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Inflatable Penile Prosthesis Implantation

Surgical placement of a hydraulic prosthesis to restore erection in men with refractory erectile dysfunction.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Inflatable Penile Prosthesis Implantation?

An inflatable penile prosthesis (IPP) is a three-piece hydraulic device consisting of paired cylinders implanted in the corpora cavernosa, a fluid reservoir placed in the retropubic space and a control pump positioned in the scrotum. The prosthesis allows on-demand erection by transferring saline from the reservoir to the cylinders.

It is indicated for organic erectile dysfunction (post-radical prostatectomy, diabetic, vascular, neurogenic, post-priapism, Peyronie's disease) refractory to PDE-5 inhibitors, intraurethral and intracavernosal therapy or vacuum devices. Two-piece and malleable (semirigid) prostheses are alternatives in selected cases.

Surgical approaches include penoscrotal, infrapubic and subcoronal incisions. Modern devices feature antibiotic and hydrophilic coatings to reduce infection risk, with mechanical durability over 10-15 years. Patient and partner satisfaction rates exceed 90% in expert centers, making IPP one of the most satisfying procedures in urology.

Symptoms

Severe erectile dysfunction unresponsive to medical therapy
Inability to achieve or maintain erection
Loss of penile rigidity
Decreased sexual confidence and intimacy
Post-prostatectomy erectile dysfunction
Peyronie's disease with deformity
Post-priapism corporal fibrosis
Diabetic neuropathy with ED

Risk Factors

Diabetes mellitus (infection risk)
Smoking
Spinal cord injury
Prior pelvic radiation
Prior penile surgery (Peyronie's, priapism)
Immunosuppression
Obesity
Cognitive limitations affecting device use
Reservoir placement challenges after pelvic surgery
History of urinary tract infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Failed maximal medical therapy for at least 6 months
  • Inability to use or tolerate other ED treatments
  • Severe penile fibrosis
  • Wish for a permanent definitive solution
  • Postoperative concern about pump or reservoir
  • Suspected mechanical malfunction
  • Penile pain or persistent swelling
  • Suspected infection (fever, erythema, drainage)

Treatment Methods

01
Preoperative optimization of glycemic control
02
Smoking cessation prior to surgery
03
Mechanical bowel and antimicrobial preparation
04
Penoscrotal or infrapubic surgical approach
05
Triple-coated antibiotic prosthesis
06
Pelvic angiography in revision cases
07
Postoperative compression and rest
08
Cycling exercises to prevent capsule formation
09
Sexual activity initiation 6 weeks postoperatively
10
Long-term follow-up for mechanical and infectious complications

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.