Penile Prosthesis for Diabetic Patients
A penile prosthesis is considered the best solution for many men with diabetes, as studies indicate that 50-75% of diabetic patients experience varying degrees of erectile dysfunction (ED). This is due to diabetes affecting the blood vessels and nerves responsible for erection. When pharmacological treatments and other solutions fail, a penile prosthesis becomes a highly effective option.
Penile Prosthesis
A penile prosthesis is a medical device surgically implanted in the penis to achieve a firm, natural erection, offering a permanent solution to ED.
Types of Penile Prostheses
There are two main types of penile prostheses:
- Malleable Prosthesis:
- Consists of two flexible rods implanted in the penile cavernous bodies.
- Remains in a fixed state but can be bent upward or downward as needed.
- A simple, practical option, often ideal for patients seeking a permanent, straightforward solution.
- Hydraulic (Inflatable) Prosthesis:
- Consists of tubes implanted in the penis, a pump placed in the scrotum, and a reservoir in the abdomen.
- Pressing the pump fills the penis with fluid from the reservoir, creating a natural erection.
- After use, the fluid can be drained to return the penis to a non-erect state.
- Offers a more natural appearance and function but requires more complex surgery.
Benefits of Penile Prosthesis for Diabetic Patients
- Provides strong, sustainable erections without the need for medications or injections.
- Restores self-confidence and improves marital relationships.
- Does not affect ejaculation, preserving the sensation and pleasure of orgasm.
- Designed to withstand physiological changes caused by diabetes.
Why Do Diabetic Patients Need a Penile Prosthesis?
Diabetes causes several changes that contribute to ED, including:
- Nerve damage affecting the neural signals required for erection.
- Blood vessel damage reducing blood flow to the penis, preventing a strong erection.
- Low testosterone levels in some diabetic patients, impacting sexual desire.
When Should a Diabetic Patient Consider a Penile Prosthesis?
A penile prosthesis is recommended for men who:
- Experience persistent ED unresponsive to pharmacological treatments.
- Have a long history of diabetes affecting sexual performance.
- Desire a permanent, effective solution without relying on repeated medications or injections.
How Long Does the Penile Prosthesis Surgery Take?
The procedure takes 45 to 90 minutes, depending on the type of prosthesis, and is performed under general or spinal anesthesia.
When Can Sexual Activity Resume After Implantation?
Patients typically need a 6-week recovery period before resuming sexual activity naturally.
Is a Penile Prosthesis Safe?
Generally, a penile prosthesis is very safe for diabetic patients and others, but it is a highly skilled procedure. Choosing an experienced and qualified surgeon is essential for optimal results.
