曼谷阴茎假体手术

曼谷阴茎假体手术

Definitive surgical treatment for erectile dysfunction unresponsive to conservative therapy. Three-piece inflatable penile prosthesis (IPP) with AMS 700 and Coloplast Titan devices — the gold standard for restoring spontaneous, on-demand erections.

医学审稿：Soarawee Weerasopone 医生，医学博士——美国贝勒医学院泌尿外科系，委员会认证泌尿科医生、研究学者及临床观察员

What Is a Penile Prosthesis?

A penile prosthesis is a surgically implanted medical device that restores the ability to achieve erection on demand. It is considered the definitive treatment for 勃起功能障碍 in men who have failed or cannot tolerate oral medications, injections, or other conservative therapies. Patient satisfaction rates exceed 90% in published series — among the highest of any ED treatment.

Types of Penile Prostheses

• Three-Piece Inflatable Penile Prosthesis (IPP) — the gold standard. Comprises paired cylinders in the penis, a fluid reservoir in the abdomen, and a pump in the scrotum. Most natural-looking and feeling option. Devices include AMS 700 (Boston Scientific) and Coloplast Titan.
• Two-Piece Inflatable — reservoir combined with pump in scrotum; suitable for patients in whom abdominal reservoir placement is challenging.
• Malleable (Semi-Rigid) Prosthesis — single bendable rod; simpler surgery; suitable for select patients with manual dexterity limitations or severe scarring.

Selecting the right device depends on anatomy, hand dexterity, prior surgery, and personal preference. How modern implants work and how to choose the right one →

The Procedure

• Anesthesia: General or spinal anesthesia
• Operative time: 60–120 minutes
• Surgical approach: Penoscrotal or infrapubic incision
• Hospital stay: 1–2 nights
• Antibiotic prophylaxis: Strict protocol to minimize infection risk (less than 1–2% with modern coated devices)
• Return to non-strenuous activity: 1 week
• Sexual activity resumed: 4–6 weeks postoperatively
• Device lifespan: 10–15+ years with modern prostheses

常见问题解答

Q1: Will the prosthesis be visible or detectable?

现代三件式可充气假体完全植入体内。收缩时，装置不易察觉。充气后，勃起看起来和感觉都很自然。除非告知，性伴侣通常不会注意到假体。.

Q2: How does the prosthesis work?

对于三件式可充气装置：挤压阴囊中的泵可将腹部储液器中的液体转移到阴茎的圆柱体中，从而产生勃起。要放气，按下泵上的释放阀，液体就会回流。该过程只需几秒钟即可完成，且易于学习。.

Q3: Will sexual sensation be affected?

感觉、高潮和射精功能得以保留。假体仅恢复勃起能力，不会改变神经功能或自然的性反应。大多数男性报告性体验与发生勃起功能障碍之前相当。.

Q4: What are the risks of penile prosthesis surgery?

Primary risks include infection (less than 1–2% with modern coated devices and “no-touch” technique), mechanical malfunction (rare in first 10 years), and erosion. Patient satisfaction and long-term outcomes are excellent when surgery is performed by experienced specialists at high-volume centers.

Q5: Is penile prosthesis surgery reversible?

Removal is technically possible but typically not advised. Once the prosthesis is implanted, the natural erectile tissue (corpora cavernosa) is permanently altered, meaning natural erections will not return after device removal. The decision should therefore be carefully considered.

Q6: How long do penile prostheses last?

Modern three-piece inflatable prostheses have mechanical longevity of 10–15 years or more in most cases. When devices eventually require replacement, the procedure is straightforward and outcomes remain excellent.

Q7: Can international patients have penile prosthesis surgery in Bangkok?

Yes. Bangkok Hospital Headquarters offers comprehensive international patient services including pre-arrival consultation, airport transfers, accommodation arrangements, and structured post-operative follow-up. Most patients can fly home 5–7 days after surgery with detailed recovery instructions in their preferred language.

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