Three-Piece Penile Prosthesis in Difficult Cases and Diabetic Patients

Three-Piece Penile Prosthesis in Difficult Cases and Diabetic Patients

Three-Piece Penile Prosthesis Solutions in Difficult Cases and Diabetic Patients

Erectile dysfunction can arise from psychological stress, but it also frequently develops as a consequence of organic disease. In men with long-standing diabetes, following radical prostate cancer surgery, or with serious cardiovascular disorders in particular, first-line treatments such as medication or shock wave therapy may prove insufficient.

It is at this point that the gold standard treatment comes into play, restoring the patient's anatomical and sexual function with a completely natural appearance: the three-piece penile prosthesis. Below we examine in depth the advantages of this intelligent system in difficult cases, as fitted by Op. Dr. Taylan Yanar at our clinic in Mavisehir, Izmir.

Why the Three-Piece Prosthesis in Particular?

Penile prostheses are divided broadly into malleable (one-piece) and inflatable (two- or three-piece) types. However, in patients whose tissue elasticity has diminished over time, as in diabetes, or who have nerve damage following surgery, maximum comfort is provided by the three-piece penile prosthesis.

1. Flawless discretion and naturalness: the three-piece system consists of a pump concealed in the scrotum, a fluid reservoir placed within the abdomen and cylinders inside the penis. Unless the patient chooses otherwise, the penis remains completely flaccid and soft. It cannot be detected under swimwear or close-fitting clothing.
2. Maximum rigidity: when the pump is pressed before intercourse, fluid from the reservoir fills the cylinders. This achieves not only length but also a natural fullness in circumference together with maximum firmness.
3. Minimal pressure on tissue: one-piece prostheses, which remain permanently rigid, exert constant pressure on the tip of the penis. Because skin healing is slower and tissue more delicate in diabetic patients in particular, the ability of the three-piece system to remain flaccid reduces skin irritation and complications to a minimum.

The Three-Piece Prosthesis After Prostate Cancer Surgery

During radical prostatectomy (removal of the prostate) performed in the treatment of prostate cancer, the nerves running to the penis that enable erection may be damaged unintentionally. Even when these patients feel sexual desire, they cannot achieve a physical erection. The three-piece penile prosthesis creates a mechanical erection without requiring the nerve network, allowing patients to return fully to their sexual life after cancer. Moreover, this in no way prevents the sensation of orgasm or the experience of pleasure.

Frequently Asked Questions

I am diabetic. Can I have three-piece penile prosthesis surgery?

Yes. Once your blood sugar values (HbA1c) are under control before the operation and high sterilisation standards are applied, you can undergo surgery safely.

Is the prosthesis noticeable from the outside?

Because the three-piece system is integrated entirely within the body, it is impossible to detect by sight or by touch. Even your partner will not notice it unless you say so.