MUTLULUK
ÇUBUĞU
PENILE
PROSTHESIS

Penile prostheses or penile implants, called or mutluluk çubuğu among the general public, are the last and permanent treatment option for impotence in men with erectile dysfunction, non-surgical treatments, vacuum devices, and in cases where no response is obtained in the last injection treatment. Since this treatment is irreversible, it is essential for patients to talk to their doctors about the advantages and possible disadvantages of this treatment and to be convinced.
This surgery can be explained as replacing spongy tissue (corpora cavernosum) in the penis with hard or inflatable cylinders with a surgery lasting approximately 1 hour. In all penile prostheses, surgically implanted prostheses are completely hidden within the body. On the outside, it’s completely incomprehensible. Men who wear chopsticks can have as much sexual intercourse as they want.

There are three types of a penile prosthesis, each of different diameters and lengths.

* Malleable Single-Piece Penile Prosthetics (Rigi10 Malleable) (which ensure a permanent erection)

* Two-Piece Penile Prosthetics (Semi-Hard Penile Prosthetics)
* Three-Piece Inflatable Prosthetics 

Three-Piece Inflatable prostheses are also divided into two.

• Only transversely expanding three-piece inflatable prostheses.
• Transverse and longitudinally expandable three-piece inflatable prostheses

The surgical approach depends on which type of prosthesis is used, the patient’s history, and the surgeon’s preference. During surgery under anesthesia, the 3-piece inflatable penile prosthesis is placed through an incision on the penis, in the lower abdomen, and scrotum. Meanwhile, a thin, flexible tube (catheter) is placed in the urinary tract and bladder for a short time to empty the urine.
Usually, a small surgical incision is made either at the junction of the abdominal tissue and the penis or below the boundary where the scrotum meets the penis. In this procedure, no tissue is removed and blood loss is usually very low. That’s why you almost never need a blood transfusion. On the same day of surgery, patients can go home or stay overnight in the hospital. This may vary from physician to physician and according to hospital procedures. This operation takes about an hour to complete.
Pain, swelling, or bruising may occur for approximately 2-4 weeks after penile prosthesis implantation. In these cases, your doctor may start you on a painkiller. Patients may have sexual intercourse 4-6 weeks after prosthetic surgery if approved by the physician.
Neither the prosthesis worn nor the surgery performed for this purpose affects the enjoyment of sexual intercourse, orgasm, or ejaculation in patients. The patient can engage in sexual activity as before and can have children. Penile prostheses increase hardening in the penis but do not routinely prolong the penis.

The cost of penis prostheses may vary depending on the prosthesis that suits you, hospital choice, and the number of days you stay after surgery. The scope of health care and the cost of treatment varies depending on the situation. However, the scope of SSI can also be partially benefited for this operation. Because most cases of erectile dysfunction usually have another disorder behind them. To get better information on this issue and determine whether the prescribed treatments for erectile dysfunction are covered by insurance, it is best to contact the product provider company individually.

In cases where the result cannot be achieved with the above-mentioned non-surgical treatment options, another type of treatment is applied, which is the surgical solution. One of these surgeries is called penile vascularization treatment. In this intervention, the pathway of the vessels is changed and directed to the penis. So, it can be called as a kind of bypass surgery for penis. This treatment is successful in a very limited person. It is not easy for him to administer this treatment in every patient. Young patients with no diseases such as diabetes and hypertension have a slightly better chance of success. However, after this surgery, many of the patients are treated again with the indication of penile prosthesis surgery.

A second type of surgery is surgery performed in cases where the hardness of the penis cannot be maintained, that is, in cases of venous leakage. The success of these surgeries, called Derindorsagvendi, is also very limited. Especially in young patients, there is a chance of success, but when applied to every patient with indication, the chances of success are not very high.