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| Hydraulic support |
The hydraulic penile implant is among the recently utilized medical modalities for treating erectile dysfunction stemming from organic or psychological issues in cases where medications have been ineffective. It grants patients the capacity for penile erection during intimate relations, allowing them to revert it to its normal position afterward.
What is a Hydraulic Implant?
The hydraulic implant is a medical device surgically placed inside the penis, intended to treat constant, advanced, or severe erectile dysfunction. The hydraulic implant is a very safe and effective remedy for total erectile dysfunction cases, particularly for diabetic patients or those for whom other treatments, whether medications or injections, were unsuccessful.
Advantages of the Hydraulic Implant
The penile hydraulic implant features several benefits, as it provides a firm and effective erection, along with other merits we list in the following points:
It can be used at any time without the need for long and complicated setups or arrangements.
It lasts for many years and can be absolutely relied upon when needed.
It does not affect sensation, feeling, or ejaculation during intercourse.
It provides a very natural erection.
Types of Hydraulic Implants for Severe Erectile Dysfunction
There are two primary types of hydraulic implants; the difference between them is slight, and each has advantages and drawbacks as follows:
The Three-Piece Hydraulic Implant
This is a hydraulic implant comprised of three components:
Two cylinders implanted in the penis.
A fluid reservoir situated in the abdomen.
A pump located in the scrotum.
One of its advantages is that it provides an extremely strong erection, but one of its drawbacks is that the surgical process is slightly more intricate compared to the two-piece penile implant.
The Two-Piece Hydraulic Implant
This also consists of just two components, with a different configuration:
Two cylinders inside the penis.
The pump and reservoir are both in the scrotum (not separate).
Its advantage is that the surgery is significantly simpler than the three-piece hydraulic implant, and one of its drawbacks is that it yields an erection not as substantial as in the case of the three-piece implant.
In all scenarios, the decision regarding the type is determined by the physician, given that each patient's condition varies.
The Surgical Procedure for Implanting the Hydraulic Penile Device
The implantation of the hydraulic penile device is performed through three phases ("Pre-operative – Intraoperative – Post-operative and Recovery"), which we detail in the following lines:
Pre-operative Stage for Hydraulic Penile Implant Surgery
The requisite examinations requested by the physician are conducted, along with an assessment and selection of the suitable implant type for the patient, whether the three-piece or two-piece hydraulic implant. Naturally, the doctor may ask the patient to discontinue certain medications before the operation, such as blood thinners, among others.
Intraoperative Stage for Hydraulic Erection Implant Surgery
The operation is carried out under local or general anesthesia, depending on the patient's status, which the doctor generally decides.
A small surgical incision is made below the base of the penis—in the abdomen, as well as in the scrotum.
Two cylinders are placed inside the cavernous tissue within the penis.
The fluid reservoir is placed in the abdomen (for the 3-piece hydraulic implant case).
The pump is positioned in the scrotum, which is small and does not affect appearance or movement, nor does it cause any discomfort.
The surgeon confirms that every piece is correctly positioned and that all components are perfectly connected via the tiny tubes and that everything functions correctly and comfortably.
After the Penile Implant Surgery
The patient may stay in the hospital for a day or two at most, depending on the doctor's report. Dressings are applied to the penis, scrotum, and the site of the abdominal incision. The doctor may prescribe antibiotics for easy wound healing and painkillers if needed.
The complete recovery period ranges approximately between 4 to 6 weeks, during which the physician advises the patient to abstain from strenuous activities or those requiring significant physical exertion, especially sexual activity. The patient must consult the doctor regarding how to operate the pump or drain the fluid.
How to Use the Hydraulic Erection Implant?
If you desire an erection, you simply need to press the pump situated in the scrotum. Pressing the pump in the scrotum pushes the fluid from the reservoir into the two cylinders inside the penis, which results in an erection.
After finishing, one can press a special valve on the pump to return the fluid to the reservoir, causing the erection to diminish gradually until complete flaccidity occurs, just like the natural state of the penis.
Drawbacks of the Hydraulic Implant
The hydraulic penile implant may have certain disadvantages, including:
High Cost: Since the expense for a hydraulic implant starts from \$7,000, which is higher than its counterpart, the flexible implant, which begins at only \$1,600, some individuals prefer not to use it.
Complex Surgery: The surgery to fit the hydraulic implant can be relatively intricate, particularly concerning the three-piece type, as it necessitates incisions in the scrotum, below the penis, and the abdomen.
Surgical Risks: Like any medical surgical procedure, there might be side effects or risks, but these issues can be avoided by choosing a seasoned physician.
Possibility of Mechanical Malfunctions: During the operation of the hydraulic implant, a fault might occur in the pump or the reservoir. These issues can be mitigated when the quality of the hydraulic implant is high (verify the type with your doctor).
Best Doctor for Hydraulic Implant Surgery in Egypt
Dr. Ahmed Adel is cited as the best urologist in Egypt, specializing in treating all male health issues such as erectile dysfunction, infertility, premature ejaculation, varicocele, penile cosmetic procedures, treatment of sperm abnormalities, and other male conditions. He also performs surgical procedures related to male ailments, such as varicocele repair and penile implant insertion for erection, of both types: hydraulic and flexible.
Frequently Asked Questions About Life After Hydraulic Implant Insertion
Below, we address some questions that pique the curiosity of many men regarding life following the placement of a hydraulic implant.
Is the implant procedure dangerous, requiring a prolonged hospital stay?
Certainly not. The penile implant surgery is considered a safe procedure, often termed a "one-day surgery." Its execution typically takes between 40–60 minutes maximum, allowing the patient to return home the same day. They can resume daily activities and return to work within two days of undergoing the procedure.
As for resuming intimate relations with his spouse, he can do so after about 4–6 weeks post-surgery, upon examination by the surgeon to ensure all wounds have healed securely.
Does the implant affect my quality of life as a heart patient?
Implant placement does not impact the health of heart patients, especially those who have undergone prior heart surgeries. This is because, during the implantation, the surgeon utilizes a suitable type of anesthesia closely resembling local anesthesia; thus, the patient's heart does not bear the burden of general anesthesia and is not affected during this process.
Does the implant treat premature ejaculation?
The implant was primarily designed to address erectile dysfunction. However, it has been observed to also play a role in resolving premature ejaculation. In cases where ejaculation occurs before both partners reach sexual climax, the husband can continue the intimate session with his partner until climax is achieved because he controls the erection process. Consequently, the implant has successfully resolved the issue of rapid penile detumescence associated with premature ejaculation.
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