{"id":4060,"date":"2023-01-25T12:07:41","date_gmt":"2023-01-25T12:07:41","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/?p=4060"},"modified":"2023-03-13T16:13:24","modified_gmt":"2023-03-13T16:13:24","slug":"penile-prosthesis","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/en\/blog\/penile-prosthesis\/","title":{"rendered":"The penile prosthesis, a solution when the rest of the treatments for erectile dysfunction fail"},"content":{"rendered":"<p><a href=\"https:\/\/www.barnaclinic.com\/en\/mens-health\/disfuncion-erectil\/\" target=\"_blank\" rel=\"noopener\"><strong>Erectile dysfunction<\/strong><\/a> is the inability to get and keep an erection firm enough for sexual intercourse. It is a problem that can affect between 20 and 50% of the adult population, affecting one in two men over the age of fifty. Despite being such a common disorder, it is still rare to talk about <strong>erectile dysfunction<\/strong>, on which an important social taboo still weighs. In this way, many men do not go to medical consultations to treat this problem, for which there are different types of treatment, the <a href=\"https:\/\/www.barnaclinic.com\/en\/mens-health\/protesis-pene\/\"><strong>penile prosthesis<\/strong><\/a> being the last one when more conservative options have failed. It consists of <strong>placing a device inside the penis to try to optimise its rigidity<\/strong> when having sexual intercourse.<\/p>\n<p><!--more--><\/p>\n<p>\u201cWe do <a href=\"https:\/\/www.barnaclinic.com\/en\/mens-health\/protesis-pene\/\"><strong>penile prosthesis<\/strong><\/a>\u00a0very frequently, it\u2019s a very common solution\u201d, explains Dr\u00a0<a href=\"http:\/\/barnaclinic.com\/en\/professionals\/576\/josep\"><strong>Josep Torremad\u00e9<\/strong><\/a>, head of the <a href=\"https:\/\/www.barnaclinic.com\/en\/mens-health\/\"><strong>Andrology<\/strong><\/a> unit at the Cl\u00ednic de Barcelona and a barnacl\u00ednic+ professional, who has participated in the &#8216;Tot es mou&#8217; from TV3 to explain how to prevent and solve <strong>erectile dysfunction<\/strong>.<\/p>\n<blockquote>\n<h4><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-3447 alignleft\" src=\"https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade.png\" alt=\"\" width=\"107\" height=\"108\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade.png 724w, https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade-298x300.png 298w, https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade-150x150.png 150w\" sizes=\"auto, (max-width: 107px) 100vw, 107px\" \/><\/h4>\n<h4>&#8220;We do <a href=\"https:\/\/www.barnaclinic.com\/en\/mens-health\/protesis-pene\/\"><strong>penile prosthesis<\/strong><\/a> very frequently, it\u2019s a very common solution for erectile dysfunction. Some people see it as a very orthopaedic solution, very artificial, but it really is a very natural solution&#8221;<\/h4>\n<p>Dr <a href=\"http:\/\/barnaclinic.com\/en\/professionals\/576\/josep\"><strong>Josep Torremad\u00e9<\/strong><\/a>\u00a0\u2013 Andrologist<\/p><\/blockquote>\n<div align=\"center\"><iframe loading=\"lazy\" title=\"video 6182477\" src=\"https:\/\/www.ccma.cat\/video\/embed\/6182477\/\" width=\"700px\" height=\"394px\" frameborder=\"0\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<p>The <a href=\"https:\/\/www.youtube.com\/watch?v=GMbm1Dtph34\"><strong>penile prosthesis implant<\/strong><\/a> is much more frequent than is believed, <strong>Cl\u00ednic Barcelona is one of the hospital centres that perform this intervention the most<\/strong>. In 2022, <strong>58 interventions <\/strong>were performed at the Cl\u00ednic <strong>to place this type of penile prosthesis<\/strong>. \u201cSome people see it as a very orthopaedic, very artificial solution, but it really is a very natural solution\u201d, explains Dr Torremad\u00e9. The intervention is an outpatient surgery and the same day the patient returns home. The implant is placed through an incision in the scrotum that leaves almost no scar.<\/p>\n<p>The postoperative period is usually short and after four or six weeks, sexual relations can be resumed. It is a hydraulic system that mobilises liquid from a reservoir located inside the abdomen to the penis. And with a pump located inside the testicles, the patient mobilises the liquid, achieving a rigid penis at the desired moment. In addition, sensation, touch and orgasm are not affected after the prosthesis is placed.<\/p>\n<h2>AN INCREASINGLY FREQUENT PROBLEM<\/h2>\n<p>When it comes to talking about <a href=\"https:\/\/www.barnaclinic.com\/en\/mens-health\/disfuncion-erectil\/\"><strong>erectile dysfunction<\/strong><\/a>, there are two large groups. On the one hand, there is <strong>psychogenic dysfunction<\/strong>, which tends to affect young people more. In this type of dysfunction, there is a stressor element that anticipates the problem and makes it difficult <strong>to achieve and maintain an erection<\/strong>. It is a type of dysfunction that is normally addressed by sexologists. The other type of <strong>dysfunction is organic<\/strong>.<\/p>\n<p>In this second type, there are a variety of causes, from ageing to conditions such as <a href=\"https:\/\/www.barnaclinic.com\/en\/specialties\/67\/obesidad\">obesity<\/a> or cardiovascular problems and even as a consequence of oncological surgery. \u201cWe see this type of dysfunction more and more in our consultations. On the one hand, due to the ageing of the population, but also due to unhealthy daily habits that are more frequent, such as obesity\u201d, added Dr Torremad\u00e9.<\/p>\n<h2>ESCALATION OF TREATMENTS<\/h2>\n<p>There are effective, safe drugs that allow erection normalisation and that work in around 80% of patients with erectile dysfunction. These drugs, called IPDE-5, improve the dilation of the penile artery and the blood flow that comes when there is sexual desire. Dr Torremad\u00e9 explains that with the drug \u201cthe patient\u2019s response will be of better quality, but a spontaneous erection will not be generated. You will need a stimulus and will enhance this patient\u2019s erection\u201d.<\/p>\n<p>When drug treatment does not respond, there is second-line treatment. They are alternatives to improve blood flow to the penis and, thus, increase its rigidity. Finally, if these treatments do not work either, you can resort to a <strong>penile prosthesis<\/strong>. Dr Torremad\u00e9 believes that \u201cthe penile prosthesis has to be an option when the rest of the treatments fail.\u201d<\/p>\n<blockquote>\n<h4><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-3447 alignleft\" src=\"https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade.png\" alt=\"\" width=\"107\" height=\"108\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade.png 724w, https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade-298x300.png 298w, https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2022\/03\/josep-torremade-150x150.png 150w\" sizes=\"auto, (max-width: 107px) 100vw, 107px\" \/><\/h4>\n<h4>\u201cThe penile prosthesis has to be an option when the rest of the treatments fail\u201d<\/h4>\n<p>Dr <a href=\"http:\/\/barnaclinic.com\/en\/professionals\/576\/josep\"><strong>Josep Torremad\u00e9<\/strong><\/a>\u00a0\u2013 Andrologist<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<hr \/>\n<div id=\"cita\" class=\"destacat-site\">\n<h4 style=\"padding-left: 15px; padding-right: 15px;\" align=\"CENTER\"><span style=\"color: white;\">DO YOU WANT TO CONTACT DR. JOSEP TORREMAD\u00c9?<\/span><\/h4>\n<p class=\"boto\" style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button button--cita\" href=\"https:\/\/www.barnaclinic.com\/en\/solicitar-cita\/?profesional=576\" target=\"_blank\" rel=\"noopener noreferrer\">REQUEST AN APPOINTMENT<\/a> |\u00a0<a class=\"button button--televisita\" href=\"https:\/\/www.barnaclinic.com\/en\/televisit\/?profesional=576\" target=\"_blank\" rel=\"noopener noreferrer\">ASK FOR A TELEVISIT<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Erectile dysfunction is the inability to get and keep an erection firm enough for sexual intercourse. It is a problem that can affect between 20 and 50% of the adult population, affecting one in two men over the age of fifty. Despite being such a common disorder, it is still rare to talk about erectile [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3947,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1375,464,115,759],"tags":[1377,1384,1687,1693,1689,1694,1691,1690,1688,1692,206],"class_list":["post-4060","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-andrology","category-our-services","category-our-treatments","category-urology","tag-andrology","tag-dr-josep-torremade-en","tag-erectile-dysfunction","tag-erectile-dysfunction-treatment","tag-impotence","tag-impotence-treatment","tag-mens-health-3","tag-mens-sexual-medicine","tag-penile-implant","tag-penile-prosthesis","tag-urology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Penile prosthesis, when treatment for 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