VIDEO GUIDE

0

01:18

Video Book Antonini: Complete Guide to Penile Implant Procedure

Dr. Gabriele Antonini, functional urology specialist, presents a comprehensive video-book explaining all pre-, intra-, and post-implant stages of the three-component hydraulic penile prosthesis. This content helps undecided patients considering surgical options and those with post-operative questions answered through short videos .

6 January 2026

52

0

03:08

Penile Prosthesis: Malleable vs Hydraulic Three-Piece

Penile prostheses have been available for over 50 years with two main types: malleable (rigid in corpora cavernosa, manually positioned, less concealable) and hydraulic three-piece (inflatable cylinders, scrotal pump between testicles, bladder reservoir; activated/deactivated for natural erection, completely hidden and physiological) .

6 January 2026

22

0

03:05

Infrapubic Technique: Fast Penile Prosthesis Implant

The infrapubic technique for penile prosthesis implantation uses a small incision at the penis base, avoiding scrotal cuts: corpora cavernosa are minimally dilated and preserved while positioning the two cylinders inside. Through the same incision, the reservoir goes near the bladder and the pump behind the scrotal sac, making it invisible until use, which creates […]

6 January 2026

41

0

02:29

Pre Operative Penile Prosthesis Preparation Protocol

Pre operative penile prosthesis preparation ensures surgical safety through comprehensive medical evaluation and infection prevention. Patients complete blood tests, urine culture (to exclude infections), ECG with cardiology assessment, and chest X-ray for complete clinical picture. Seven days prior: daily genital washes (3-4 minutes with neutral soap up to navel) without cutting hair (clipping done in […]

6 January 2026

46

0

02:56

Infrapubic Approach Penile Prosthesis: Concealed vs Penoscrotal

The infrapubic approach penile prosthesis implantation differs significantly from the traditional penoscrotal technique in incision location, tubing routing, and aesthetic outcomes. Penoscrotal approach uses a scrotal incision with short, direct tubes to a superficially placed pump that’s easily visible and palpable. This method remains internationally widespread due to its simplicity and direct access . Conversely, […]

6 January 2026

20

0

02:05

Erectile Dysfunction Diagnosis: Color Doppler and Medical History

Erectile dysfunction diagnosis relies on medical history (diabetes, hypertension, dyslipidemia affecting penile arteries), blood tests (testosterone), dynamic color Doppler of corpora cavernosa post-prostaglandin injection to assess arterial flow, erection mechanism, and anatomical anomalies (fibrosis, Peyronie’s plaques with curvature/shortening) .

6 January 2026

29

0

01:03

Prostate Surgery After Penile Prosthesis: Safe Compatibility

Prostate surgery after penile prosthesis implantation presents no contraindications—oncologic (prostatectomy) or benign (BPH) procedures via endoscopic, laparoscopic, or robotic approaches proceed safely. Patients must inform the urologist about the implant for procedural facilitation, assuming surgeon competence with prosthetic devices . Prostate surgery after penile prosthesis compatibility stems from anatomical separation: cylinders reside in corpora cavernosa, […]

6 January 2026

12

0

04:03

Sensations with Penile Prosthesis: Preserved Natural Feeling

Sensations with penile prosthesis address common patient concerns: the corpora cavernosa tissue remains intact during implantation, preserving arteries for complementary vascular erections (warm penis, partial/morning erections). The mechanical erection via pump activation becomes more physiological with sexual stimulation—increasing circumference and glans engorgement—for results superior to pre-implant natural function: rigid, durable, without changes in sensitivity, orgasm, […]

6 January 2026

35

0

01:31

Post-Operative Penile Prosthesis Care: Avoid Traction and Pump Management

Cure post operatorio protesi requires avoiding penile traction to prevent breaking base sutures causing bleeding; vary flaccid positions (high/low/lateral) to prevent scar defects from fixed positioning. Pull down scrotal pump to avoid tubing visibility/retrograde migration, keeping low first 20-30 days; no longer needed afterward .

6 January 2026

34

0

01:41

Penile Prosthesis Management After First Week: Cycling Protocol

Penile prosthesis management after first week begins daily cycling: inflate 1 hour morning + 1 hour evening by pressing pump to circulate fluid through cylinders for rigid erection, then press deflation button for complete release. Send WhatsApp drainage photos every 12 hours to surgeon, continue oral antibiotics, bed rest, light painkillers; avoid abdominal straining to […]

6 January 2026

122

0

02:09

Deflating Penile Prosthesis Drain: Home Management Protocol

Deflating penile prosthesis drain: detach, photograph contents (WhatsApp for serum monitoring 30-40 ml/day), empty into toilet, compress pump to restart suction, close with blue cap; pump must stay compressed (suction active). Outpatient removal after 3-5 days (depends on vascularization/age); block pump during withdrawal to prevent backflow .

6 January 2026

13

0

01:36

Penile Prosthesis Drainage Management: Post-Op Protocol

Penile prosthesis drainage post-operatively: patient discharged with erect penis and scrotal drain emptied every 12 hours (8am/pm), sending WhatsApp photos for monitoring. Erection promotes hemostasis (no cavernosal bleeding), drainage prevents scrotal swelling from minimal serum/blood; empty into toilet by compressing bulb to restart suction .

6 January 2026

22