Re-endophalloprosthesis is a repeat surgical intervention during which a previously implanted penile prosthesis is replaced or corrected. Such an operation is necessary in cases when primary endophalloprosthesis did not provide the expected result, complications occurred, or the implant failed. The main goal of re-endophalloprosthesis is the complete or максимально possible restoration of erectile function and elimination of physical discomfort.

Repeat penile prosthesis implantation is an important stage of treatment for men who have long suffered from erectile dysfunction and already have experience of surgical intervention. In many cases, problems with the penile prosthesis negatively affect not only the physical condition, but also the psycho-emotional state of the patient, his self-esteem and quality of intimate life.

Unlike primary implantation, re-endophalloprosthesis requires special precision, surgical experience and thorough preoperative preparation. That is why it is important to обратиться to specialized medical centers where such operations are performed regularly and in accordance with modern standards of urology.

When repeat penile prosthesis surgery is required

The need for re-endophalloprosthesis may arise for various reasons, both in the early postoperative period and years after implantation of the penile prosthesis. Most often, patients consult a doctor with complaints of pain, malfunction of the implant, or inability to have полноценный sexual intercourse.

Mechanical failures are one of the main reasons for repeat intervention. Over time, components of the penile prosthesis may wear out, especially if the implant has been used for many years. In inflatable models, pump malfunction or fluid leakage may occur, making the use of the prosthesis impossible.

Another serious cause is infectious complications. Infection may develop immediately after surgery or after a long time, especially in the presence of concomitant diseases such as diabetes mellitus or reduced immunity. In such cases, re-endophalloprosthesis is often performed in several stages.

Main indications for repeat penile prosthesis surgery:

  • mechanical failure of the penile prosthesis or its individual elements;

  • malfunction of the inflatable mechanism;

  • infectious complications;

  • erosion or displacement of the implant;

  • chronic pain or discomfort;

  • unsatisfactory functional or aesthetic result.

Timely consultation with a urologist allows proper assessment of the situation and determination of the optimal treatment strategy without risk to the patient’s health.

Specific features of re-endophalloprosthesis

Re-endophalloprosthesis is one of the most technically complex operations in urology. During the intervention, the surgeon works with tissues that have already undergone surgical impact, have scar changes or signs of inflammatory process. This significantly complicates access and requires a high level of surgical skill.

Before repeat prosthesis implantation, comprehensive diagnostics is mandatory. It includes laboratory tests, instrumental examinations, assessment of the condition of the cavernous bodies and analysis of the type and condition of the implanted device. This approach allows minimizing risks and correctly selecting a new penile prosthesis.

In some clinical cases, re-endophalloprosthesis may be performed in stages. For example, in the presence of infection, the old implant is first removed and the inflammatory process is treated, and only after complete recovery is re-implantation performed.

Particular attention during surgery is paid to preserving the anatomical structure of the penis and achieving a stable functional result. Properly performed re-endophalloprosthesis allows the patient to return to полноценная sexual life after the rehabilitation period.

Preparation for re-endophalloprosthesis

Preparation for re-endophalloprosthesis is one of the key stages of successful treatment. Since this is a repeat surgical intervention, the doctor must carefully assess the condition of the penile tissues, the presence of scar changes, the functionality of the previously implanted device and the general health condition of the patient.

At the preparation stage, a comprehensive examination is carried out, which usually includes laboratory blood and urine tests, screening for infections, ultrasound or other instrumental diagnostics. Special attention is paid to the detection of inflammatory processes, as their presence may require postponement of surgery or staged treatment.

Analysis of concomitant diseases is also important, in particular diabetes mellitus, cardiovascular pathologies and blood clotting disorders. If necessary, the patient is referred for consultation to related specialists to correct the condition before surgery.

During preparation, the doctor подробно discusses with the patient the type of future penile prosthesis, possible risks, stages of the operation and the expected result. This approach not only increases the safety of the intervention, but also helps to form realistic expectations regarding restoration of sexual function.

Postoperative period and recovery

After re-endophalloprosthesis, the patient remains under medical supervision to monitor general condition and prevent possible complications. In the first days after surgery, swelling, moderate pain or discomfort may occur, which is a normal reaction of the body to surgical intervention.

During the postoperative period, it is important to follow the doctor’s recommendations regarding hygiene, physical activity and medication support. If necessary, antibacterial therapy, analgesics and anti-inflammatory drugs are prescribed. Regular follow-up examinations allow assessing the healing process and the functionality of the implant.

The rehabilitation period after re-endophalloprosthesis may last several weeks. During this time, the patient is advised to refrain from sexual activity, intense physical exertion and actions that may affect the position of the implant or the healing process.

Return to sexual activity is possible only after the doctor’s permission, when the implant is fully integrated and the tissues have recovered. With proper postoperative management, re-endophalloprosthesis allows achieving a stable functional result and significantly improving the patient’s quality of life.

Advantages of re-endophalloprosthesis at «Oxford Medical»

The medical center «Oxford Medical» specializes in the treatment of complex urological pathologies, including surgical penile prosthesis implantation. Operations are performed by urologists with extensive practical experience who use modern surgical techniques for the treatment of erectile dysfunction.

The clinic uses only certified penile prostheses from leading global manufacturers. The choice of implant type is made individually, taking into account the patient’s previous experience, anatomical features and the reasons for failure of primary prosthesis implantation.

An important advantage is a comprehensive approach to treatment. The patient undergoes all stages – from consultation and diagnostics to surgery and postoperative follow-up – within one medical institution, which ensures continuity and quality control of treatment.

Special attention at «Oxford Medical» is paid to confidentiality and psychological comfort of patients. Men receive detailed explanations of each stage of treatment, prognoses and expected results, which helps reduce anxiety and make an informed decision.

Re-endophalloprosthesis is an effective and justified treatment method in cases when primary penile prosthesis implantation was complicated or did not provide the desired result. Repeat surgery allows correcting technical errors, replacing a malfunctioning implant and restoring erectile function.

The success of re-endophalloprosthesis largely depends on the surgeon’s experience, proper preoperative preparation and an individual approach to each patient. These factors are key to achieving a stable and long-term result.