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+982188520815 info@irhto.com Unit 3, No 12, Rahbar Alley, 7th St, Nilufar Sq, Tehran, Iran

Penile Implant

All-inclusive penile implant price

Semi Rigid Prosthesis / Swiss Made
$4500

Tour Length: 9 Days 8 Nights

Pre-Operative

Require medical images/Initial assessment

The majority of peroperative considerations focus on decreasing the incidence of infection. We recommend prophylactic preoperative antibiotics (2 days of Bactrim or Ciprofloxacin) for all patients undergoing penile implant surgery. The use of a preoperative urinalysis and culture is theoretically useful to identify a potential source for bacteremia, and thus a potential prosthesis infection. Hair removal technique in penile prosthetic surgery is believed to be a potential risk for infection from skin flora, despite any robust evidence. We ask that out patients not to shave, or clip themselves before surgery.

Preoperative

  • Cardiology/Medical Clearance
  • Urine Culture
  • HbgA1c <10
  • Stop antiplatelet 7 days prior

2 Days prior to surgery

  • Oral Antibiotics
  • Hibiclens scrub twice a day

Day of surgery

  • Wash with soap and water
  • Perioperative antibiotics: Vancomycin and Gentamycin
  • Hair removal: clippers or razors
  • Chlorhexidine scrub pre

Transfers: To Hotel, Hospital and the Airport

4-Star Hotel: Receive a 4-star accommodation depending on availability

Post-Operative: Aftercare as standard within our packages

Surgery

 Procedure takes approximately 1-3 hours

This procedure is performed under epidural or general anesthesia. An incision is made at the junction of the penis and the scrotum and occasionally a second incision is made just above your pubic bone dependent upon prior surgeries. In most cases, three components of the device are inserted: the erectile cylinders within the penis, the pump device in the scrotum, and the fluid reservoir behind the pubic bone. This procedure may result in the loss of 100-200cc of blood and does not require a blood transfusion. It normally takes about 1-3 hours, depending on the type of prosthesis being inserted.

You will be in the recovery room for 2-4 hours after the procedure and will spend 0-1 night in the hospital. You may be able to eat soon afterwards, depending on your body’s reaction to the anesthetic. You may have a urinary catheter to drain the bladder, which will be removed the next day. If you have a drain, it will also be removed the next day. The dressing is changed the next day, and you will be shown how to change the bandage. This should be done every day for 5 days.

Also, it is necessary to keep the penis dry for 2 days. You may shower the second day after the operation, but you should attempt to keep the incision(s) dry. You will be given a prescription for pain medication and antibiotics to take home, however the best painkiller is an ice pack. You should put the ice pack on the penis intermittently the first day. Most patients will have painful erections at night. If you put an ice pack on the penis, the pain will be relieved in a few minutes.

You should be to return to work in 1-2 weeks, depending on the type of prosthesis and the type of work you perform. All the sutures on the skin will dissolve in about 4 weeks. Sexual intercourse is not advisable for 6 weeks and avoid ALL strenuous activity that might result in contact with the prosthesis or its components.

Escort Interpreter: Greet you and help to check in and admit

  • Obtaining a visa (extra charge)
  • Booking airline tickets (extra charge)
  • Recreational tours (extra charge)
  • VIP services (extra charge)
  • Insurance and legal services (extra charge)

Patient Eligibility:

For men who have failed other treatment options, such as PDE5 inhibitors (Viagra, Levitra, Cialis), and have either failed penile injection therapy or not comfortable with this option, penile implant surgery provides an excellent chance for sexual rehabilitation.  This is an irreversible procedure and results in irreversible changes to the erectile tissue. After this procedure, erection is not natural and the penis may become shorter and narrower. It might also require additional surgery in the future for prosthetic infection or mechanical failure.

How it works

penile implant FAQs:

What happens if I get an infection?

Should an infection occur after the prosthesis is inserted, the patient will need to be hospitalized and the device removed entirely. A salvage procedure may or may not be possible with simultaneous re-insertion of another device immediately at the same time that the infected device is removed. This is performed in order to prevent shrinkage and scarring of the penis, which occurs after penile prosthesis infection. If the type of bacteria causing the infection is not identified, the patient will require 2-3 weeks of intra-venous antibiotics. If a device is not immediately re-inserted another implant may be placed in the future however in addition of resulting in a much shorter penis the surgery is much more difficult and at a higher risk of urethral perforation and patient dissatisfaction. Given the fact that infections are rare, surgery and a scarred penis very difficult, re-implantation after an infection should only be performed by very experienced physicians and not generalists with little to no experience.

What are the possible risks, side effects and complications of penile implants?

Possible surgical, medical and device related risks and complications includes infection, erosion of the implant through the skin, urethra and small bowel intestine, colon, or injury to artery or vein of lower extremity, temporary severe pain in the surgical area and mechanical failure of the implant.
Loss of remaining spontaneous erectile ability will also occur after an implant and patients who have spontaneous functional erections should be aware of this occurrence.
Other risks of a general nature inherent in any type of surgical procedure such as bad reaction to anesthesia, contracting pneumonia if the procedure is performed under general anesthesia, phlebitis, or other dangers arising from existing heart problems are also potential complications.
Possible need for further surgery if a complication or dissatisfaction occurs following the initial implant.

Diabetics are prone to infection and/or long healing process. Is this condition troubling in the prosthesis procedure?

In our hands diabetic men have fewer infections than non-diabetics. The reason for this observation is unknown. One explanation is perhaps that diabetics have decreased blood flow to the penis and therefore bleed less during surgery. Collection or accumulation of blood (hematoma) in the cavity of the scrotum increases the risk of infection and this is less likely to occur in patients with poor circulation.

After having the implant, will I have a normal ejaculation of sperm during sex? How is that affected if at all?

Erection, orgasm and ejaculation are three independent functions. Men who are impotent from vascular causes continue to have an orgasm and ejaculation with a soft penis. Therefore, restoring erections with prosthesis in that individual will result in a patient that continues to have an orgasm and ejaculation. Patients have fathered children with an implant.

A patient suffering from ED following radical prostatectomy or radiation therapy loses the ability to have erections and ejaculation. Therefore, an implant in that scenario will result in a patient that has an erection and orgasm but no ejaculation.

Will the insertion of the pump hinder my physical activity in any way?

Generally, you will be able to participate in all physical activities without any limitations whatsoever. Obviously, some caution is advised as would be with any other procedure. If cycling is involved, the positioning of the pump is crucial. You will need to change your bicycle seat to a wider one with a gap in the middle. Swimming is not an issue either.

Will I have normal feeling after the procedure?

Sensation is preserved after the insertion of the Internal Penile Pump. You will have the same feeling you had before the procedure, which means that you will have a normal orgasm as well.

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