Implants and Revascularization Treatments of Erectile Dysfunction

Implants and Revascularization Treatments of Erectile Dysfunction Third line therapies, which are a more serious treatment approach, include penile implants, and in rare cases, revascularization. Implants are a permanent solution to ED, and are excellent permanent choices for men whose underlying cause cannot be treated, or are unresponsive to other treatments. There are generally two different kinds: bendable or semi-rigid rods, and multi-piece inflatable implants. Both of these are implanted into the penile tissue itself. The bendable rods, also known as a malleable device, create erections when the patient straightens their penis by hand into an erect position. Inflatable implants are significantly more natural looking, and tend to be concealed better than malleable implants. They consist of two inflatable cylinders, a pump, and a reservoir that holds fluid. Insertion of penile implants generally requires local, spinal, or general anesthesia, and the patient may need to stay overnight. The patient can resume sexual activity approximately one month after the surgery, depending on the healing process. The procedure is relatively simple, and is not particularly invasive, but because it is permanent, it should be considered as a last resort for treating ED.

Revascularization is performed on patients with considerable damage to the primary artery in the penis that leaves the patient with an inability to obtain erections. It is rarely used as a treatment option for ED, but rather for patients with serious injuries to the penile artery.