Which is the best implant in malleable?

Which is the best implant in malleable? This is a common question of people from indian Subcontinent where there is no insurance for penile implants. Since, they can't easily afford 3 piece, they are looking for easier option, but eventually turning thier life into hell, with permanent erection of malleable implants. There are different brands of malleable implants. But none of the Malleable implants are good, if you are having normal life style. You can go for malleable only if you are having sedentary life style, where you are sitting on chair or sleeping on bed throughout the day. Coloplast Malleable is okay only if you are having sedentary life, according to many people's experience  Rest of the Malleable implants, are bad all together, forget above active live, you can't even have peace with sedentary life. In otherwords, go for coloplast malleable, if your age is above 60 or 7 or you are old and having sedentary life. In USA even people at 70s also opt for inflatable ...

Penoscrotal Approach vs Infrapubic Approach

 Which is best method of Penile implant surgery?



Penoscrotal:

  • Pros:
    • Alignment of tubes are best as it directly comes out from the cylinders. 
    • Tried and proven method from many years

Infrapubic:

Pros:

  • less painful.
  • no damage to urethra at any case. 
  • Need not to put catheter during surgery
Cons:
  • Blood vessel bundle and nerve bundle may pinch in infrapubic. 
  • In infrapubic, tubes will be always near dorsal blood vessels bundle of corpora.
  • Bad alignment, 3 tubes come over either left and right side may cause pressure on vas deference
  • Creates extra pressure on epididymis 

 





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