Penile Implant Surgery in Men in Iran : Steps and Costs

Penile Implant Surgery in Men in Iran : Steps and Costs

Penile Implant Surgery in Iran

Penile prosthesis surgery is suitable for men who suffer from erectile dysfunction and have not succeeded in other treatments. The urologist places the penile prosthesis directly in the penis and scrotum in a surgery so that the man can get an erection. There are several types of penile prostheses that the specialist will recommend according to the patient’s needs.

Viagra and other medications recommended for the treatment of erectile dysfunction are not effective for all men; In these cases, the penile prosthesis helps patients who have not received results from medication. Erectile dysfunction is a physical and mental problem in which a man is unable to hold the penis upright until penetration. Penile implants help men achieve and maintain an erection. Of course, the prosthesis does not increase sexual desire and does not make the penis taller.

Suitable candidates for penile prosthesis surgery are:

Has permanent erectile dysfunction.

Has a deformity or atrophy of the penis.

It has not resulted from medication or the drugs have caused side effects.

Mechanism of operation of penile prosthesis
A penile implant is a device that is inserted into the penis just above the penis during a surgical incision made in the scrotum or lower abdomen. There are two types of penile prostheses, inflatable and non-inflatable. The device is usually filled with saline and the patient controls the pump in the scrotum. When the patient presses the pump, salt water from the tank next to the bladder enters the prosthesis itself inside the penis. The device has two cylinders inside the penis, which are placed inside the erection cylinders. When these cylinders inflate and fill the device with water, the patient gets an erection and the penis straightens. At the end of sexual intercourse, the patient can empty the prosthesis.

types of penile prosthesis in Iran

There are two main types of penile prosthesis:

Flexible prosthesis (non-inflatable)

A flexible prosthesis usually consists of a pair of rods that are inserted into the tissues of the penis (corpora cavernus) during surgery. The patient adjusts the position of the penis and rods manually. This manipulation has no effect on the height or diameter of the penis.

Advantages and Disadvantages:

This type of prosthesis is easy to use for the patient and his wife, it is enough to bend the prosthesis upwards to straighten the penis. At the end of the relationship, the prosthesis can also be bent downwards.

Flexible prostheses are a good choice for men who have little agility, for example men with inflammatory joint disease or patients who can not use their hands well.

A flexible prosthesis is completely hidden in the body, all parts of the prosthesis are placed inside the body, but a permanent erection is very annoying for most men.

Non-inflatable prosthesis has the simplest implant surgery.

Non-inflatable prosthesis is the cheapest type of penile implant and is a good choice for men who are not covered by insurance.

Abnormal feeling and appearance

Degradation and gradual thinning of the penile tissue

Most postoperative pain and discomfort is due to the fact that the penis must be adjusted for a continuous erection.

Inflatable prosthesis

The air prosthesis consists of two cylinders that are inserted into the penis during surgery and can be expanded using pressurized fluid. Pipes connect the cylinders to the liquid tank and pump. The patient inflates the prosthesis by pressing on a small pump that is placed under the skin of the scrotum. Unlike a flexible prosthesis, an air prosthesis increases the diameter and length of the penis and gives it a natural appearance. The prosthesis is easy to use and all its parts are placed inside the body. There are two types of prosthetic prostheses.

Two-part air prosthesis

The cylinders have an abnormal shape and make the penis look like a broom with a square head.

This type of prosthesis gradually degrades and thins the tissue of the penis.

Three-piece (multi-piece) prosthesis

Because more fluid enters the cylinders to straighten the penis, the three-part air prosthesis gives the maximum amount of stiffness to the penis.

If this type of prosthesis is used, the body of the penis is normally looser and softer than when other prostheses are used, so the patient feels more comfortable.

A three-part prosthesis is the only prosthesis that gives the penis a normal feel and shape when it is straight or loose. Many single patients report that their spouse did not notice the prosthesis in the penis after marriage.

Because the prosthesis normally exerts the least amount of pressure on the penis, it is less likely that the rest of the penis muscle and head tissue will be depleted by pressure.

On the other hand, in order to place this type of prosthesis, extensive surgery must be performed, which is best done by experienced urological surgeons.

Because the penis is loose and sagging after surgery, the patient suffers the least pain after surgery.

Penile prosthesis surgery in Iran

Penile implant surgery can be divided into the following three stages:

Pre-treatment preparation

One hour before the operation, the patient receives antibiotics such as vancomycin and gentamicin to reduce the chance of infection and the body to better fight the bacteria. Excess hair in the pubic area is shaved and then washed for 5 minutes and the skin is prepared for surgery.

Penis prosthesis cylinder placement

The prosthesis cylinder is inserted into the penis during the following steps:

Cutting and preparation

Initial separation and highlighting of the placement

Create space for prosthesis placement and measure penis tissue

Choice of penile prosthesis

Insert the cylinder and test it

Close the gap by corporotomy

Penis pump placement

Tank placement

Connecting prosthetic parts

The final stitching

Postoperative care

Careful and careful postoperative care is very important to achieve the desired result. The patient is asked to lie on his back for three days after the operation. The patient is warned not to sit on the scrotum for more than two days, as this will raise the pump. The patient is also asked to keep the penis straight and upward toward the navel until the prosthesis inflates. The prosthesis inflates when the patient can easily evacuate it; This time is usually 4 to 8 weeks after surgery. However, if tissue isolation is minimal and proper homeostasis is achieved (bleeding stops), some patients will acquire this ability two weeks after surgery.

After the patient is able to inflate and empty the prosthesis, the specialist asks the patient to repeat this process every day or every other day in a hot tub so that he is completely in control and does not feel any discomfort in the body of the penis.

Cost Penile Implant Surgery in Iran
The cost of penile prosthesis surgery depends on the surgeon’s cost, the cost of anesthesia, the operating room equipment, and the price of the prosthesis. This surgery should be performed by an experienced and skilled specialist. Urologists and plastic surgeons are the most qualified physicians for penile implant surgery.

Penile Implant Surgery in Iran