54408 Repair of component(s) of a multi-component, inflatable penile prosthesis

Name of the Procedure:

Repair of Component(s) of a Multi-Component, Inflatable Penile Prosthesis
Common name(s): Penile Prosthesis Repair, Inflatable Implant Adjustment or Repair

Summary

In simple terms, this procedure involves fixing any faulty parts of an inflatable penile implant. These implants are devices surgically placed inside the penis to help achieve an erection. The repair ensures the device works correctly and comfortably for the patient.

Purpose

This procedure is done to address malfunction or damage in one or more components of an inflatable penile prosthesis. The goals are to restore proper function of the device, alleviate any associated discomfort, and improve the patient's quality of life.

Indications

• Damage to the prosthesis due to mechanical failure
• Persistent pain or discomfort caused by the prosthesis
• Infection or erosion of the implant
• Difficulty in using the device for sexual activities
• Patient dissatisfaction with the performance of the implant

Preparation

• Follow your doctor's instructions about fasting before the procedure.
• Adjust or stop certain medications as advised, including blood thinners.
• Undergo pre-procedure diagnostic tests like blood work or imaging to assess the implant and overall health.

Procedure Description

1. Anesthesia: The procedure is typically performed under general anesthesia or spinal anesthesia.
2. Incision: A small incision is made in the area where the repair is needed, often near the base of the penis or in the lower abdomen.
3. Repair: The surgeon locates the malfunctioning component(s) of the prosthesis. This may include the pump, cylinders, or reservoir.
4. Replacement or Adjustment: Faulty parts are either repaired or replaced with new components.
5. Repositioning: The prosthesis is thoroughly checked, and components are correctly positioned.
6. Closure: The incision is closed with sutures, and a dressing is applied.

Duration

The procedure typically takes about 1 to 2 hours, depending on the complexity of the repair.

Setting

This procedure is performed in a hospital or an outpatient surgical center.

Personnel

• Urologist or specialized surgeon
• Surgical nurses
• Anesthesiologist

Risks and Complications

• Infection
• Bleeding or hematoma
• Device malfunction or failure
• Scarring and cosmetic issues
• Pain or discomfort
• Anesthesia-related risks
• Erosion or migration of the implant

Benefits

• Restored functionality of the penile prosthesis
• Relief from pain or discomfort linked to malfunctioning components
• Improved sexual performance and satisfaction
• Enhanced quality of life

Recovery

• Follow post-operative care instructions, including wound care and activity restrictions.
• Expect a recovery period of a few weeks before resuming normal activities or sexual function.
• Plan for follow-up appointments to check the repair and device function.
• Pain management will be provided as needed.

Alternatives

• Conservative treatments like oral medications or injections, but these may not be effective for everyone.
• Other types of penile implants, including non-inflatable options.
• Each alternative has its own set of pros and cons, which should be discussed with your healthcare provider.

Patient Experience

• The patient will be under sedation or anesthesia, so they won’t feel pain during the procedure.
• Post-operative discomfort is expected but manageable with prescribed pain medications.
• Most patients experience significant improvement in the function of their prosthesis and overall satisfaction within a few weeks.