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Let’s not forget there is one thing we can do for this Erectile Dysfunction patient! It is Penile Prosthesis, with very good results. It May actually save a marriage from going into ruins. Here I’m demonstrating three pieces’ penile prosthesis for this ED (erectile dysfunction) Patient. Surgery Details. The incision given in penal-scrotal, after giving the incision on penal-scrotal we reach the corpora cavernosa which is identified by white planting surface. Stay sutures are taken on either side and then sharp start is given into middle of the stay sutures to open up the corpora cavernosa. This is followed by dilatation of the corpora cavernosa. We use the normal hinged dilator but there are specific dilators available that can be use as well. The advantage of using a hinged dilator is its curve on one side and that can be used for proximal dilatation where the plural curve outwards. Similarly, you can feel tip of the dilator in the corpora cavernosa in the mid lanes area. Having dilated the corpora cavernosa. We now measure with the help of a measurer. Then let’s not forget we need ampule amount of antibiotics solution to be given. Similarly, other side is also dilated. I do both the dilation first with that the exposure of the penile prosthesis is minimal. At the same time, we usually have some technician or another assistant surgeon to prepare the prosthesis. As you can see its very important to get the air bubble out the system or penile prosthesis so that becomes a continence system. The system works with a balloon or bulb place in the scrotum. Generally, in the midline because then there is no question being ambidextrous left handed or right handed. Penile Prosthesis placed in-between the two testicles in the scrotum which I will show you later. Right now we are just having the measurements. The two penile prosthesis are then placed inside the corpora cavernosa, note that we have deflated at this stage. 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Which is then connected with tubing with the help of connecter to the system become continues one. Finally, a space made in this supratours area to accommodate the device that will act as a pump. Now everything become subcutaneous nothing is seen outside. The opening of the scrotal incision is now approximated sutured the pump does not come upward and the incision then closed in layers. Finally, the pump pressed to check that it inflates the slanders and the satisfactory replacement of whole process is then covered with dressing in the semi erect position. The penile prosthesis device kept like that for Six weeks and the patient is asked to wear loos clothing following six weeks of abeyance. It should be ready to use after that. Best of luck to the Person. 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