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I receive in Florence, Prato and Milan

Matteotti Medical Group
Viale Giacomo Matteotti, 42
50132 - Florence (FI)
Telephone: 055 570224
Florence Castello
Villa Donatello
Via Attilio Ragionieri, 101
50019 - Sesto Fiorentino (FI)
Telephone: 055 50975
Studi Medici Life
Viale della Repubblica, 141
59100 - Prato (PO)
Telephone: 0574 583501
Columbus Clinic Center
Via Michelangelo Buonarroti, 48
20145 - Milan (MI)
Telephone: 02 480 801

Penis Prosthetics

Penile prosthesis Milan

Milan penis prostheses help restore normal erectile function of the male external reproductive organ. Individuals who turn to this solution do so with the knowledge that they are solving their problem, 90% of the time. However, not everyone is aware of the efficacy of surgical therapy and, partly because of misinformation or insufficient information, and partly because of reticence, they prefer not to resort to this treatment.

The cases in which it is possible to intervene with a penile prosthesis are many, but all linked by the same basic component: inability to have and/or maintain an erection. Study and research in this area have made considerable progress in the past 50 years. Whereas during the 1970s-1980s semi-rigid prostheses were mostly used, today hydraulic ones are preferred. Structural materials have changed and surgical techniques have improved.

The insertion of a penile prosthesis leaves a natural appearance to the organ, has no serious complications or risks, and scars are virtually unnoticeable (especially after pubic hair has grown back).

Penile prosthesis: what is it

It is a medical device surgically implanted into the corpora cavernosa of the penis, that is, directly inside the erection chamber. It is a technology adopted to solve a great many cases of erectile dysfunction.

Penile prosthesis Milan: when to consider it

There are many cases in which penile surgery to install a penile prosthesis can be considered. In any case, it is used to solve an erectile dysfunction problem. Therefore, it can be resorted to by those suffering from impotence resulting from either conditions such as curved penis, or
Peyronie’s disease
as well as those who accuse severe cavernous arteriovenous vasculopathy.

Not only that. Even those who had tried a pharmacological approach to the problem without finding remarkable progress can turn to surgery. The drugs used to treat this condition are usually PDE5 inhibitors, which is administered with intracavernous injections. Those who do not want to undergo it, or those who cannot, can find a viable alternative in the surgical method.

Penile prosthesis surgery is very effective and permanently solves the problem of erectile dysfunction in most cases.

Penile prosthesis: types and characteristics

As we have said over time there has been a strong evolution and marked technological innovation in the field of prosthetics. Research and studies have led to a general improvement in surgical application techniques and have enabled the selection of more suitable and durable materials.

Implants today last longer and are unlikely to manifest imperfections and malfunctions. This has led to an ever-increasing interest in the field, which has seen an elite specialty refined among physicians

There are different types of prostheses, which can be grouped into two major macro categories:

  • malleable penile prostheses
  • hydraulic penile prostheses

Malleable penile prostheses

Non-hydraulic prostheses consist of the insertion of two semi-rigid silicone cylinders, covered with a layer of soft silicone, inside the corpora cavernosa of the penis.

This type of prosthesis was the first to be implanted and tested, since the 1950s. It still gives excellent results today, although the penis always remains in a semi-erect position, but is still easily masked.

Hydraulic Peniene Prostheses

They represent the cutting edge of the industry. Practical and durable solutions are composed of three different elements:
  • Reservoir pre-filled with saline solution
  • two inflatable cylinders
  • micro pump and button for activation/deactivation
The reservoir is inserted behind the abdominal wall, the pump in the scrotum, between the testes, to better mask it, and the two cylinders are inserted inside the central cavernous bodies of the penis.Unlike their semirigid sisters, hydraulic prostheses leave the penis looking completely natural at all times. This is possible because they are “floppy” prostheses that allow erection of the member only upon request and appropriate erotic solicitation.They ensure optimal, long-lasting and easily masked results. Many partners never come to notice the presence of the prosthesis, even during the sexual act.

Penis prosthesis Milan: before the operation

As with any other surgery, including penile prosthesis surgery, eating in the six hours immediately preceding it is prohibited. Smoking and drinking alcohol are also prohibited. Every aspect of the patient’s medical condition should be discussed in advance with the surgeon, including whether the patient is taking any medications.

Indeed, in some cases, discontinuation of these medications may be required, even several days before surgery. Resumption of medication should then always be discussed with the physician performing the surgery.

Penis prosthesis Milan: how the operation is performed

Hydraulic penile prosthesis surgery is performed under general, or dorsal, anesthesia. A catheter is inserted to the patient, which is normally removed the day after the operation. Once the patient is anesthetized, the surgeon makes a very small cut at the top of the pubis, at the penis junction, or between the penis and scrotum. This is a really subtle incision, but deep enough to uncover the corpora cavernosa of the penis.

And it is within the corpora cavernosa that the doctor goes to insert prostheses, of a length appropriate for the subject. After the prostheses are installed the reservoir, behind the abdominal wall, and the pump in the scrotum between the testicles, to better hide it.

Once all the elements are placed, they are connected together and the surgeon sutures the incision. Wounds are cleaned and a compression bandage is applied. Many surgeons prefer to leave the penile implant inflated, for at least a day, while others leave the drainage removed after a day has passed.

After surgery: hospitalization, recovery and normal activity

The patient is usually discharged the day after surgery. The bandage is removed and the implant deflated by the surgeon. For a few weeks thereafter, irritation, pain, and swelling may persist. In the two to three days immediately following the operation, there may also be some leakage due to the incision. Problems that solve themselves.

Normal activities, as well as sexual intercourse, are usually possible after 4-8 weeks. During the recovery period, it is recommended not to lift weights greater than 5 kilograms, not to exercise, not to ride a bicycle, and to avoid thermal baths and saunas.

However, recovery times vary from subject to subject and from case to case.


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    I receive at and Facilities in Milan, Florence, Prato.

    Book your first visit or specialist consultation at the location nearest you.

    For patients living abroad, an initial consultation can also be requested remotely through the contact form.

    Florence | Matteotti Medical Group

    Giacomo Matteotti Avenue, 42
    50132 – Florence (FI)
    Phone: 055 570224

    Florence Castle | Villa Donatello

    Attilio Ragionieri Street, 101
    50019 – Sesto Fiorentino (FI)
    Phone: 055 50975

    Prato | Life Medical Practice

    141 Republic Avenue
    59100 – Prato (PO)
    Phone: 0574 583501

    Milan | Columbus Clinic Center

    Via Michelangelo Buonarroti, 48
    20145 – Milan (MI)
    Phone: 02 480801

    Dr. Andrea Cocci

    urologist and andrologist

    The choice to devote my professional life to urology and in particular to andrologic and reconstructive surgery is the result of a deep passion for anatomy, the art of surgery and in general the diagnostic therapeutic process leading to patient recovery. Oncological pathology, infertility, erectile dysfunction, penile disease, or simply prostate disorders irretrievably afflict not only the individual but also the couple dimension.

    Received at:
    Florence, Milan, Prato

    Dr. Andrea Cocci
    Urologist and andrologist

    I have full conviction that listening to the patient, carping about his or her needs, and assessing his or her expectations is the only way to establish a therapeutic program of success and satisfaction for both physician and patient.