Penile Implant Surgery In India

Penile Implant Surgery In India

Penile Implant Surgery is necessary because of Erectile dysfunction has emerged as one of the most rampant issues men face in today’s world. While the stigma and embarrassment serve as the first hurdles towards treatment, they are not the only ones. Most cases of erectile dysfunction could be treated through drugs or hormone therapies. However, some extreme cases see all usual treatments failing before their eyes.

However, all is not lost of them. A last ray of hope still exists, known as penile implants. But unfortunately, only a few people have even heard of this method. Let’s shed some light on the treatment and a few of its most popular products.

Understanding Penile Implant Surgery

Penile implants, also known as penile prosthesis, are devices used in the treatment of severe erectile dysfunction. Penile implants come into the picture when the case of erectile treatment is very extreme and all other methods, including hormone injections, have failed. The implants are usually kept as a last resort because they are a permanent and irreversible solution.

How Penile Implant Surgery Work

The working of penile implants depends upon their type. Mainly, there are two types: semi-rigid and inflatable.

Semi-rigid penile implants only consist of two bendable rods inserted in the chambers within the penis. This leaves penis in a state of semi-erection constantly. There is zero chance of failure in such implants, and the procedure is very simple with minimal risk. However, the constant semi-erection can become embarrassing for the patient. Furthermore, the patients are unable to achieve a full erection, which might affect their sex lives.

Inflatable penile implants are a more modern solution. Instead of rods, they use hollow cylinders inserted within the penis chambers. The cylinders are connected to a sack filled with fluid and a pump (usually located in the scrotum). The patient can use the pump whenever he wants an erection. The motion forces the fluid into the hollow cylinders, inflating them and giving the appearance of an erection. The same pump can be used to transfer the fluid back into the reserve.

Benefits of penile implant surgery

The reason why penile implants are getting popular is due to the numerous benefits they offer to men. While the obvious benefit is getting rid of erectile dysfunction, there are many other benefits that make penile implants better than other types of treatments:

  • The implant can be inflated secretly and are easy to hide. Most patients report no noticeable difference in their daily lives.
  • Intercourse is more satisfactory than all other treatments of erectile dysfunction.
  • Due to limited parts, the mechanical failure rate is almost negligible
  • There is no risk of prolonged erection, or priapism.
  • No sensation on the skin is lost, and men can achieve orgasm same as before.

Risk and Drawbacks

Like all surgeries, penile implants do come with some risks. And like all treatments, they have some drawbacks:

  • Once the penile implant surgery is done, all natural reflexes for erection in the penis are lost. It means that the man would not be able to achieve erection without the implant at all.
  • Penile implants only deal with the erection size and duration. They do nothing for the penile size and shape, and any existing deformities in that area would have to be treated separately.
  • There are chances of excessive bleeding just after the surgery.
  • The erection duration might be shorter than normal with regular penile implants.

Most popular Penile Implant Surgery

As with any product, there are various types of penile implants available in the market. Each seeks to serve the same purpose in a different way. So obviously, each comes with its own benefits and drawbacks. Let’s take a look at them:

1. Coloplast Genesis

The Coloplast Genesis is a semi-rigid penile implant that prides itself on its simplicity. The malleable penile implant might employ an older method, but the technology is keeping up with the times. The primary reason by Genesis is desirable is the sheer simplicity it offers to both the surgeon and the patient. The implant can be easily inserted within the penile chambers in a matter of minutes. Semi-rigid implants find their use in specific cases like patients with lack of dexterity in the hands, lack of strength, or limited reach. However, people without these issues generally prefer more complex implants.

The Coloplast Genesis comes with a variety of features that makes it a tough contender in the market. Some of them are:

  • The implants are easily trimmable, allowing them to match the required size for the patient on-the-go. It also comes with three tail cap sizes to match the patient’s requirement.
  • There is no assembly required whatsoever, making the procedure very simple.
  • The implant comes with a hydrophilic coating. This allows it to easily absorb water and stay lubricated.
  • The lack of multiple components ensures long durability of the implants. There is very low chance of failure.

2. AMS C X 700

AMS 700 series consists of 3-piece inflatable penile implants. The implant has 2 hollow cylinders, a fluid reservoir and a pump. The model comes both with and without the attached cylinders and pump, depending on the type of approach of the surgeon.

The implant boasts of some great features for making lives of patients easier. The pump comes with a one-button deflation feature and also a valve that stops auto-inflation. The CX variant of AMS 700 comes with controlled cylinder expansion, thereby giving patients more control on the girth and length of their erection. The fluid is coated with parylene to enhance durability. The whole implant is coated with antibiotics to resist any infection from developing. A broad range of RTA lengths is available, to suit patients with every kind of need. The only downside with a 3-piece implant is the greater number of components, which has a higher probability of wearing out or getting damaged.

3. AMS Ambicor Penile Prosthesis

The AMS Ambicor is a 2-piece penile implant, consisting of the cylinders and a combined apparatus for fluid and pump. As one might expect, fewer parts make the implant much easier to use. The mechanism is also simple: squeezing the pump pushes the fluid into the cylinders, thereby resulting in an erection. Unlike the 3-piece penile implants, pump contains the fluid and is located in the scrotum.

The AMS Ambicor undoubtedly has its perks. Fewer components make the procedure easier for the surgeons. The mechanism is also easy-to-use for the patients. For the same reason, a 2-piece penile implant has a lower risk of getting damaged. Deflation is also easy; one just has to bend the penis towards it end, and the fluid moves back into the pump. Naturally, 2-piece penile implants are gaining popularity among men considering implants in the first place. However, there is one drawback to the device: since the pump contains the fluid and has to be fitted inside the scrotum, the amount of fluid contained is lower than a 3-piece implant. This could result in insufficient erection and lower satisfaction.

Conclusion

Penile implant surgery remain a lesser-known treatment method, but it could be last hope a lot of men need. Be it semi-rigid, 3-piece or 2-piece; there are treatments available to suit not only your necessities but also your needs. Penile implants could very-well be the final nail in the coffin of erectile dysfunction, making it a completely curable condition.

For further information on penile implant surgery, it do consult:-

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316
Email:- info@urethraandpenilesurgery.com

Circumcision Complete Information

Circumcision is an age-old practice that continues across the world even today. While it is done for traditional reasons among children, adult males often go for it as treatment for medical issues. But there is a lot of misinformation scattered around circumcision and the benefits/risks it offers. Let’s try to understand it better.

 

circumcisionAs a tradition

Historic evidence suggests that the practice of circumcision might be as old as 15,000 years. The practice was also found to exist in different cultures, suggesting a common theme: hygiene and safety. In time, it was incorporated as a religious practice. Both Judaism and Islam promote circumcision of young boys, often at infancy. As such, most Muslim-majority nations and Israel see a significant number of circumcisions as a part of religious practice.

 

Circumcision in today’s world

The cases of circumcision across the world fluctuate across generations. Most Jews and Muslims consider circumcision a part of their religious duty, though the numbers are decreasing. USA also sees a large number of circumcision cases every year. South Korea saw a surge in circumcision in recent decades. It is observed that circumcision in kids today is mostly carried out either due to religious obligation or community tradition. In adults, however, it is largely due to medical complications.

 

Benefits of Circumcision

Circumcision of kids has continued over the centuries largely due to the benefits it provides. Research has indicated that circumcision can possibly provide the following benefits to the male children later in life:

  • Better hygiene: Circumcised penis is easier to clean than uncircumcised one. It also seems to be the primary reason why circumcision became part of ancient culture.
  • Lowers UTI risk: Urinary tract infection is primary a risk for women and the risk factor for males is quite low. However, it has been observed that circumcised men stand at an even lower risk of UTI than uncircumcised ones.
  • Lowers Penile Cancer risk: Penile cancer is another condition that is quite rare, but it does occur in men. However, uncircumcised men seem to be at a greater risk than circumcised ones.
  • Lowers risk of STI: Many researches have indicated that circumcised men have a lower risk of catching sexually-transmitted infections than their uncircumcised counterparts. This includes perhaps the most dangerous STI, HIV. The risk is lower because the foreskin has a chance of getting ruptured during intercourse, which might catch infections more easily.
  • Prevents other penile problems: Issue related to foreskin can obviously be avoided by circumcision. For example, circumcised men do not have to worry about phimosis.

 

Risks of Circumcision

Even though circumcision in infants is quite a safe procedure, some risks do exist. These are:

  • The foreskin might not heal properly and cause constant pain in the area.
  • The foreskin might be cut too short (which defeats the purpose of circumcision) or too long (which can cause prolong discomfort to the kids).
  • During healing, the foreskin might attach itself to the penis tip. This would require a minor surgery to correct.

There are some common side-effects of circumcision too, though they are natural and would soon subside:

  • Infection, if the penis was not kept clean after the surgery
  • Bleeding, if the penis was subjected to harsh treatment after surgery
  • Anesthesia, if given, can also cause some mild side effects.

 

Circumcision For Adults

As opposed to children, adults go through only as a treatment for a medical condition. Some of the common conditions that require circumcision are:

  • Phimosis is a condition where the foreskin is unable to retract from the tip of the penis. It can result in symptoms, from mild pain to urinary problems.
  • Paraphimosis is a severe version of phimosis where the foreskin gets stuck behind the tip of the penis and restricts the flow of blood to it. If left untreated, it can cause gangrene.
  • In Balanitis, the head of the penis swells and makes it harder to retract the foreskin. Like in phimosis, circumcision can solve the issue.

However, it must be remembered that circumcision in adults is much more complex than in infants. The procedure is longer, so is the recovery time. Since the penis has been habituated to the protection of foreskin for years, getting it removed can cause severe pain for weeks. Sexual activity would also cause great pain.

 

The Procedure

The procedure for circumcision is straightforward and relatively quick. The patient is restrained to the bed to avoid movement during the procedure (optional for adults). The penis is thoroughly cleaned and disinfected. Local anesthesia is either injected on the tip of the penis or applied as a cream over it. A ring is clamped to the penis and a lubricant is applied on its top. Then, usually with scissors or scalpel, the foreskin surrounding the tip of the penis is cut and removed. The penis is then covered to stop the bleeding. The procedure takes merely 10-20 minutes for infants but may take up to an hour for adults.

 

Cosmetic Circumcision

A new variation of circumcision is gaining popularity among adult males, known as cosmetic circumcision. It when carried out in adults, often caused great deal of pain and leaves the penis looking disfigured. This is because instead of the natural growth span than children get, the foreskin heals like a scar tissue among adults. It can often become a cause of embarrassment among men who go through the procedure.

However, cosmetic circumcision aims to solve the issue. The procedure uses high-precision scalpel instead of scissors and absorbable sutures commonly used in plastic surgery. This ensures that there is minimal pain, minimal scar and a speedy recovery. In major cities of India, cosmetically it is quickly becoming a favorite. For example, professionals like Dr. Gautam Banga in Delhi are seeing an increase in adult men opting for the procedure.

Recovery

Recovery from circumcision among infants might take up to 10 days. The penis is generally sore during this period, and the pain becomes apparent as soon as the anesthesia wears off. The penis tip would also acquire a red, swollen look due to losing its protective flap. Occasionally, yellow pus might appear on the penis head, which is completely normal.

During recovery of the kid, you must take care of the following:

  • Try to keep the penis lubricated at all times, usually with things like petroleum jelly.
  • It is okay to wash the penis during recovery period, but make sure to use soaps without any harmful chemicals or irritants.
  • Ensure that your kid is wearing loose-fitting clothes that do not stick to the penis.
  • Keep an eye on your kid and stop him from putting any excessive pressure on the penis head.
  • In case the kid does not urinate or bleeds for a long period, contact the doctor immediately.

Among adults, the recovery period is longer and more painful. However, all of the suggestions shared above apply on adults too.

Conclusion

It is not a major or a complex procedure by any means, but it is one of the most common ones. However, the confusion about it often stops men from seeking it even when they need it. However, you can now make a more informed choice about opting for it.

For further information on it do consult:-

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316
Email:- info@urethraandpenilesurgery.com