تعريف
This surgery implants a device into the penis. The device can produce an erection-like state. It enables a man to have sexual intercourse.
أسباب هذا الإجراء
A penile prosthesis insertion is for men who want to have an erection, including those who have:
- Not responded to other خيارات العلاج such as pills, suppositories, vacuum devices, injections
- Certain diseases such as diabetes, vascular disease
- Physical injuries such as spinal cord injury
- Certain surgeries that have made having an erection impossible
This procedure has a معدل النجاح of about 90%-95% five years after insertion. Most men rate the erection as shorter than their natural one. A penile prosthesis does not change the sensation on the skin of the penis or the ability to reach orgasm or ejaculate.
المضاعفات المحتملة
Complications are rare. But, no procedure is completely free of risk. If you are planning to have penile prosthesis insertion, your سيقوم الطبيب بمراجعة القائمة of possible complications. These may include:
- نزيف
- العدوى
- Scar tissue that forms
- Erosion (tissue around the implant may break down)
- عطل ميكانيكي
تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:
- السمنة
- Smoking, alcoholism
- Poor overall health
- سوء التغذية
- Use of certain drugs
- مرض السكري
- Bladder disease that requires a catheter
- العدوى
- اضطرابات النزيف
- الشلل
- Prior pelvic or genital surgery
تأكد من مناقشة هذه المخاطر مع طبيبك قبل الإجراء.
ما يمكن توقعه
قبل الإجراء
سيقوم طبيبك بما يلي:
- Obtain a complete medical, surgical, and sexual history
- قم بإجراء فحص بدني
- Do tests (eg, blood and urine tests, psychological tests) to rule out problems that might be treated with medicines
قبل الإجراء:
- التحدث مع طبيبك عن الأدوية الخاصة بك. قد يطلب منك التوقف عن تناول بعض الأدوية تصل إلى أسبوع واحد قبل العملية مثل:
- Anti-inflammatory drugs (eg, aspirin)
- Blood thinners, such as clopidogrelor warfarin
- لا تأكل أو تشرب أي شيء بعد منتصف الليل في اليوم السابق للجراحة ، ما لم يخبرك طبيبك بخلاف ذلك.
التخدير
There are two types of anesthesia that your doctor may use:
- General anesthesia —blocks pain and keeps you asleep through the surgery; given through an IV in your hand or arm
- Spinal anesthesia —numbs the area from the chest down to the legs; given as an injection in your back
وصف الإجراء
To prevent infection, your genital area will be cleaned. You will be given antibiotics about one hour before surgery. A catheter (thin tube) will be inserted into the penis to make sure that the bladder remains drained of urine.
There are two types of implants available:
- Inflatable (hydraulic) implant—two cylinders, a pump, tubing, and may have a reservoir
- Malleable implant—two semi-rigid rods inserted into the penis
Inflatable Implant
There are two types of inflatable implants: two-piece and three-piece. For both types, the doctor will make a small incision at the top of the scrotum. The incision will be made so that sutures are under the skin and can be absorbed.
With the two-piece implant, the cylinders will be inserted into the penis. A pump (with fluid) will be inserted into the scrotum. This type of implant is simpler to insert. It takes up more space in the penis, leaving less room to expand.
With the three-piece implant, the cylinder will be inserted into the penis. The pump will be inserted into the scrotum. Lastly, a reservoir containing the fluid that is used for inflation will be inserted into the abdomen.
Malleable Implant
The doctor will make an incision just behind the head or near the base of the penis. An opening will be made into each of the two long tubes of spongy tissue inside the penis. The doctor will insert one rod into each tube. Lastly, the doctor will close the incisions so that no sutures will be needed.
كم من الوقت سيستغرق ؟
- Inflatable implant: 1-2 hours
- Malleable implant: 30-60 minutes
هل ستسبب الالم؟
You will have pain for about four weeks. Ask your doctor about medicine for pain.
متوسط الإقامة في المستشفى
This procedure is most commonly done in a hospital. You may need to stay one night or longer if you have problems. In some cases, it may be possible to leave the hospital on the same day as the procedure. Talk to your doctor to find out if this is an option for you.
رعاية ما بعد العملية
في المستشفى
While you are recovering at the hospital, your doctor will:
- Have the urine catheter removed
- Examine you
- Give you antibiotics and pain medicines
في البيت
When you return home, do the following to help ensure a smooth recovery:
- تأكد من اتباع تعليمات طبيبك.
- اسأل طبيبك حول, عندما هي آمنة للاستحمام, السباحة, أو نقع في الماء.
- Take antibiotics as directed.
- For pain relief, use:
- Over-the-counter medicines (eg, acetaminophen) or those your doctor prescribes
- Warm compress
- Wear loose-fitting underwear while you recover.
- Avoid sexual activity for at least six weeks.
- Avoid difficult physical exercise and heavy lifting for six weeks.
- Ask your doctor when you can return to work. You may need to wait 10 days.
- Do not drive until instructed by your doctor.
استدعاء الطبيب
بعد مغادرة المستشفى، اتصل بطبيبك في حالة حدوث أي مما يلي:
- Redness, swelling, increasing pain, increasing bleeding, or a large amount of fluid leaking from the surgical area
- Increased swelling in your scrotum or penis
- دم في البول
- Signs of infection such as fever, chills, headache, muscle aches, dizziness, general ill feeling
- New symptoms such as nausea, vomiting, constipation, abdominal swelling
- Pain or difficulty with urination
- سعال أو ضيق في التنفس أو ألم في الصدر
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.
تكلفة جراحة زراعة القضيب في الهند
أنواع زراعة القضيب |
يكلف |
شاه أو زراعة القضيب الهندي القابل للطرق |
2500 دولار إلى 3000 دولار |
AMS Ambicor or 2 Piece Inflatable penile Implant |
6,500 دولار إلى 7,200 دولار |
| AMS 700 or 3 Piece Inflatable Penile Implant يكلف | 10,500 دولار إلى 11,200 دولار |
| Coloplast Titan Touch 3 Piece Inflatable Penile Implant | 9500 دولار إلى 11000 دولار |
