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"Penile
Implantation in Europe:
Successes and Complications with 253 implants in Italy
and Germany"" download printable PDF (ENG)
"Three-pieces prosthesis penile implant: penoscrotal approach"
by Prof.V. Mirone, Prof. F. Montorsi
The surgical implantation of a penile prosthesis may be considered a third-line therapy in patients who fail pharmacotherapy (oral and intracavernous) or who prefer a permanent solution to their problem. In this Video is described the surgical operation of hydraulic tri-component penile prosthesis implant. This operation is performed under general anaesthesia and 2-3 days of hospitalization are requested.
"Two and three pieces penile prostheses: how they work"
The surgical implantation of a penile prosthesis may be considered a third-line therapy in patients who fail pharmacotherapy (oral and intracavernous) or who prefer a permanent solution to their problem.
Two types of prosthesis exist: malleable (semi-rigid) and inflatable(two- or three-piece), with a silicon or polyurethane jacket.
Two-piece implants consists of a pair on inflatable cylinders, which are implanted inside the penis (into the corpora cavernosa), and a pump, which is implanted into the scrotum. The cylinders and pump are preconnected during the manufacturing process and the system is prefilled with sterile saline. To achieve an erection, the scrotal pump is squeezed and released several times. This inflates the cylinders by transferring saline solution from a small reservoir located at the end of each cylinder into each cylinder shaft. Three-piece inflatable implants are composed of two cylinders, a scrotal pump and a reservoir, which is typically positioned either in the retrovesical space or within the peritoneal cavity. The procedure to achieve an erection it's the same that in two-piece prosthesis, but in threee-piece device rigidity and flaccidity are more natural than in two-piece device. After implant of a penile prosthesis patients obtain erection with a mechanical device, but can achieve normal and natural orgasm and ejaculation.
