Hydraulic Penile prosthesis

The implantation of stents in the penis is one of the modern and accurate means that help in the field of sexual dysfunction, especially in cases of erectile dysfunction in men. There are different types of stents that may be implanted in the corpus cavernosum of the penis, including the inflatable hydraulic stent, which is characterized by the ability to produce an erection similar to normal erection. And it is considered to be the best for the patient as it achieves a high satisfaction rate among the majority of those who seek it. It is a cylindrical pillar installed by the urologist or nephrologist in the corpus cavernosum of the penis, and it is connected to a water pump, which the patient can press on when he needs erection.

The implantation of the hydraulic stent in the penis takes approximately 4 days.

Some men may resort to the clinics of nephrologist or urologists to help them overcome the problem of erectile dysfunction after the failure of traditional means, such as different medicines and other used solutions regarding this problem, in addition to the installation of hydraulic stent in the penis considered to be a successful solution in men with Peyronie's disease, which is associated with pain and disfigured penis; because of scar tissues formation. In addition, hydraulic stent implantation considered to be successful solution also within some men who have been infected with venous leakage, which also requires the installation of rods to help the erection.

Men who wish to install hydraulic stent in the penis are subject to some tests, include:

• Medical history of the patient.
• Comprehensive examination of urinary tract.

Hydraulic stent implantation in the penis may have the following side effects:

• Infection, especially people with diabetes or with spinal cord injuries.
• The operation is not successful; in other words, the stent cannot work as required.
• Adherence of the rod in the skin of the penis from the inside or penetration of the skin and outward appearance.
• Allergy to the anesthetic.

Inflatable hydraulic stent implantation has the following steps:

Preparing the patient: Kidney and urology surgeon asks the patient to avoid taking blood thinners, such as: aspirin or warfarin, as well as well as washing the body and genital area by using a sterile soap. The patient also asked to abstains from food and drink from the middle of the night before the operation.

During the operation: regional or local anesthetizing the patient to avoid feeling pain, and then installing the hydraulic stent it in the corpus cavernosum of the penis and attaching it to a water pump, which is implanted in the scrotum, and  the pump is attached to a water tank implanted in the lower part of the abdomen.

The implantation of the inflatable hydraulic stent in the corpus cavernosum of the penis is considered to be safe. The patient can observe the results after approximately 6 weeks (sometimes 3 weeks) when he can return to intercourse. The patient is given a combination of antibiotics to avoid infection after the operation, in addition the need to avoid any strenuous work during the first period of the operation.

The Hydraulic stent does not affect urination, since the corpus cavernosum is far from the urinary tract. In addition, the hydraulic stent may increase the chances of pregnancy success due to normal intercourse.

One of the advantages of the hydraulic stent that it has no effects on the penis, and it is difficult to distinguish the patient who has a hydraulic stent.