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What are some things to consider regarding surgery for erectile dysfunction (ED)?

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Most men would prefer to avoid surgery, but for some men with erection problems, penis implants are another option for regaining sexual function.

There are two kinds of penis implants. One kind is a rigid but flexible rod implanted in the penis. You bend it up for sex or down for daily living. The other kind is an inflatable implant. The device stores fluid in a reservoir under the skin of your abdomen or scrotum. You press on the reservoir to pump fluid into cylinders in the penis. That creates an erection. A valve drains the fluid out of the penis when you're done.

There are drawbacks to implants. An erection you get with an implant may be slightly shorter than a natural erection. The device itself may malfunction, in which case it would require another surgery to remove or replace it.

Getting a penis implant is a big decision. Once you have it, you may not be able to try other treatments. That's because the implant replaces the chambers in the penis that fill with blood for a natural erection.

SOURCES: 

American Urological Association: "Erectile Dysfunction Clinical Guidelines Panel. The Treatment of Organic Erectile Dysfunction: A Patient's Guide," 1996; and "AUA Guideline on the Management of Erectile Dysfunction: Diagnosis and Treatment Recommendations," 2005. 

Gaines, K. , February 2004.  Urologic Nursing

Lamm, S. , HarperCollins, 2005.  The Hardness Factor

Medscape Drug Reference from First DataBank: "Alprostadil Urethral" and "Sildenafil Oral." 

Vivus, Inc.: "Administering MUSE," 2004. 

Reviewed by James Beckerman on March 21, 2019

SOURCES: 

American Urological Association: "Erectile Dysfunction Clinical Guidelines Panel. The Treatment of Organic Erectile Dysfunction: A Patient's Guide," 1996; and "AUA Guideline on the Management of Erectile Dysfunction: Diagnosis and Treatment Recommendations," 2005. 

Gaines, K. , February 2004.  Urologic Nursing

Lamm, S. , HarperCollins, 2005.  The Hardness Factor

Medscape Drug Reference from First DataBank: "Alprostadil Urethral" and "Sildenafil Oral." 

Vivus, Inc.: "Administering MUSE," 2004. 

Reviewed by James Beckerman on March 21, 2019

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What are alternative treatments for erectile dysfunction (ED)?

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