Penile implants are certainly not for everyone. But they can provide a solution when all other treatments fail. In this informative video, Dr. med. Dr. phil. Stefan Buntrock, a board-certified urologist and sexologist from Göttingen, delves into the complexities and considerations surrounding penile prosthesis as a treatment for erectile dysfunction. Beginning with a brief history, he explains how the journey of penile prostheses from early experiments in the 1930s to the sophisticated devices available today, such as the malleable and the more commonly used inflatable prostheses, reflects significant advancements in medical science. The latest innovation in this field, the 3-piece inflatable penile prosthesis, is highlighted for its functionality and design, mimicking the natural process of erection through a fluid reservoir and pump system.
Dr. Buntrock emphasizes the importance of careful deliberation before opting for a prosthesis, considering its life-changing potential. While satisfaction rates are generally high, there remains a subset of patients who experience regret, underscoring the critical nature of patient selection. He discusses the ideal candidates for this surgery, including those with erectile dysfunction post-prostate cancer surgery, severe Peyronie’s disease, or erectile dysfunction resistant to non-surgical treatments. Additionally, the growing field of gender reassignment surgery and its influence on prosthesis technology is touched upon.
Despite the promising aspects of penile prosthesis, Dr. Buntrock also candidly addresses the potential for complications and the likelihood of needing a replacement over time. With a nuanced view, he presents global trends in prosthesis placement, revealing a stark contrast in the prevalence of these procedures between the United States and Europe, reflecting cultural differences in addressing health issues. The video concludes on a note of caution and encouragement, advocating for individualized decision-making based on a thorough understanding of the pros and cons.
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