Therapy operation

Nowadays an operation is only still rarely urgently fundamental to the avoidance of impotence due to latest medicinal therapy shapes. An operation can be nevertheless often considered a last resort for a repair of the potency. The main indication is at a solid organic lesion the none of the other therapies is feasible. However, patients also decide in favor of an operation which other therapeutic methods don't want to stand or carry out. The share of operative methods is approx. 5% of the cases today.

Objective of an operation is the repair of the erection ability. There are different operation methods like vessel surgical OP, implants, reconstructive OP. The decision to the operation must be thought over well since there isn't any possibility of restoring the condition in front of the OP.

Arterial operations
The arterial inflow is improved as in the case of a bypass operation at the heart. By rise of the blood one current the corpus cavernosums are provided with more blood and the erection ability improved. The success rates are described very swayingly in the literature approx. 25 to 80%. The long time results are partly very disappointing. (Revascularization surgery)

Venous operation
It can be that the reason of an impotence is due to a venous leak (venous leakages). This leak is closed by veins no longer able to work at the operative therapy by ligature or resection. One also can stick the veins together or an embolization (artificial stop up) have a try. Is valid also here, that the long time successes aren't good particularly, however? The answer-to-seize ratio is in the 1st year at 20 to 80% how came after the 1st year for a clear removal of the success.

Penis implants
This method is only used very rarely today. The operation cannot be undone any more. A prosthesis is put into the penis to maintain the erection artificially. Many structures are damaged or removed completely at the operation. There are the simpler flexible implants these some are susceptible and simple in the handling. The penis simply is bent up and is supported by the prosthesis to make a sexual intercourse possible. The penis size or the volume doesn't change. The penis is inflated at the more susceptible hydraulic prostheses. The penis also changes the size at this prosthesis. The infection risk is greater and the handling difficult.

Both operative procedures don't have influence on the orgasm ejaculation ability.

Plastic reconstruction at penis curvature
It can come from technical difficulties to the failure with the sexual intercourse at penis curvatures. Gives these aren't described to 2 methods here more precisely around the penis again into the right things to give a better understanding of an anatomical shape. (Nesbit operation and Schröder/Essed OP)


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