Insertion of an inflatable penile prosthesis is used in the treatment of impotency. This is one of the surgical treatments for erectile dysfunction (ED). The first penile prosthesis device was invented by Scott and Bradley in the 1970s. Although it was a popular choice at the time for erectile dysfunction patients, it had a low success rate and needed surgical revision. Today, penile prostheses have been shown to be both reliable and durable. Erectile dysfunction is the inability to produce and maintain an erection due to the pathology of the nervous or vascular system or penile deformation. The surgical treatment for erectile dysfunction involves the placement of a penile implant. Penile implants come in two different categories:
• Rigid, …show more content…
A Foley catheter usually placed prior to surgery, and then the patient would be prepped, draped, and administered anesthesia. For an inflatable or dynamic prosthesis, the surgeon starts off with a penoscrotal incision. The corpora cavernosa would then be dilated and placed with the prosthesis cylinders. The surgeon makes a second incision in the tunica albuginea all the way toward the low suprapubic region. The reservoir is then placed in the prevesical space, and the pump placed in the scrotum through the subcutaneous channels created through the initial incision. And finally, the surgeon closes up the …show more content…
Hemostasis is achieved. Incisions are made between the corpora cavernosa. The tunnel is dilated using a clamp or hemostat and a dilator. The prosthesis is inserted. And the incision is closed. As with the inflatable penile prosthesis, the Foley catheter is removed the next morning and patients are given the same instructions and warnings. As with any surgery, complications may occur, such as infection, thick scarring, shifting of implant, etc. Generally, in the hands of a skilled surgical team, prostheses are placed without difficulty and function for years to come. The surgical team for this type of procedure also includes the surgical technologist. In addition to maintaining the sterile field, handing the surgeons instruments, etc. The surgical technologist must also handle the prosthesis. Since most implants are very expensive and irreplaceable, the surgical technologist must make sure to carefully handle the prosthesis and keep it away from contaminants. The prosthesis must only be opened when the patient is ready and the surgeon asks. The surgical technologist will then receive the sterile implant carefully and hand it to the surgeon for placement. Overall, the entire surgical team comes together in order to ensure a successful and safe surgery for the
• Rigid, …show more content…
A Foley catheter usually placed prior to surgery, and then the patient would be prepped, draped, and administered anesthesia. For an inflatable or dynamic prosthesis, the surgeon starts off with a penoscrotal incision. The corpora cavernosa would then be dilated and placed with the prosthesis cylinders. The surgeon makes a second incision in the tunica albuginea all the way toward the low suprapubic region. The reservoir is then placed in the prevesical space, and the pump placed in the scrotum through the subcutaneous channels created through the initial incision. And finally, the surgeon closes up the …show more content…
Hemostasis is achieved. Incisions are made between the corpora cavernosa. The tunnel is dilated using a clamp or hemostat and a dilator. The prosthesis is inserted. And the incision is closed. As with the inflatable penile prosthesis, the Foley catheter is removed the next morning and patients are given the same instructions and warnings. As with any surgery, complications may occur, such as infection, thick scarring, shifting of implant, etc. Generally, in the hands of a skilled surgical team, prostheses are placed without difficulty and function for years to come. The surgical team for this type of procedure also includes the surgical technologist. In addition to maintaining the sterile field, handing the surgeons instruments, etc. The surgical technologist must also handle the prosthesis. Since most implants are very expensive and irreplaceable, the surgical technologist must make sure to carefully handle the prosthesis and keep it away from contaminants. The prosthesis must only be opened when the patient is ready and the surgeon asks. The surgical technologist will then receive the sterile implant carefully and hand it to the surgeon for placement. Overall, the entire surgical team comes together in order to ensure a successful and safe surgery for the