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Erectile Dysfunction ( ED )

Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity in humans. A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. The most important organic causes are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. Research indicates that erectile dysfunction is common, and it is suggested that approximately 40% of males suffer from erectile dysfunction or impotence, at least occasionally

 

Our Specialists for ED

  

Dr Suresh V Sharma      Dr Raman Tanwar

The treatment for erectile dysfunction is being done by all kinds of doctors who claim to be Sexologists. Ideally the best trained doctors for Male Sex Health are the Urologists. At GNH Hospital we have a team of doctors which include Urologists, Diebetologist, Physician who work on improving the sexual health of males and provide the best treatment for patients suffering from Erectile Dysfunction.

Penile Implant Surgery

Penile implants (often called "internal penile pumps") are one of several options available within India to treat Erectile Dysfunction (ED) or Impotence.  In India there are two categories of patients with Erectile Dysfunction – those who suffer from ED between the age of 20-50 years are mostly Indian patients and those in the age bracket of 50-80 years are mostly the patients coming from other countries. These international patientss come to India for good results and the low cost of this surgery. While the surgery costs anywhere between USD 30-50 thousand in the US, it costs USD 25-30 thousand in Australia. A large number of patients from South East Asia, Europe, US and other developed nations come to India because the surgery costs only USD 8000-14000 depending upon the type of prosthesis used. The cost of surgery is in the range of USD 4000-6000 if Indian made implants are used as compared to the US FDA approved implants.

An inflatable penile implant is a small, self-contained medical device that is implanted in the body to create an erection. Penile implants require a simple surgical procedure to place the prosthesis. The implant is concealed within the body and it is not visible. Essentially two cylinders are inserted side-by-side into the corpora cavernosa in the shaft of the penis. Additionally a pump is inserted into scrotum and a reservoir containing fluid is placed in the abdomen. After undergoing penile implant surgery, when a man desires an erection, he uses the device to transfer fluid from the reservoir into the cylinders. The cylinders expand, enlarging or "erecting" the penis.

Types of Implants

Currently there are three types of penile implants. All are totally concealed within the body and upon activisation provide an almost immediate erection to enhance romantic spontaneity.

  • 3-piece inflatable implants

  • 2-piece inflatable implants

  • Semi-rigid malleable (positionable) rods

Long-term clinical data shows penile implants to be highly effective and reliable. Clinical studies have also found penile implants to have the highest degree of satisfaction by both users and their partners when compared to all other forms of ED treatments. For best results in penile implant surgery careful evaluation of the patient is necessary by the urologist for deciding the right kindl of implant suitable for the patient's penis size and shape. The type of prosthesis also depends on the age of the patient and the results expected. For older patients the malleable implant is most suited.

Surgeons began performing penile implant surgery in the early 1970s. Since then, nearly 300,000 men have benefited from receiving penile implants. Currently approximately 20,000 men choose penile implants each year to treat impotence. The team of Urologists and Aesthetic Surgeons who perform this surgery at GNH Hospital are Dr. Suresh V Sharma, ED Specialist and Dr. Raman Tanwar, Urologist.

Doctors normally recommend starting men with a less-intrusive treatment such as oral drug therapy. If this treatment form is not successful or appropriate, then penile implants may be the logical next step.

As with all surgical procedures, there is a slight risk of infection. And although penile implants are highly reliable, malfunctions can occur over time. Reliability and infection control, however, have significantly improved over the past few years.

Three-piece inflatable penile implants

 three piece penile implant

Three-piece inflatable penile implants

Three-piece penile implants are the most technologically advanced device. They are totally concealed within the body. Urologists consider the 3-piece inflatable implant to be the "gold standard" of penile implants.
Placement - During placement of the device, the patient usually is under general anaesthesia. A skilled urologist trained in prosthetic urology performs the simple procedure. 
Using a small incision, the urologist positions the inflatable cylinders in the corpora cavernosa. A small pump is positioned in the scrotum and a reservoir is placed inside the abdominal wall. The reservoir is filled with saline solution. The device is completely hidden and unobtrusive.
Recovery time - It commonly takes about four to six weeks to regain sexual function. 
How it works. Gently squeeze the concealed pump in your scrotum several times. This moves the saline solution from the reservoir into the cylinders. As the cylinders fill, the penis becomes erect and firm.
To end the erection, simply press a "deflation site" on the pump. Deflating the cylinders transfers the fluid back to the reservoir and the penis becomes flaccid.
The cost of this surgery at GNH Hospital India is USD 14000 with AMS implant

Two-piece inflatable penile implants

2 piece penile implant

Two-piece inflatable penile implants are fluid-filled internal penile pumps. The two-piece system includes cylinders and a small pump. This makes it a slightly more complex device compared to malleable or "positionable" penile implants.
Placement- During the procedure, the patient usually is under either local or general anaesthesia. 
A skilled urologist trained in prosthetic urology performs the procedure which usually takes 45 minutes or less. Using a small incision, the urologist positions the inflatable cylinders in the corpora cavernosa. A small pump is positioned in the scrotum. The device is completely concealed and unobtrusive.
The pump inflates the cylinders by transferring fluid within the system. A simple deflation technique then transfers fluid to return the penis to a flaccid state.
Recovery time- It takes about four to six weeks to regain sexual function.
How it works - Gently squeeze and release the concealed pump in your scrotum several times. This transfers the fluid in each cylinder to the cylinder shaft. Your penis will then become erect.
To end the erection, gently bend your penis down for 6-12 seconds. This transfers fluid back into the reservoir.
The cost of this surgery at GNH Hospital India is USD 12000 with AMS impant

Malleable (positionable) penile implants

Malleable Penile Implant in India

This is the simplest of the penile implants.
Placement- The surgeon gently places two bendable, "positionable" rods into the penis. The rods have an outer coating of silicone and inner stainless steel core or interlocking plastic joints. These enable the man to place the penis in either the erect or flaccid position.
Recovery time- It takes about four to six weeks to regain sexual function. 
How it works -For intercourse, the man places his penis in the erect position. As he does so, the rods inside his penis bend. To conceal the penile implant, the man bends his penis down. He can bend the device in more than one place to create the desired erection.
The cost of this surgery at GNH Hospital India is USD 8000 with AMS implant and USD 3000 with Indian implant

 

Contact Us

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Video

 

This 76 Year American Patient came for AMS 700 - 3 Piece Penile Implant Surgery at GNH Hospital. The surgery was done by Dr Raman Tanwar. This surgery takes about 60 minutes and the patient is discharged from the hospital the next day