The implantation of a Three-Piece Hydraulic Penile Prosthesis represents an advanced solution for treating severe erectile dysfunction when pharmacological therapies are ineffective. Prof. Gabriele Antonini, urologist and andrologist at the Department of Urology, Policlinico Umberto I – Sapienza University of Rome, is a leading expert in this innovative surgical technique.
What is a three-piece hydraulic penile prosthesis?
This implantable device is designed to restore erectile function in patients suffering from severe erectile dysfunction, post-surgical prostate cancer effects, or other debilitating conditions. The AMS CX 700 model is one of the most advanced options available, ensuring a natural result and high patient satisfaction.
The prosthesis consists of:
– Two cylinders inserted into the penile corpora cavernosa
– A pump placed in the scrotum, allowing the patient to activate and deactivate the erection
– A reservoir filled with saline solution, implanted in the abdomen, regulating the fluid flow to the cylinders
This technology enables an on-demand erection with a feel and appearance very close to natural.
The infrapubic approach: an innovative technique
The surgical procedure for implanting the AMS CX 700 prosthesis is performed using the infrapubic approach, a technique that reduces surgical time and the risk of complications. Unlike the penoscrotal approach, the infrapubic technique offers significant advantages:
– Less surgical trauma, resulting in faster healing
– Lower infection risk due to reduced scrotal manipulation
– More precise positioning of the pump and cylinders, ensuring better functional results
Benefits for patients
Patients undergoing three-piece penile prosthesis implantation via the infrapubic approach report high satisfaction due to:
– Quick recovery, with hospital discharge typically within 24-48 hours
– High device reliability, lasting many years without frequent replacement
– Natural aesthetics, with an on-demand erection that does not compromise sensitivity
Final considerations
The three-piece hydraulic penile prosthesis implantation is an effective and definitive solution for patients with severe erectile dysfunction. The infrapubic technique, refined by Prof. Gabriele Antonini, offers significant advantages in terms of safety, recovery, and functionality.
