Erectile Dysfunction in Heart Disease Patients
Erectile dysfunction (ED) is a common issue among men, particularly those with heart disease, due to factors such as atherosclerosis, high blood pressure, and heart medications.
Penile Prosthesis
A penile prosthesis is a medical device surgically implanted in the penis to achieve sufficient erection for sexual intercourse. There are two main types:
- Malleable (Non-Inflatable) Prosthesis: The penis remains rigid but can be manually positioned up or down as needed.
- Inflatable (Hydraulic) Prosthesis: Includes a small pump, allowing the patient to control the erection when desired.
How Are Heart Diseases Related to Erectile Dysfunction?
- Poor blood flow due to coronary artery disease also affects penile arteries.
- Heart medications, such as beta-blockers and diuretics, may cause ED as a side effect.
- Anxiety about sexual activity after a heart attack can worsen the condition.
Thus, heart disease patients are more prone to ED and may require tailored solutions.
When Is a Penile Prosthesis Needed?
- Failure of oral medications like Viagra.
- Contraindications to ED drugs due to heart conditions, such as nitrate use.
- Strong desire to restore normal sexual function.
Before Penile Prosthesis Surgery for Heart Patients
Heart patients undergo thorough evaluations, including:
- Cardiac assessment via ECG, echocardiogram, and stress testing.
- Surgical risk evaluation by a cardiologist and urologist specializing in male infertility.
- Adjustment of medications, especially blood thinners like warfarin.
- Surgery may be recommended in a hospital with intensive cardiac care facilities.
During the Procedure
- Performed under spinal or general anesthesia.
- Surgery duration: 45 minutes to 1.5 hours.
- A small incision is made at the base of the penis or perineum.
- The device is fully internal and not visible.
Post-Surgery
- Close monitoring of vital signs.
- Avoid strenuous activities for 4–6 weeks.
- Sexual activity can typically resume after 6–8 weeks, depending on recovery.
- Regular follow-ups with the cardiologist and urologist are essential.
Is a Penile Prosthesis Safe for Heart Patients?
Generally, penile prostheses are safe for heart patients when performed by a skilled specialist. However, risks include:
- Anesthesia complications, especially with impaired heart function.
- Bleeding risk, particularly with blood thinners.
- Wound infection, which is more serious with implanted devices.
Benefits of Penile Prosthesis for Heart Patients
- Permanent solution to ED.
- Full control over erections without medication.
- Improved self-confidence and quality of life.
