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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

46

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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

60

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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

45

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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

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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

23

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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

38

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01:14

Inflation Penile Prosthesis: First Deflation and Cycling After One Week

In the “Prosthesis Deflation One Week Post-Implant” video, patients learn autonomous deflation of inflatable penile prosthesis by touching the pump and release button. Instructions cover device activation/deactivation, starting daily cycling: inflate 1 hour morning + 1 hour evening to fill corpora cavernosa for erection, then deflate. First sexual intercourse possible after two weeks .

6 January 2026

12

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03:39

Penile Prosthesis Suture Removal: Timing and Safe Procedure

Penile prosthesis suture removal uses small metallic clips removed after 10-12 days allowing solid scar formation around underlying tubes. Simple procedure with dedicated device performed without haste to avoid rare tube extrusion risks. 2-3 day delay adds safety without discomfort .

6 January 2026

53

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00:41

Post-Operative Hygiene After Penile Prosthesis: First Week Care

Igiene post protesi first week post-implantation: wash “by parts” (no shower/bath) to protect surgical wound; afterward quick shower with waterproof bandage over suture. Avoid bathtub immersion to prevent wound reopening .

6 January 2026

36

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Penile Prosthesis: When Surgery Transforms Life with Peyronie’s Disease and Erectile Dysfunction

For many men, Peyronie’s disease and erectile dysfunction are not just medical conditions, but true challenges that deeply affect self-esteem and quality of life. When conservative therapies don’t yield the desired results, urological surgery can offer a definitive and transformative solution. On Penile Surgery Tube, we’re dedicated to exploring penile implants, and specifically the penile […]

18 July 2025

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38:42

From Venous Leak to Surgical Solution: The Excellence of Dr. Gabriele Antonini’s Penile Implant with Inguinal Incision

The Surgical Path to Resolving Severe Erectile Dysfunction In the field of urological surgery, complex erectile dysfunction (ED), particularly that arising from vascular problems like venous leakage, demands specialized and targeted interventions. Giacomo’s story, a 24-year-old patient, vividly illustrates a journey that, after six years of frustration with conservative therapies—including PRP injections, shockwave therapy sessions, […]

10 July 2025

632

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16:35

Penis Bent at 90 Degrees: How a Prosthesis Changed My Life

Hi everyone, I’m Giovanni, and today I want to share a very personal part of my life, hoping my experience can help anyone facing similar challenges. At 54, my life took an unexpected turn due to a severe car accident that left me with a fractured pelvis and many other issues. Among these, the most […]

1 July 2025

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