Could you tell us a little bit more about the inflatable penile surgery?
You can think of it as a dental implant so when you have a dental implant
it restores your ability of chewing it doesn't take away any of the
sensations, taste, salivation or swallowing it doesn't affect any
other function. Penile implant is just like that it only restores the erectile
function other than that sensation, orgasm, voiding function, nothing else is changed
This is actually the penile implant model, this goes to the
penile corpora(shaft) and this one goes to the scrotum so
it's completely sealed from the outside and there's a reservoir
where the saline is contained so it's a
hydraulic device. So if you press it, it becomes hard and erect to use and then
if you release it, it becomes a flacid again. So from the outside view
seldom they can tell the difference. Actually eighty
percent of my patients do not tell their spouses about getting the surgery so
when they touch it they can't tell the difference when it gets erect
This one has been developed and used for treatment for the
past forty seven years, so it was invented by Brantly Scott in the
U.S., who is a great neurologist. My teacher Dr. Wilson started his
fellowship during the second fellowship of
Brantly Scott so currently it's become the most durable and dependable implant
compared to any other implant in our body. It's mechanical failure rate
is the lowest and it usually maintains about ten to fifteen years but some
patients have about more than 30 years of usage so a pretty dependable
implant and satisfaction rate is reported differently according
to the other papers but it's between 92 to 98 percent. Many patients
can resume their sexual intercourse after four to six weeks of the surgery
the surgical procedure usually takes about less than an hour
So this implant surgery is quite different from other critical surgeries
like maybe prostate cancer but it's not quite a cosmetic surgery either
how would you regard this type of surgery since you have such a rich
history with it. Actually I was doing cosmetic penile surgeries before I
started, I was trained as a prosthetic urologist, so I have about
1,500 cases of cosmetic phalloplasty experience with myself and now I
have s little more than a thousand cases of the penile implant
surgery so I think there are three types of medicine: the first one is a critical
medicine just like you said it's cancer, heart attack, or stroke
It's a life or death disease, or conditions I'll say. The second
one will be cosmetic surgeries, it's like penile augmentation, breast
augmentation, or nose job. We do for aesthetic purposes those
things I think are vanity surgeries. The third one I believe is something like
penile implant surgery. It's quality of life surgery for example for women we
have incontinence surgery or those who had a radical
mastectomy, we do breast reconstruction. It could be a good example of the
quality of life surgery so this one, penile implant, comes to the quality of
life surgery rather than aesthetic or rather than critical illness so penile
implant goes to quality of life surgery because this can restore a man's manhood
more profoundly than any other treatment you can think of
you