Penis prosthesis

The definitive solution to erectile dysfunction.
Minimally invasive technique.
Satisfaction of more than 95% of our patients.

The penile prosthesis is the definitive solution to erectile dysfunction problems that do not respond to other treatments.

It is also one of the most common treatments in patients who have undergone pelvic surgeries, such as bladder and prostate cancer, who fail to have erections.

Dr. Molina has extensive experience in the implantation of penile prostheses, both malleable and 3-component.

We also perform reimplantation surgeries (placement of a new penile prosthesis after a first previous placement with the need to remove it). In these cases the importance of the surgeon’s experience is even greater due to the greater complexity of the surgery, as it is not a virgin anatomy, due to a variable component of added fibrosis.

We have also developed an ambulatory surgical technique under local anesthesia to improve the Floppy Glans Syndrome and Supersonic Transporter Deformity and to improve the quality of relationships in patients who develop this problem after the implantation of a penile prosthesis.

Which has benefits?

Spontaneous recovery of erections without the need for anything else.
Self-control of the duration of the erection.

Natural looking erection, fit and touch
Definitive and permanent solution to the problem of erectile dysfunction
No post-ejaculation latency time
High satisfaction rate worldwide
Safe procedure
Only option in patients who do not respond to other treatments
Improved self-confidence and relationships

Who is it for?

In general, it is aimed at those patients with erectile dysfunction who, after an exhaustive study…

and after having tried all the previous lines of treatment indicated for each case, they do not respond sufficiently to maintain satisfactory relationships.

There is a group of patients with a special indication:

Patients with venous leak dysfunction.
Post-surgery patients for prostate, bladder or rectal cancer.

How is it the procedure?

In our center we use the two brands of prostheses with the highest quality and safety on the market…

Coloplast ® y Boston®.

Of all the prostheses, the ones we use the most are the 3-component ones because they reproduce the most a natural erection, the Titan from Coloplast® and AMS 700 from Boston®. We also place malleable or 2-component prostheses of the same commercial brands, in those patients who wish to do so or in whom the implantation of a 3-component implantation is not advisable.

There are two types of techniques:

Scrotopeneal route: classic approach through incision between the penis and the scrotum.
Suprapubic route: more current technique with faster recovery.

In both techniques, epidural anesthesia is performed and the corpora cavernosa are opened through the approach area and the necessary space is created to implant the prosthesis cylinders. In the case of the more modern and advanced 3-component devices, a subcutaneous space is also created in the abdomen and scrotum to place the reservoir and the filling / emptying device. Subsequently, the prosthesis is left inactivated until its revision in a few weeks. The closure points of the skin will fall off on their own.

How is the postoperative and recovery?

Between 12 and 24 hours after the operation, patients are usually discharged.
At home, relative rest for the first 2 weeks.

Wound stitches fall off on their own around 30 days.
At 4 or 5 weeks, as a general rule, sexual intercourse can be resumed after activation of the device.
Keep the penis close to the belly for the first month to reduce inflammation.

During the postoperative period, he follows periodic controls both in consultation and via telephone or video call.

What side effects can there be?

Local pain: it is usually mild and controlled by analgesics of daily use the first days.
Infection: The prostheses we use…

They have the latest advances in infection prevention, which allows their rate to be reduced to less than 1%.
Wound stitches fall off on their own around 30 days.
Extrusion: very rare complication that requires re-intervention.