Malleable Penile Prosthesis
The malleable penile prosthesis is a simple device implanted in the penis to treat severe erectile dysfunction (ED) that does not respond to other treatments, such as medications or injections. It helps restore the ability to achieve an erection and improves quality of life for men with chronic ED.
Structure of the Malleable Prosthesis
The malleable prosthesis consists of two flexible rods implanted into the penile cavernous bodies. It allows the penis to be manually bent into a position suitable for sexual intercourse or adjusted to a comfortable position under clothing.
Advantages of the Malleable Prosthesis
- Ease of Use: Requires no complex mechanism or pump, making it user-friendly.
- Permanent Rigidity: Provides a constant erection that can be manually adjusted as needed.
- Lower Cost: Less expensive compared to other prostheses.
- Durability: Has a long lifespan without the need for regular maintenance.
Disadvantages of the Malleable Prosthesis
- Appearance: The penis remains semi-erect at all times, which may be noticeable in some situations.
- Non-Natural Erection: The resulting erection does not fully mimic a natural erection.
How the Malleable Prosthesis Works
- The prosthesis is surgically implanted into the penile cavernous bodies.
- It remains flexible at all times, allowing the patient to manually adjust the penis position.
Steps for Implanting the Malleable Prosthesis
- Evaluation and Examination:
- A thorough assessment to determine the patient’s suitability for the surgery.
- Surgery:
- Performed under local or general anesthesia.
- A small incision is made to insert the prosthesis into the cavernous bodies.
Post-Surgery Recovery
- Recovery typically takes 4–6 weeks before resuming full sexual activity.
- Pain and swelling are usually mild and can be managed with pain relievers.
- Wound care is essential to maintain cleanliness and prevent infection.
Suitable Candidates for the Malleable Prosthesis
- Severe ED caused by chronic conditions like diabetes or heart disease.
- Pelvic injuries or prior surgeries.
- Cases where other treatments, such as oral medications, have failed.
Is the Surgery Safe?
Generally, implantation of a malleable prosthesis is very safe. However, in rare cases, complications such as infection at the implant site or prolonged pain may occur, depending on the surgeon’s expertise and the patient’s condition.
