Men who are considering penile prosthesis implantation due to erectile dysfunction frequently search for 'which prosthesis is better' in search engines. Now, in this blog post, we will try to answer FAQs about penile prosthesis types.
Penile prostheses are generally divided into two types. There are semi-rigid, malleable prostheses, and three-piece penile prostheses that can be placed in the scrotum and inflated with an invisible pump (inflatable).
This varies according to some factors of the patient (age, lifestyle, neurological disease, physical ability). For example, inflatable prostheses have a higher satisfaction rate than penile prostheses and are more comfortable and close to reality.
However, since they need to be inflated and deflated with a pump, the patient must have good manual dexterity. This may be difficult for some individuals with neurological diseases or the elderly. Malleable penile implants may be more advantageous for candidates in this situation. At the same time, malleable prostheses are cheaper prostheses. They are also simpler to place and relatively easier to operate. However, three-piece (inflatable) prostheses should be preferred with their more ergonomic and physiological structure if there is no restrictive factor.
Penile prosthesis surgeries are not performed to lengthen the penis size. Additional procedures are required for lengthening and thickening. During the surgery, the inner tissue of the penis is measured and a suitable size penile prosthesis is placed. The length of the penis is similar to its healthy state. These individuals usually have severe erectile dysfunction and since full rigidity cannot be achieved, it may appear longer than in the recent past. In this respect, the idea that malleable prostheses are advantageous over inflatable prostheses in terms of length because they are always rigid is wrong. Similar performance is also obtained from inflatable implants.
There are two prominent brands in the world regarding penile implants. Companies named AMS (American Medical Systems, Boston Scientific) and Coloplast stand out as international brands that have proven themselves in this field.
Both Boston Scientific and Coloplast companies produce reliable penile prostheses that are popular with their medical products. Therefore, AMS 700 and Coloplast Titan are long-lasting and reliable penile implants.
The previously mentioned AMS 700 and Coloplast Titan penile implants have some advantages over each other. For example, Coloplast Titan claims to be harder than its competitor when inflated and has thicker cylinders (21 mm). AMS 700, on the other hand, is produced with a technology called 'inhibizone' and states that it provides maximum protection against infections that occur after penile prosthesis surgeries with its antiniotic release. In addition, the AMS 700 LGX model states that it prevents shortening after penile prosthesis surgeries by inflating both transversely and longitudinally. Coloplast company states that it provides this with its high rigidity and states that it is more advantageous in patients with Peyronie's plaques. In studies conducted for both implants, the satisfaction rate of both the man and his partner reaches up to 95% and the success of penile prosthesis surgeries, which are the only permanent method for severe erectile dysfunction, is proven.
Both AMS Spectra (or Tectra) and Coloplast Genesis are quality products and offer a wide range of widths and lengths. AMS claims that their malleable prosthesis is both flexible and rigid, and states that it can provide both good erection and good concealment in social life. Coloplast emphasizes the easy placement and fast healing features of the Genesis model. A study has shown that the satisfaction rate of patients who had these prostheses implanted was 75.6% for AMS and 77.1% for Coloplast, and that there was no significant difference.
AMS 700 LGX and Rigicon Infla 10 AX model penile implants provide some extension in penis length thanks to their transverse and longitudinal inflation features. These models can be a good choice for patients who have shortened penis length due to various reasons.
In a study, inflatable 3-piece AMS 700 LGX, AMS 700 CX and Coloplast Titan devices were compared and it was recorded that these implants did not cause an increase in penis length in the first 2 years, but after 2 years, they provided an average of 1.2 cm in AMS 700 LGX, 1.1 cm in AMS CX and 0.9 cm in Coloplast Titan.
If there is erectile dysfunction that lasts more than 6 months, if medical treatment has not been beneficial or if there is a condition that prevents medical treatment, if permanent treatment is desired, the patient is a candidate for penile implant surgery and age does not matter. This need usually occurs over the age of 50 and the cause for the majority of patients is diabetes, coronary artery disease, previous cancer surgeries, Peyronie's disease. Sometimes venous insufficiency can also be detected in younger patients.
One of the concerns of penile implant candidates is whether their partner will experience pleasure and whether the inserted penile implant will be noticed. Studies have shown that partners of individuals with penile implants do not have problems with orgasm. It has also been understood that inflatable penile implants are often unnoticed and that they think they are experiencing a natural erection.
Although penile prosthesis surgeries are performed in many countries, Turkey stands out as a world leader in quality health tourism services. Urology and andrology specialists who have specialized in Turkey do not deviate from the rules of evidence-based medicine by providing diagnosis and treatment services according to the guidelines of the European Urology Association.
There are many experts in this field in the world and in our country. There are also scientists who only deal with penile prosthesis implantation and who have dedicated themselves to this surgery. Although Dr. Arif Demirbaş is not a world-renowned surgeon in this field, he is a urologist who performs penile implant surgeries frequently and with a high success rate in Turkey.
One of the frequently asked questions about penile prosthesis implantation is the before and after images. It is unethical to place these photos on a website. I think these photos should only be shared for those who are absolute candidates for this surgery.
For more information: +905324850016 (whatsapp)
The prices of penile prosthesis surgeries vary depending on the brand and model of the prosthesis used, the experience of the surgeon and the conditions of the hospital. For detailed information, you can reach us via WhatsApp at +905324850016.
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All TestimonialsAssoc. Dr. We would like to express to our doctor Arif Demirbaş that we are pleased with the surgery we had. May God grant whatever he desires, may God bless him. We would also like to thank th{...}
04.04.2023On 03/07/2023, Doruk Hospital urology doctor Assoc. Dr. I had a successful prostate surgery performed by Arif Demişrbaş. I would like to thank him and his team for their close attention both be{...}
10.08.2023My problem of benign prostate enlargement, which has been going on for about 15 years, was addressed by Assoc. Dr. Thanks to Arif Demirbaş, I survived the surgery (thulep prostate surgery) on 0{...}
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