type of anaesthetic to you.

The implant may be either bendy (malleable) or inflatable; the latter requires a mechanical pump. Not all patients are suitable for both types but this will have been discussed in detail with you before the procedure. An incision is usually made at the junction of the penis and scrotum. Dr Philippe may make a second incision to put in the balloon reservoir into the abdomen.

ARE THERE ANY RISKS OR SIDE EFFECTS?

Most procedures have possible side-effects and risks. But, although the complications listed below are well-recognised, most patients do not suffer any problems.

Common (greater than 1 in 10)

  • Temporary swelling and bruising of the penis lasting several days

Occasional (between 1 in 10 and 1 in 50)

  • Significant bleeding or infection needing further treatment (including removal of all or part of the prosthesis in 2 to 3%)
  • Drooping of the glans penis needing correction
  • Mechanical failure needing revision at a later stage; this may involve replacement of all or part of the device and can happen at any stage, from a few months to several years later
  • Self-inflation due to mechanical failure

Rare (less than 1 in 50)

  • Injury to the bowel or bladder during insertion of the balloon component within the abdomen
  • Erosion of the prosthesis where a part of the device may break out of its normal position and appear at another site
  • Clot formation in the deep leg or pelvic veins (which may cause leg swelling), which may break off and go to the lung causing respiratory complications

Hospital-acquired infection (<1%)

  • Colonisation with MRSA or VRE
  • MRSA or VRE bloodstream infection
  • Clostridium difficile bowel infection

The rates for hospital-acquired infection may be greater in high-risk patients, for example those patients:

  • with long-term drainage tubes;
  • who have had a long stay in hospital; or
  • who have been admitted to hospital many times.

It is important to discuss any concerns you have with Dr Philippe at your initial erectile dysfunction consultation.

WHAT ELSE SHOULD I LOOK OUT FOR?

If you become unwell, have temperatures or there is increased redness or pus drainage at the site of the operation, please present to you emergency department and get them to contact your urologist.

If there are any post-procedure concerns or questions that are non-emergent, please call our clinic and ask to speak with our GP Dr Jonny and our Urologist Dr. Philippe, or discuss them at your follow up appointment.

WHAT HAPPENS IMMEDIATELY AFTER THE PROCEDURE?

You will be visited by one of the Verve Doctors and informed of how the procedure went. You can then discuss issues such as:

  • if the surgery went as planned
  • if you are in any discomfort
  • ask what you can and cannot do
  • feel free to ask any questions or discuss any concerns with Dr Philippe or members of the surgical team
  • make sure that you are clear about what has been done and what happens next.

 

If an inflatable prosthesis has been implanted, we leave it in the inflated position overnight to reduce bleeding, but it will be partially deflated before you go home. You may experience discomfort for a few days, but painkillers will be provided for you to take home. Absorbable stitches are normally used which do not require removal. A catheter may be inserted into the bladder for 24 to 48 hours after the operation, to prevent any problem with passing urine. Once the catheter has been removed, and you are passing urine normally, you will be able to go home. Some surgeons use a tube drain temporarily (overnight) to prevent collection of blood at the operation site.

 

The average hospital stay is two days after surgery. You will be asked not to inflate the prosthesis until an outpatient appointment at three weeks. At that stage, we will teach you to inflate and deflate it (this is known “cycling” the prosthesis).

WHEN CAN I HAVE SEX AFTER THE PROCEDURE?

It is not advisable to have sex for at least six weeks after the operation. Please discuss any further questions you have with Dr Philippe.

CAN I DRIVE AFTER THE PROCEDURE?

Usually no driving is recommended until at least 2 weeks after the procedure when comfortable.

It is your responsibility to make sure you are fit to drive following your surgery. You do not normally need to tell the department of transport or your insurance provider that you have had surgery. You should, however, check with your insurance company before returning to driving if you have concerns or questions. The Verve Doctors will be happy to give you advice on this.

WHAT CAN I EXPECT WHEN I GET HOME?

When you are discharged from hospital, you will:

  • be given advice about your recovery at home
  • be made aware of when you can begin normal activities again, such as work, exercise, driving, housework and sex;
  • be informed of when your follow-up will be.

 

You will get swelling of the penis and scrotum after a few days which may last up to 10 days but will then subside. Do not be alarmed because it is expected. You will be sent home on oral antibiotics, take them as directed.

WHEN WILL I HAVE A FOLLOW-UP APPOINTMENT?

Your follow-up appointment will be scheduled around 3 weeks post-procedure. This will take place at our clinic on Denham Street in Townsville City.

Pricing

We’re committed to transparency and will ensure that you have a clear understanding of all associated fees.

Our prices include surgeon and assistant costs and are charged through your private health insurance provider. The cost for the procedure however, will depend on your health insurance provider.

If you do not hold private health insurance, you should contact us to request a tailored quote.

Anaesthetic costs shall be provided directly from your Anaesthetist. Anaesthetists have no financial connection to Verve Men’s Clinic.

Penile Prosthesis Pricing Index

Book an initial erectile dysfunction consultation now to start your penile prosthesis journey today.

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Every patient is unique and results may vary. Invasive procedures carry risks which need to be discussed with your doctor to ensure you are fully informed and realistic outcomes have been explained. We recommend seeking a second opinion from an appropriately qualified health practitioner for all medical procedures.

Verve Men’s Clinic acknowledges the Traditional Owners and Custodians of the land and waters on which we operate, the Wulgurukaba of Gurambilbarra, Bindal, Nywaigi, Yunbenun and Gugu Badhun peoples, whose sovereignty was never ceded, and we pay our respects to their Elders past, present and emerging.