Surgical Procedures for Erectile Dysfunction (Impotence)
by Ricker Polsdorfer, MD
Surgery is an option when all other efforts to restore or bypass your erectile dysfunction have failed. In fact, there are several possible alternatives that will permit you to have satisfactory sexual intercourse.
Restoring erections is often sufficient to restore complete sexual function.
Penile Prostheses (Implants)
This prosthesis (implant) consists of 1 or 2 bendable rods that are inserted into the penis. Once installed and healed, the penis and the prosthesis can be bent into position. It can be placed upward for sexual activity, then returned to a normal state.
There are 3 pieces to this device:
The penis is non-erect until the pump is repeatedly squeezed, filling the balloon from the reservoir. After intercourse, the balloon in the penis can be deflated.
The device is implanted under general or regional anesthesia. An incision is made between the penis and scrotum where the device is inserted. Additional incisions may be made to insert the accessory parts in their proper positions.
If circulation is reduced to your penis due to vascular disease, reconstruction of your arteries may restore erectile function. This is complex surgery which is performed only in a few hospitals in the US. Occasionally, in these rare cases, the vascular defect can be repaired.
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Treatment of erectile dysfunction. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment. Accessed January 29, 2021.
Last reviewed March 2020 by EBSCO Medical Review Board Adrienne Carmack, MD
Last Updated: 1/29/2021
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