The procedure of expulsion and reimplantation of a three-piece hydraulic penile prosthesis is a highly specialized surgical intervention performed in cases of malfunction, infection, or other complications of the original implant. This type of device, consisting of three main components (cylinders, pump, and reservoir), is used to treat erectile dysfunction unresponsive to other treatments.
The infrapubic approach, chosen for this surgery, provides several advantages, including better surgical access and shorter recovery times compared to other techniques. The procedure was performed at San Sebastiano Hospital in Frascati (Rome) by a highly skilled team consisting of Drs. Gabriele Antonini, Marco Bitelli, and Alberto Berardi, affiliated with the Department of Gynecological-Obstetric and Urological Sciences at La Sapienza University of Rome.
The operation begins with the removal of the damaged or infected prosthesis. Once the old device is removed, the cavity is meticulously cleaned to reduce the risk of infection. The new hydraulic prosthesis is then inserted, ensuring proper placement of all components. The surgery is highly delicate, requiring advanced surgical skills and in-depth knowledge of prosthetic technologies.
The success of the operation relies not only on technical precision but also on rigorous postoperative management. Patients undergo continuous monitoring and receive preventive antibiotic therapy to minimize the risk of complications.
