Penile Prosthesis
Do you suffer from severe erectile dysfunction that does not respond to drug treatments? Penile prosthesis in Tunisia is an effective and definitive surgical solution to restore functional erection and regain a fulfilling sex life. Performed by experienced urologists, this procedure offers durable results at competitive prices.
What is a penile prosthesis?
The penile prosthesis is a medical device surgically implanted in the erection chamber of the penis (corpus cavernosum) in case of severe erectile dysfunction not responding to drug treatments or other therapies.
The penile prosthesis is a definitive solution for vasculogenic impotence. It is indicated for neurological causes such as spinal cord injuries. It can treat a severe and resistant psychogenic cause. It is indicated after surgery for prostate or bladder cancer.
When to consider penile prosthesis surgery?
Penile prosthesis placement is recommended for men suffering from erectile dysfunction. It is indicated when drug treatments have failed. Intracavernous injections may also have failed. Vacuum devices or shockwave therapy may be ineffective. Candidates must be in good physical and mental health. They must have realistic expectations. They must be willing to follow post-operative instructions.
How does a penile prosthesis work?
A penile prosthesis is implanted in the corpora cavernosa of the penis to replace the natural erection mechanism. There are three types of prostheses:
1. Malleable prosthesis (semi-rigid)
The malleable prosthesis consists of silicone or plastic rods. They are implanted in the corpora cavernosa. The penis is maintained in a permanent bendable erection. This prosthesis is less complex and less expensive.
2. Two-component inflatable prosthesis
The 2-component inflatable prosthesis consists of two cylinders. They are implanted in the corpora cavernosa. A fluid reservoir and a pump are also present. Erection is on demand by inflating the cylinders.
3. Three-component inflatable prosthesis
The 3-component inflatable prosthesis offers a more natural erection. Three cylinders are implanted in the corpora cavernosa. The pump is smaller and less visible. It offers better discretion.
What are the steps of the surgery?
Penile prosthesis surgery takes place in several stages. Anesthesia is general or loco-regional. An incision is made in the penis or scrotum. The prosthesis is implanted in the corpora cavernosa. Closure uses sutures and dressings.
How does recovery proceed?
Post-operative consequences are marked by pain, swelling and bruising. A urinary catheter is sometimes necessary. Physiotherapy exercises teach how to use the prosthesis. Sexual activity resumes after 4 to 6 weeks.
What are the advantages of a penile prosthesis?
The penile prosthesis offers many advantages. It allows a return to a satisfying sex life. It allows regaining control of one's body. It offers a more natural sensation at rest and during erection. Biocompatible materials are well tolerated. It is a definitive solution with a satisfaction rate of 85 to 90%.
What are the associated risks?
Penile prosthesis placement carries risks. Infection occurs in 1 to 3% of cases. Hematoma is swelling due to a blood clot. Mechanical failure such as rupture or leak is possible. Persistent pain may occur. Asymmetrical erection is possible. Surgical revision may be necessary.
What is the price of a penile prosthesis in Tunisia?
Tunisia offers very competitive prices for penile prosthesis. Malleable prosthesis costs between €5,000 and €7,000. 2-component inflatable prosthesis costs between €6,500 and €9,000. 3-component inflatable prosthesis ranges from €8,000 to €12,000. A complete package includes consultations, surgery, hospitalization of 1 to 3 days and prosthesis. These prices are up to 50 to 60% cheaper than in Europe, without compromising quality.
Frequently Asked Questions about Penile Prosthesis in Tunisia
1What is the difference between a malleable and an inflatable penile prosthesis?
A malleable prosthesis (semi-rigid) is a silicone or plastic rod that maintains the penis in a permanent (bendable) erection. An inflatable prosthesis consists of cylinders, a fluid reservoir and a pump, allowing an erection on demand and deflating after use. The inflatable prosthesis offers a more natural erection and better discretion.
2Who is a candidate for penile prosthesis placement?
Men suffering from severe erectile dysfunction not responding to drug treatments (PDE5 inhibitors like Viagra, Cialis, Levitra), intracavernous injections, vacuum devices or shockwave therapy may be candidates. Patients must be in good physical and mental health and have realistic expectations.
3Does the penile prosthesis affect penile sensitivity?
Penile prosthesis placement can sometimes cause a decrease in sensitivity of the glans or penis. However, most patients retain sufficient sensitivity to experience pleasure during sexual intercourse. Orgasm and ejaculation are generally preserved, although ejaculate volume may be reduced.
4What is the lifespan of a penile prosthesis?
The lifespan of a penile prosthesis is generally 10 to 15 years. It depends on the type of prosthesis, use, compliance with usage instructions and the absence of complications (infection, rupture, leak). Modern prostheses have high survival rates, with over 90% of prostheses functional at 10 years.
5What are the risks of a penile prosthesis?
Risks include: infection (risk of 1-3%), post-operative pain, hematoma, perforation of the corpus cavernosum, mechanical failure (rupture, leak), abnormal scarring, an asymmetrical erection, and sometimes the need for revision surgery. Diabetic patients have a higher risk of infection.
6How long is the hospital stay for a penile prosthesis in Tunisia?
Hospitalization for penile prosthesis placement generally lasts 1 to 3 days depending on the type of prosthesis and the patient's condition. Same-day discharge is possible in some cases (outpatient surgery). Longer hospitalization may be necessary in case of complications.
7When can sexual activity be resumed after a penile prosthesis?
It is recommended to wait 4 to 6 weeks after the procedure to resume sexual activity, allowing time for complete healing and disappearance of edema. For inflatable prostheses, learning to use the pump is necessary before first use. The surgeon will give specific instructions.
Why choose Tunisia for a penile prosthesis?
Tunisia is a recognized destination for urology and erectile dysfunction surgery. Its urologists are trained to international standards. They have extensive experience in penile prosthesis placement techniques. The clinics are modern with state-of-the-art operating rooms. Prices are competitive with significant savings. Care is rapid and personalized. Tunisia offers a pleasant setting for recovery.
In Conclusion
The penile prosthesis is an effective and definitive solution for men suffering from severe erectile dysfunction that does not respond to drug treatments. Tunisie Esthetic offers you quality care, performed by qualified urologists, in modern clinics, at attractive prices. Do not hesitate to contact us to discuss your situation and obtain a personalized quote.