Professor Shaeer performs penile prosthesis implantation surgery – penile implant surgery ( PPI ) in an average of 35-45 minutes. The gentleman is free to leave the hospital the same day, un-assissted, with full erection.
Sterilization is of utmost importance to avoid complications with penile implant surgery. Therefore, Professor Shaeer employs the following precautions and additional techniques (among others):
- Full blood sugar control prior to surgery
- Pre-operative and post-operative antibiotics
- Antibiotic-coated implants (upon request)
- Dedicated operation room, exclusive for penile implant surgeries. No other surgeries are allowed-in
- No-touch technique: sterile coverings for the patient’s skin, that prevent any contact between the implant and patient’s skin
Furthermore, experience with penile prosthesis implantation surgery is of utmost importance. Success rates have been documented scientifically to be much higher with high volume implanters, performing more than 50 cases of penile prosthesis implantation per year.
Prof.Shaeer has been performing penile implant surgeries since 1996 with an average of 100+ cases per year. He has invented and publicized several surgical innovations that have improved the results.
Also, speed is of utmost importance, since brief surgery time minimizes the risk for penile prosthesis infections. Therefore, a prepared, educated and experienced team is mandatory for a successful penile implant surgery.
Here in are the full steps of penile implant surgery, with illustrations and video
Time Needed : 30 minutes
Penile implant surgery time skin-to-skin is 30 minutes on average
- Pre-operative preparation before penile prosthesis surgery
– Make sure all treatment options for ED have been tried and had failed
– Adjust bold sugar to normal
– Stop anti-coagulant therapy for 5 days under medical supervision
– General medical checkup
– Preoperative routine lab investigations
– Treat any septic focus
– Antibiotics and skin sterilization the evening before surgery
- Anesthesisa for penile prosthesis surgery
Anesthesia can be general or spinal. Local anesthesia can also be utilized for penile implant surgery, though not preferred by most implanters.
Skin sterilization is a major and very important step upon penile prosthesis surgery. It is performed repeatedly along approximately 20 minutes, using alcohol based media and povidone iodine.
- Skin incision for penile implant
The incision for penile implant surgery can be one of many, all hidden in natural creases or previous scars:
– penile prosthesis surgery through the subcoronal incision, at the circumcision scar – if any.
– penile prosthesis surgery through the penoscrotal incision between the undersurface of the penis and the scrotum
-penile prosthesis surgery through the pubic incision in the upper surface of the base of the penis, at its junction with the abdomen
-penile implant surgery through the abdominal crease incision, whereby the pubic skin and fat can be reduced to reveal the penis and enhance its length. This is one of the inventions of Prof.Shaeer
- Identification of the corpora cavernosa
The corpora cavernosa are the erection cylinders where a penile implant is inserted. They are identified, protecting the other structures of the penis such as the urethra, blood vessels and nerves.
Corporotomy is the incision of the corpora cavernosa. They are superficial cuts on the envelop of the erection cylinders, one on each cylinder (two of them)
- Dilatation of the corpora cavernosa
The erection cylinders are dilated to maximum length and girth within safety. They are then measured in length and width from within, to determine the right size of penile implant to be inserted. The surgical site is irrigated with antibiotic solution all through to maintain aseptic technique. Surgical gloves are changed frequently as well.
- Insertion of the penile implant
The penile implant is inserted, one cylinder into each corpus cavernosum. In case of an inflatable penile implant, a pump is inserted in the scrotum and a reservoir in the abdomen, all through the same incision.
- Corporotomy closure
The Corporotomy incisions are closed over the implant, and several facia layers are closed over the cuts for further protection
- Skin closure
After penile prosthesis implantation, the skin is closed in layers with absorbable sutures that do not require cutting, but dissolve spontaneously
- Hegar Dilator
- Coloplast Genesis Penile Implant
- Coloplast Titan penile prosthesis
- AMS tactra penile implant
- AMD 700 penile prosthesis
Penile Prosthesis Implantation through the peno-scrotal incision, plus elongation and web excision
Penile Prosthesis Implantation through the sub-coronal incision
Patient can usually leave the hospital the same day following penile prosthesis surgery. It is advised that the patient refrains from sexual intercourse for around 45 days after surgery. Antibiotic use following surgery is mandatory. The duration of antibiotic use varies from one implanter to another. When an inflatable penile prosthesis it implanted, inflation and deflation are started 2-3 weeks following implantation. Cycling of the device ( inflation and deflation twice a day ) is advised for 30 days thereafter. As for a malleable penile implant, bending and erecting the penis is allowed after 2 weeks.
The choice for penile prosthesis is very important. The patient should receive full information about the different types , examine their rigidity and understand the pros and cons of each . Prof.Shaeer has a head-to-head comparison video between the different types of penile implant. Cost of the penile implant is also an important factor to be considered especially if the procedure is not covered by health insurance. Malleable penile implants are generally of much lower cost than inflatable penile implants, and are less prone to mechanical failure, though less concealable.
Prof.Shaeer has developed several techniques that are published scientifically and taught in medical education and employed in medical practice. Those techniques enhance the results of surgery. Following penile implant surgery, some patients will complain of some reduction in length. Frequently, this is due to gaining weight and fat accumulation, specifically in the pubic region ( lower abdomen ) around the base of the penis.
Prof.Shaeer invented several techniques to enhance penile length along with penile implant surgery. One of those is tacking the pubic fat inwards right above the base of the penis, through the same penoscrotal incision. Another technique is removing a good bit of fat and excess skin from the pubic region. Both lipectomy and penile prosthesis implantation are performed through the abdominal crease incision.
Further more, many patients with ED have Peyronie’s disease as well. Prof. Shaeer has invented a technique whereby Peyronie’s plaques are removed from within the erection cylinders using the punch forceps, then a penile implant is inserted, through the same incision.
Prof.Shaeer performs penile prosthesis implantation surgery primarily in his self-owned penile implant center in Cairo, Egypt. In Europe, Prof.Shaeer operated in Sarajevo, Bosnia.