If you decide to have a Penile Implant in Iran, reading this article can improve your knowledge about cost of Penile Implant Surgery in Iran to a great extent and help you to choose the best city and hospital to undergo Penile Implant Surgery in Iran.
In this article we provide you with a comprehensive description of Penile Implant in Iran, the cost of Penile Implant Surgery in Iran and the best Iranian Penile Implant surgeons (Urologists).
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A penile implant or penile prosthesis, is a treatment for erectile dysfunction (ED). Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail.
How to prepare
Initially, you'll talk to your doctor or an urologist about penile implants. During your visit, your doctor will likely:
. Review your medical history. Be prepared to answer questions about current and past medical conditions, especially your experience with ED. Talk about any medications you're taking or have taken recently, as well as any surgeries you've had.
. Do a physical exam. To make sure penile implants are the best options for you, your doctor will do a physical exam, including a complete urologic exam. Your doctor will confirm the presence and nature of ED, and make sure that your ED can't be treated in another way.
He or she will also try to determine whether there's any reason that penile implant surgery is likely to cause complications. Your doctor will also examine your ability to use your hands, since some penile implants require greater manual dexterity than others.
. Discuss your expectations. Make sure you understand what the procedure involves and the type of penile implant that suits you best. It's also important to know that the procedure is considered permanent and irreversible.
Your doctor will also explain the benefits and risks, including potential complications.
Penile implant surgery is usually done at a surgery center or hospital. Your doctor might give you medication to make you unconscious during the surgery (general anesthesia) or medication that blocks pain in the lower part of your body (spinal anesthesia).
Your doctor will give you IV antibiotics to help prevent infection. The surgery site will also be shaved immediately before surgery to reduce the risk of infection.
Before penile implant surgery you might also need to:
. Avoid certain medications. Your doctor might recommend that you temporarily stop taking aspirin and anti-inflammatory drugs, which can increase your risk of bleeding.
. Arrange for a ride home. Ask your doctor when you'll be able to go home after surgery. Penile implant surgery typically involves an overnight stay.
. Limit food and liquids. Don't eat or drink anything after midnight before your surgery, or follow specific instructions from your doctor.
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You may be a candidate for penile implant surgery if:
. You have persistent ED that impairs your sex life.
. You’ve already tried medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra). These drugs result in erection appropriate for intercourse in as many as 70 percent of men who use them.
. You’ve tried a penis pump (vacuum constriction device).
. You have a condition, such as Peyronie’s disease, that is unlikely to improve with other treatments.
Who is not a Good Candidate for Penile Implant?
You may not be a good candidate if:
. There’s a chance ED is reversible.
. ED is due to emotional issues.
. You lack sexual desire or sensation.
. You have a urinary tract infection.
. You have inflammation, lesions, or other problems with the skin of your penis or scrotum.
Risks and Complications
Risks of penile implant surgery include:
. Infection. As with any surgery, infection is possible. You might be at an increased risk of infection if you have a spinal cord injury or diabetes.
. Implant problems. New penile implant designs are reliable, but in rare cases the implants might malfunction. Surgery is necessary to remove, repair or replace a broken implant.
. Internal erosion or adhesion. In some cases, an implant might stick to the skin inside the penis or wear away the skin from inside the penis. Rarely, an implant breaks through the skin. These problems are sometimes linked to an infection.
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Types of Penile Implants
There are two main types of penile implants:
. Inflatable Implants (Three-piece and Two-piece). Inflatable devices, the most common type of penile implant used, can be inflated to create an erection and deflated at other times. Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis.
To achieve an erection, you pump the fluid from the reservoir into the cylinders. Afterward, you release the valve inside the scrotum to drain the fluid back into the reservoir. The two-piece model works in a similar way, but the fluid reservoir is part of the pump implanted in the scrotum.
. Semirigid or malleable rods. Semirigid devices are always firm. The penis can be bent away from the body for sexual activity and toward the body for concealment.
A positionable penile implant is a semirigid device with a central series of segments held together with a spring on each end. It can maintain upward and downward positions better than other semirigid rods can.
Other special designs can fit a shortened penis, or one that's larger than average. Some inflatable penile implants are also available with antibiotic coatings, which might help reduce the risk of infection.
Comparing Implant Types
When choosing which type of penile implant is right for you, consider your personal preference and your medical history. Your doctor might suggest one type of design over another based on your age, risk of infection, and health conditions, injuries or medical treatments you've had in the past.
Type of penile implant
A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen.
Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is inside each of the two hollow chambers called the corpora cavernosa.
Your surgeon will choose the correct size implant and place the implant cylinders inside your penis. All sizes are customized to your exact body measurements.
If your doctor is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, your doctor will also implant a fluid reservoir under the abdominal wall through an internal incision.
Once the device is in place, your surgeon will sew the incisions closed. Penile implant surgery usually takes 45 minutes to an hour.
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After Penile Implant
Recovery and Aftercare
After penile implant surgery, you'll likely need to take medications to ease pain. Mild pain might persist for several weeks. You might also need to take antibiotics for one week to prevent infection.
Your doctor might recommend keeping your penis up on your lower abdomen and pointing toward your bellybutton during the healing process to prevent downward curvature.
Your doctor will provide specific instructions about when you can resume normal activities. Most men can resume strenuous physical activity and sexual activity about four to six weeks after surgery. You'll likely need to return to your doctor to have your stitches removed in about two weeks.
At this point, your doctor might recommend fully inflating and deflating inflatable penile implants twice a day to give you practice using them and stretch the area surrounding the cylinders.
Men having this procedure should be able to go home the same day.
How effective are the Implants?
About 90%-95% of inflatable prosthesis implants produce erections suitable for intercourse. Satisfaction rates with the prosthesis are very high, and typically 80%-90% of men are satisfied with the results and say they would choose the surgery again.
What is sex like with the Prosthesis?
When the penis is inflated, the prosthesis makes the penis stiff and thick, similar to a natural erection. Most men rate the erection as shorter than their normal erection; however, newer models have cylinders that may increase the length, thickness, and stiffness of the penis.
A penile prosthesis does not change sensation on the skin of the penis or a man's ability to reach orgasm. Ejaculation is not affected. Once a penile prosthesis is put in, however, it may destroy the natural erection reflex. Men usually cannot get an erection without inflating the implant. If the implant is removed, the man may never again have natural erections.
Penile Implant Surgeons
How can I find the best Urologists in Iran?
It is important that you seek the assistance of experienced and skilled Urologists in Iran who have provided a suitable condition for people with limited budgets to undergo Penile Implant Surgery in Iran easily. It is worth explaining that the quality provided by Iranian surgeons is far higher than other countries including Turkey and India.
Hospitals in Iran
Penile Implant Surgery cost in Iran
There are many factors that determine the overall Penile Implant Surgery cost, including:
The cost of Penile Implant Surgery in Iran is between $ 3500-5500.