Principles of the Procedure
This procedure is performed to return erectile function to men in whom all other methods have not worked (e.g. tablets, injectable agents). Via an incision at the junction between the penis and scrotum, two inflatable silicone cylinders are inserted into the erectile bodies of the penis, with a small pump placed in the scrotum. A fluid reservoir is placed in the lower abdomen, next to the bladder via a small, separate incision.
You will be admitted the day of the procedure. No other specific preparation is needed apart from fasting for about 6 hours prior to the surgery. You should continue to take your usual medications unless directed otherwise by your Urologist or his anaesthetist. Please inform us if you are taking any anticoagulant (blood thinning) medication. If you have any skin infections or a urinary infection, the procedure may be postponed, to reduce any risk of infection of the prosthesis.
Expected Post-Operative Recovery
You will be admitted to hospital after the surgery and will be placed on intravenous antibiotics for at least 48 hours. Following discharge an oral antibiotic will be prescribed. It is important to take this medication until the end of the course to minimise the risk of infection.
The prosthesis will be left inflated (erect penis) when you go home. The device will be deflated and you will be shown how to inflate and deflate the device in your first post-operative review with your Urologist.
Risks - as per your discussion with your Urologist
Angulation of distal penis
Need for revision of device