Guide to Erectile Dysfunction Surgery

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Surgery for erectile dysfunction (ED) is typically considered a last resort and is usually recommended when other treatments, such as medications or lifestyle changes, have not been successful.

Fildena 100 is a medication for erectile dysfunction (ED), and it is not a surgical procedure. 

It’s important to note that not all cases of ED require surgery, and the decision to undergo a surgical procedure should be carefully evaluated and discussed with a healthcare professional. Here is a general guide to surgical options for erectile dysfunction:

1. Penile Implants (Penile Prosthesis):

Penile implants are devices surgically placed into the penis to allow men with ED to achieve an erection.

These implants consist of inflatable cylinders placed inside the penis. A pump is implanted in the scrotum, and a reservoir is placed in the abdomen. 

When the pump is squeezed, fluid from the reservoir fills the cylinders, creating an erection.

These are flexible rods implanted into the penis. The penis remains in a semi-rigid state but can be positioned for sexual activity.

The surgery involves making an incision in the penis and placing the implant within the erectile chambers.

Penile implants, also known as penile prostheses, are medical devices surgically implanted to treat erectile dysfunction (ED), especially when other forms of treatment have proven ineffective. 

These implants provide a solution for men who are unable to achieve or maintain an erection sufficient for sexual activity due to various medical conditions.

Squeezing the pump transfers fluid from the reservoir to the cylinders, creating an erection.

To deflate, the pump is pressed again to move the fluid back to the reservoir.

For inflatable implants, cylinders are placed in the erectile chambers, and the pump and reservoir are positioned in the scrotum and abdomen.

2. Vascular Surgery:

Vascular surgery involves repairing or reconstructing blood vessels to improve blood flow to the penis.

It is typically considered in cases where ED is due to blood vessel blockages or leaks.

Different techniques may be employed, including bypass grafting, arterial ligation, or venous ligation, depending on the specific vascular issues.

Vascular surgery is a medical specialty focused on the treatment of diseases affecting the blood vessels, including arteries and veins. 

One significant area of application is in addressing vascular conditions that may contribute to erectile dysfunction (ED). 

Vascular issues, such as arterial insufficiency or venous leakage, can contribute to ED. Vascular surgery may be considered when these issues are identified as the primary cause.

Involves creating a bypass around a blocked artery to restore blood flow to the penis.

A procedure to address venous leakage by ligating (tying off) veins that allow blood to leave the penis too quickly.

A procedure to improve blood flow to the penis by addressing arterial blockages or narrowing.

3. Penile Venous Surgery:

This type of surgery is aimed at preventing blood from leaving the penis too quickly, improving the ability to maintain an erection.

It is considered in cases where there is excessive blood leakage from the penis.

he surgeon may ligate (tie off) veins or use other methods to reduce blood outflow.

Venous leakage occurs when the blood that should remain in the penis during an erection escapes too quickly, leading to difficulty in maintaining an erection.

Fildena 200 contains sildenafil citrate, a phosphodiesterase type 5 (PDE-5) inhibitor, and is used to help men with ED achieve and maintain erections during sexual activity.

Penile venous surgery is considered when venous leakage is identified as a significant and primary cause of persistent ED.

Involves ligating (tying off) veins that allow blood to escape the penis too rapidly during an erection.

The surgeon identifies and ligates specific veins to reduce venous outflow, allowing blood to be retained in the penis for a longer duration.

The surgeon identifies the veins contributing to venous leakage and ties them off to reduce blood outflow.

The surgeon makes an incision, usually in the lower abdomen or the base of the penis, to access the relevant veins.

Important Considerations:

Risks and Benefits:

All surgical procedures carry risks, including infection, bleeding, or complications related to anesthesia. Discuss potential risks and benefits with your healthcare provider.

A comprehensive evaluation, including diagnostic tests such as Doppler ultrasound, is conducted to identify venous leakage as the primary cause of ED.

Regular follow-up appointments are essential to monitor the effectiveness of the surgery and address any concerns or complications.


Not all individuals with ED are suitable candidates for surgery. Candidacy depends on factors such as overall health, the cause of ED, and the likelihood of success with surgical intervention.

Penile venous surgery is typically performed under general anesthesia or regional anesthesia, depending on the specific procedure.


Recovery time varies depending on the type of surgery. Patients typically need to refrain from sexual activity during the initial recovery period.

The surgeon makes an incision, usually in the lower abdomen or the base of the penis, to access the relevant veins.


A thorough evaluation by a urologist or a specialist in sexual medicine is necessary to determine the most appropriate treatment, including the consideration of surgical options.

The surgeon identifies the veins contributing to venous leakage and ties them off to reduce blood outflow.

Recovery time varies, and patients may be advised to refrain from sexual activity for a period after surgery.

Alternative Treatments:

Surgery is typically considered after other less invasive treatments have been explored. These may include oral medications, vacuum erection devices, injections, or psychotherapy.

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Venous surgery is typically considered after other treatments, such as medications or vacuum erection devices, have not been successful.

Post-Surgery Rehabilitation:

In some cases, post-surgery rehabilitation, such as the use of vacuum erection devices or medications, may be recommended to aid in the recovery process.

It’s crucial to approach the decision for ED surgery with careful consideration and a comprehensive understanding of the potential benefits and risks.

Consult with a qualified healthcare professional to discuss your specific situation and determine the most appropriate course of action based on your individual health needs and preferences.







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