Prosthesis Surgery

  • In medical field, prosthesis is an artificial device that is used to replace a body part that may have been lost or become dysfunctional due to trauma, disease, or congenital conditions.

  • A penile prosthesis, or penile implant, is a medical device that is surgically placed inside the penis to allow men suffering with Erectile Dysfunction (ED) to get an erection.

  • In some children, the testis can be missing or removed in some men due to medical conditions or injury. An artificial testis, medically known as testis prosthesis or testicular implants can be implanted to restore normal appearance of the scrotum.

  • An artificial urinary sphincter (AUS) is an implanted device made of silicone rubber to treat urinary incontinence in men. AUS has an inflatable cuff or clamp that is fitted around the urethra close to the point where it joins the bladder.

Prosthesis Surgery (Brief)

Prosthetics

In medical field, prosthesis is an artificial device that is used to replace a body part that may have been lost or become dysfunctional due to trauma, disease, or congenital conditions. Prosthetics is projected to restore normal functionality or structure of the body's missing part.

Penile implants

A penile prosthesis, or penile implant, is a medical device that is surgically placed inside the penis to allow men suffering with Erectile Dysfunction (ED) to get an erection. These are implanted surgically within the corpora cavernosa of the penis. Penile implant is recommended after all other ED treatments and medications fail. Penile implants are either malleable (bendable) or inflatable.

Types of Penile Implants:

- Non-Inflatable Penile Implant: These are simplest types of prosthesis. These consist of a pair of malleable rods that are implanted surgically within the erectile chambers of the penis. With this kind of penile implant, the penis is always in a semi-rigid form and doesn't need to be lifted to initiate sexual activities. This kind of implant is recommended for patients with limited hand strength, those suffering with arthritis or ones with spinal cord injuries.
- Two-piece Inflatable Penile Implant: Nowadays hydraulic, inflatable prosthesis are preferred by men, which allow them to have a natural erection when they choose and it's also easier to conceal. This inflatable penile prosthesis consists of two cylinders, one reservoir and a pump. These cylinders are implanted surgically in the penis. In a two-piece inflatable penile implant the reservoir is combined with the pump and fit within the scrotum. This 2-piece prosthesis surgery is shorter, with fewer complications and without any device inserted in the abdomen. With a 2-piece inflatable penile implant, there could be certain limitations with the reservoir size and it may not give the optimum results in erection in some men.
- Three-piece Inflatable Penile Implant: A 3-piece prosthesis uses three different components, a pair of cylinders that are implanted in the penis, a pump that is implanted in the scrotum and a reservoir that is implanted in the lower abdomen. It functions when the cylinders are pumped with the fluid, creating an erection that gives rigidity and girth expansion.

Testicular implants

In some children, the testis can be missing or removed in some men due to medical conditions or injury. An artificial testis, medically known as testis prosthesis or testicular implants can be implanted to restore normal appearance of the scrotum. Testicular implant is made up of silicone shell filled with saline and is small in size, shape and consistency like a real testicle.

The testis prosthesis is an outpatient 30-60 minutes procedure done under an anesthesia. Through a small incision made either in the scrotum or in the groin, the implant is placed. The incision is then closed. Patients are required to take oral antibiotics for a few days and follow up with the surgeon for next 3 months.

Artificial Urinary Sphincters

An artificial urinary sphincter (AUS) is an implanted device made of silicone rubber to treat urinary incontinence in men. AUS has an inflatable cuff or clamp that is fitted around the urethra close to the point where it joins the bladder. It is designed to supplement the natural functions of urinary sphincter that restricts urine flow out of the bladder.

The cuff or the clamp is inflated to keep the urine from leaking. When urination is desired, the clamp is deflated which allows the urine to drain out.

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