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If all else fails, penile implants-also referred to as "prostheses"-are available to provide an erection. A new industry has sprung up to provide these devices, which are being advertised to have promising results. You should consult your urologist if you are considering purchasing one. They do require surgery, with its inherent risks and pain as well as considerable expense.

Penile implants come in four types: bendable, mechanical, inflatable with a pump, and inflatable without a pump.

The bendable is the easiest to use and is less likely to break, as it has almost no parts that can break or malfunction. It consists of silver wires that are braided inside a silicone sheath and then implanted in the penis. The penis will stay rigid, but the patient can bend it to tuck it in his pants or to urinate. When he desires to have intercourse, it can be bent into a straight position.

Mechanical implants consist of wire bound into a series of cups. These can be bent and are easier to maneuver than the bendable implants. The penis is always rigid, but it can be bent to conceal it or to urinate.

Inflatable implants that make use of pumps provide a more natural erection than the other products. A pump is placed in the scrotum between the testicles. When the pump is squeezed, it brings fluid into the pump cylinder, which slightly increases the diameter and length of the penis. To return the penis to its normal size, the release valve is squeezed. Often, however, technical problems develop that require additional surgery.

There are many inflatable implants that do not require pumps. They all have chambers of fluid. When the tip of the unit is squeezed, it brings fluid to the device, which causes it to increase the diameter of the penis. When the patient bends the implant, it activates the release valve and the penis reverts to its normal size.

A urologist can help with the decision of which type of implant to select and where to obtain it. It takes the incision about five weeks to heal before you can use the device. If you total up the surgery and hospitalization plus the purchase of the devices, the costs of penile implants can range from $2,000 to over $10,000 or more.

Before deciding to make a purchase, consider the fact that the problem of erectile dysfunction may be psychological. Sex counseling may be more appropriate to resolve the problem. The patient should discuss it openly with his mate and urologist before looking for other, expensive solutions.


Men's Health Erectile Dysfunction