How does a penile implant pump work?

Erectile dysfunction (ED) is a common problem, affecting up to 52 percent of all men at some point in their lives. Statistically, ED is found in 20 percent of men over the age of 20, 40 percent of men over 40 and 78 percent of men over 75. As a general marker of cardiovascular function, erectile dysfunction tends to occur more frequently in men with obesity, diabetes, high blood pressure, current smoking history, diabetes, heart disease or who are taking medications that impede cardiovascular function. In most men with ED, the problem can be successfully treated with prescription medications (pills) or a penis pump (a vacuum constriction device). However, in cases where pills and penile pumps prove ineffective, a penile implant surgery may be recommended as a last resort.

What is a penile implant?

A penile implant (also called penile prosthesis) is a medical or prosthetic device that is surgically placed and customized inside the penis and scrotum to help a man to achieve a natural-feeling and natural-looking erection, thereby gaining sexual function. It is an ideal treatment of erectile dysfunction in men who are not candidates for other ED treatments, have not been able to achieve an erection after other treatments, or have specific medical conditions such as peyronie’s disease ( a condition characterized by scarring inside the penis resulting in curved painful erections). Nevertheless, doctors usually prefer to start with the simpler, less invasive treatments for ED before opting for penile implant surgery.

Types of penile implants

There are three main types of penile implants: the three-piece inflatable pump, the two-piece inflatable pump and the semi-rigid, non-inflatable implant (malleable rods).

1. Three-piece inflatable pump

Also called the multi-component penile implant, the three-piece pump delivers the most natural, comfortable and rigid erection and offers the most suitable flaccidity when deflated. It is a larger and softer pump that is very easy to inflate by squeezing the pump and to deflate by pressing the release value above the pump. During the operation to implant the three-piece inflatable pump, two cylinders are placed in the penis, a fluid-filled container is implanted in the abdomen and an inflatable pump placed inside the scrotum. These three components are then connected using special tubing. To achieve an erection, the pump located in the scrotum is pressed to allow fluid to move from the abdominal container into the penile cylinders. Squeezing the release valve ensures that the fluid leaves the cylinders and moves back to the containers, making the penis flaccid.

2. Two-piece inflatable pump

For men with limited agility, such as those with trouble using their hands or with arthritis, the two-piece inflatable pump is ideal. Similar to the three-piece inflatable pump, the two-piece device works in the same way except that the fluid is kept in the pump located in the scrotum and not in a container in the abdomen (as with the three-piece pump). While the two-piece inflatable device is simpler and easier to place than the three-piece device, it is smaller, more difficult to inflate and offers a less-rigid erection than the three-piece pump.

3. Semi-rigid non-inflatable penile implant (malleable rods)

In some cases, the surgeon may insert two flexible rods into the penis to improve its rigidity. Once inserted, the rods will not change their stiffness or size and will keep the penis in a semi-rigid state. Typically, these rods are bent downward during implantation, but can be straightened upward or set in any other manner necessary for sexual intercourse. Non-inflatable implants can be inserted even by doctors with limited experience because they involve the simplest surgical procedure. They are completely concealed in the body and are a great option for men with limited dexterity, such as those with arthritis or problems using their hands. While malleable penile rods are very easy to use, their constant rigidity may make them uncomfortable.

Factors considered when selecting a penile implant

In order to achieve optimum results with penile implants, the needs and preferences of the patient must be carefully considered. So before doing an implant, the doctor will consider:

  • (a) Age of the patient and of his partner.
  • (b) Overall penile length and scrotum size.
  • (c) Patient’s body size and type.
  • (d) Ratio between the pendulous penis and crus (buried) penis.
  • (e) Size of glans penis.
  • (f) Any history of penile implant and previous pelvic or abdominal surgery.
  • (g) Whether the penis is circumcised or not.
  • (h) Presence of colostomy or previous kidney transplant.
  • (i) Overall health and well-being of the patient.
  • (j) Life expectancy of the patient.

Even though penile implants enable men to achieve an erection, they do not boost sexual sensation or desire. Most penile implants also will not make the penis larger or bigger than its natural size at the time of surgery. For some men, the penis may even be slightly smaller or shorter than it was before the procedure.

At St Pete Urology, our multi-dimensional and compassionate approach can be trusted to deliver excellent outcomes for all men with erectile dysfunction. For every man who comes to us, we identify the risk factors, assess the degree of dysfunction and recommend a safe and effective treatment. Apart from lifestyle modifications, medications and vacuum constriction devices, we also conduct safe penile implant surgery whenever necessary. We are committed to improving the sexual function and quality of life for all our patients. So do not suffer silently when we can provide effective solutions to your problem. For more information on prevention, diagnosis and treatment of ED, visit the”St Pete Urology” site.

3 Main Causes of Erectile Dysfunction and Treatment Options

Erectile dysfunction (ED) occurs when a man is incapable of having an erection firm enough for sexual intercourse. While occasional inability to have an erection is considered normal, frequent or prolonged difficulty to get or keep an erection, along with reduced sexual desire, is classified as erectile dysfunction. The condition often leads to an unsatisfactory sex life and may result in other problems such as low self-esteem, embarrassment, anxiety, depression and relationship problems.

Causes of Erectile Dysfunction

Erectile dysfunction is caused by physiological (physical) factors, psychological (mental) factors, or a combination of both. Generally, psychological problems are more likely to cause ED in younger men while physical problems are often the cause in older men.

The major psychological causes of ED are:

1. Depression

2. Stress at work or home

3. Worries about sexual performance with a new sexual partner or new situation

4. Unresolved relationship conflicts

5. Fatigue

6. Temporary issues such as loss of a job, studying for exams or financial concerns

7. Deep-rooted negative attitudes about sex, intimacy, or strict religious beliefs

8. History of sexual abuse

For a man to have a normal functioning erection, it helps to have self-confidence and arousing behavior or thoughts while being free of anxiety. If at least one of these conditions is chronically absent, a man’s inability to perform sexually can become a lasting issue.

The major physiological causes of ED are:

1. Diseases such as diabetes, liver disease, kidney disease, multiple sclerosis, high blood pressure, atherosclerosis, chronic alcoholism, neurological disease, and vascular disease.

2. Drugs for treating hypertension (high blood pressure), depression, anxiety and psychosis, and regular consumption of alcohol, marijuana, cigarettes and other recreational drugs.

3. Injuries such as spinal cord injury and nervous system injury (like pinched nerves due to slipped vertebral discs).

4. Atherosclerosis (hardening of arteries due to a buildup of fat/cholesterol deposits inside arterial walls).

5. Hormonal imbalances such as low testosterone levels or due to diseases of the pituitary, adrenal or thyroid gland.

6. Cigarette smoking.

The main risk factors for erectile dysfunction are:

1. Age over 50

2. Lack of exercise

3. Diabetes (high blood sugar)

4. High cholesterol

5. High blood pressure

6. Smoking

7. Obesity

8. Cardiovascular disease

9. Drug and alcohol abuse

10. Cancer radiation therapy

11. Prostate surgery

12. Medicines such as antihistamines, antidepressants and blood pressure drugs.

Men spending a lot of time bicycling are also at risk of ED because bicycle seats can damage the nerves and blood vessels involved in erections.

Treatments for Erectile Dysfunction

The treatment for erectile dysfunction depends on the cause. Often, the urologist will suggest a change of certain habits or recommend that you stop smoking, using drugs or stop alcohol use. The urologist may also recommend treatments for emotional problems, depression, performance anxiety or relationship conflicts.

The most common treatments for ED are:

1. Oral medications (erection pills) such as Cialis (tadalafil), Levitra (vardenafil), Stendra (avanafil) and Viagra (sildenafil).

2. Counseling and psychotherapy if your ED is related to psychological problems.

3. Injection of drugs in the penis: If oral medications fail, the urologist may recommend the injection of Caverject (alprostadil) in the penis. Suppositories of the same drug may also be placed in the urethra as an alternative to injection.

4. Vacuum erection devices: These devices create a low-pressure vacuum around erectile tissue, resulting in erection.

5. Testosterone replacement therapy may be recommended for a man with below-normal testosterone hormone.

6. Surgery: Surgery is usually recommended by a urologist when other treatments fail to improve the ED. The operation is performed to either fix blood vessel issues or for penile implants (like inserting penile prostheses, bendable implants or inflatable implants).

7. Penile arterial revascularization: A surgery for men under 45 years of age who have pelvic or penile injuries, helping to fix blocked or injured blood vessels in the penis.

8. Venous ligation surgery: Aimed at improving the firmness of the penis, this surgery corrects leaky penile vessels that cause softening of the penis during an erection. This technique is rarely used for correcting ED due to its low success rate of around 5%.

Are you having difficulties with sexual performance? Talking with an experienced urologist at St Pete Urology might help you solve the problem. For more information on dealing with erectile dysfunction, visit the website of St Pete Urology in St Petersburg, Florida.

Are certain foods helpful in addressing erectile dysfunction (ED)?

It’s possible. Research published in January 2016 found that men who ate foods high in antioxidants called flavonoids had a lower risk of erectile dysfunction (ED) than those who didn’t eat a flavonoid-rich diet.

Flavonoids can be found in certain plant-based foods like citrus fruits, blueberries, strawberries, apples, pears, cherries, blackberries, radishes, and blackcurrant. Some teas, herbs, and wines also have flavonoids in them.

Past studies have shown that consuming flavonoids could reduce a person’s risk for diabetes and heart disease, both of which can lead to ED.

Eating a healthy diet overall, particularly a Mediterranean diet, can go a long way in preserving erectile function, however.

This type of diet includes fruits, vegetables, whole grains, and olive oil. Nuts and fish are good additions.

What does diet have to do with erections?

When a man is sexually-aroused, his penis fills with blood, giving it the firmness it needs for sex. Many men with ED have poor blood flow to the penis. Some medical conditions, like diabetes and heart disease, can damage blood vessels and nerves that are critical for this process.

Eating a healthy diet keeps the body in good working order. It can help men maintain a healthy weight, keep their blood sugar under control, and reduce the risk of blood vessel damage, which can impair blood flow.

Diet isn’t the only path to good erections, however. Other lifestyle habits, like regular exercise, quitting smoking, and managing depression are important too.

A man’s doctor can help him decide which dietary changes to make. However, men who are having trouble with erections should be sure to mention it. Many factors can contribute to ED and it’s best to have a complete medical checkup. [Read Full Article…]

Erectile Dysnfunction Treatment Options with Dr Reid Graves

Erectile dysfunction (ED, impotence) varies in severity; some men have a total inability to achieve an erection, others have an inconsistent ability to achieve an erection, and still others can sustain only brief erections.[Read Full Article…]

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Inflatable Penile Prosthesis is a device implanted into the penis to achieve an erection-like state that enables a man to have sexual intercourse [Read Full Article…]

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Penile Implant requires a permanent surgical procedure that cannot be reversed. It is important that men talk to their doctor about the advantages and possible risks of having the procedure.[Read Full Article…]

Erectile Dysfunction – Finding the Right Therapy for Each Patient

Erectile dysfunction (impotence) is a common problem that can limit your intimacy, affect your self-esteem and impact your most important relationships. It can also be a sign of another health condition that needs attention, such as poorly controlled diabetes or cardiovascular disease. [Read Full Article…]

Facts About Vasectomy Reversal

A vasovasostomy, also known as a vasectomy reversal, is a surgical procedure in which the vas deferens tubes are reconnected. Although a vasectomy is considered a permanent birth control option, you can choose to have it reversed in order to be fertile again.The procedure is done using general anesthesia or spinal anesthesia so that you do not move while the surgery takes place. Most facilities, such as urologist in St Petersburg, consider a vasectomy reversal an outpatient procedure, thus overnight hospitalization is not required.

Post-Surgical Expectations

The procedure itself can take anywhere from 2 to 4 hours, in addition to a couple more hours for the anesthesia to wear off. In cases where the vas deferens tubes and epididymis are blocked, the surgery may take longer.

Pain medication will be administered immediately after the procedure to take care of any pain or discomfort. Once your doctor approves it, you will be sent home the same day of the surgery. Most patients return to their regular activities 21 days after the vasectomy reversal.

Results

Although the majority of people that undergo vasectomy reversal surgery are successful, the amount of time that has passed since the vasectomy can affect results. Doctors believe people have a greater chance of success if the vasovasostomy is performed within 10 years of the vasectomy. As time passes, problems such as blocked tubes or formation of antibodies to sperm are more likely to develop.

In most cases, vasectomy reversal surgery:

  • Enables pregnancy in 50% of patients.
  • Is most successful when performed within 3 years of the vasectomy.
  • Leads to conception in 30% of patients if the procedure is done before 10 years of the vasectomy.

Risks

Some of the risks associated with vasectomy reversal surgery include:

  • Infection
  • Swelling and edema in the scrotum.
  • Arterial or nerve damage in the scrotum.

Before Deciding on Vasectomy Reversal Surgery

Before opting for vasectomy in St Petersburg, your physician will need to determine whether you are fertile. This can be done with a before and after test that checks your semen for sperm antibodies. If there are antibodies present, the chances of pregnancy are low and an alternative method such as in vitro fertilization may be recommended.

You can speak to a specialist at St Pete Urology for more information about vasectomy reversal surgery. Visit https://stpeteurology.com for more information on the procedure.

What’s the Cause of Erectile Dysfunction?

Erectile dysfunction is typically caused by an underlying problem. Some of the most common causes of ED include; arteriosclerosis, diabetes, medication, hormone disorders, and psychological problems. There are also other health conditions that can lead to impotence such as; neurologic problems, Peyronie’s disease, venous leak, injury, surgery, and exposure to radiation.
ArteriosclerosisArteriosclerosis is a condition in which the arteries become narrow and harden. It can also restrict blood flow to different parts of the body and cause ED. About 55% of men with impotence due to arteriosclerosis are at least 60 years of age.

Factors that increase the risk of arteriosclerosis include:

  • Diabetes
  • Hypertension
  • High Cholesterol Levels
  • Smoking

Diabetes

Approximately 60% of men with diabetes mellitus suffer from erectile dysfunction. This is because increased levels of glucose in the blood cause damage to nerves and blood vessels in the body. As a consequence, blood flow is reduced and impulses of the nerve are impaired, preventing a successful erection.

Medication

More than 200 prescription drugs can cause ED as a side effect. These include drugs for hypertension, heart problems, depression, and sedation. Over-the-counter medication, alcohol abuse, and illegal drug use are also factors that contribute to impotence.

Hormone Disorders

Hormone imbalances make up for less than 5% of erectile dysfunction cases. Low levels of testosterone in the body can cause decreased sex drive and lead to impotence. Testosterone deficiency can also be caused by an underlying health condition such as a pituitary gland tumor. In addition to low testosterone, renal and liver diseases are also possible factors of ED.

Psychological Problems

Psychological problems accounts for a big percentage of erectile dysfunction in younger men. However, both younger and older men can be affected by such conditions. Common psychological issues that lead to a low sex drive include; stress, anxiety, guilt, worry, and depression.

Visit St Pete Urology at https://stpeteurology.com for more information about erectile dysfunction causes, symptoms, diagnosis, and treatment options.