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Surgical treatment of erectile dysfunction

Erectile dysfunction (previously the term impotence was used) is the constant inability to achieve and maintain an erection sufficient for successful sexual intercourse.

Surgical treatment of ED is indicated in case of ineffectiveness of conservative measures. 

All types of surgical procedures that are used for this problem are successfully performed in our clinic. The correct and individual approach to each clinical situation is important. Proper diagnosis in the preoperative period allows you to choose the optimal way to solve the problem of erectile dysfunction of a particular man.

There are 3 main types of surgical treatment of ED

  • different types of revascularization in arteriogenic ED

  • techniques for eliminating "venous leakage" in venogenic ED

  • falloprosthetics

Various methods of restoring adequate penile blood flow have become popular since the late 70s of the last century. However, the indications for them have significantly narrowed in recent years, due to a deeper study and understanding of the mechanisms of erection, and their effectiveness does not exceed 40-50%.

The most effective surgical method for restoring penile rigidity is phalloprosthetics. The effectiveness of phalloprosthetics reaches 95%.

We use the most advanced penile implants from the world's leading manufacturers, which, along with extensive surgical experience, guarantees excellent postoperative results.

You can return to active sexual activity as early as 6 weeks after surgery.

Hydraulic prostheses are the gold standard in phalloprosthetics, as they mimic a normal erection as much as possible. This is especially true for three-component implants consisting of 2 cylinders, a pump and a reservoir, which are a closed system by connecting special connectors.

A normal erection is a hydraulic phenomenon, which was taken into account when creating these phalloprostheses. During an erection, blood fills the cells of the cylinder, which occupy most of the corpus cavernosum. When the prosthesis is activated, the penis acquires a natural shape. This is achieved by periodically applying pressure to a pump that is implanted into the scrotum. The liquid from the reservoir located in the pre-bubble space enters the cylinders in the corpus cavernosum, and tumescence (erection) occurs. Detumescence is achieved by pressing a special button on the pump, which returns the liquid to the tank.

The erection obtained using these prostheses is close to natural, since the influx of fluid resembles the circulation of blood in the corpus cavernosum when the penis is in an excited state.

The main points that are important to remember

  1. Phalloprosthesis is the ultimate solution to the problem of erection problems.

  2. The entire operation is performed in most cases with a single surgical access, after which there are no postoperative scars.

  3. We preserve the cavernous tissue as much as possible, we simply install an "assistant" that allows us to achieve a full-fledged erection. That is, a residual erection is also preserved.

  4. Sensitivity and all sensations in most cases remain at the preoperative level.

  5. The mechanism of ejaculation practically does not suffer in any way, and the reproductive function is fully preserved.

  6. Lifetime warranty on the implant from the manufacturer.

  7. A phalloprosthesis is just as naturally located in your body as a hip or knee prosthesis. It's up to you to tell your partner about it or not. 

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Reviews

City: -
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
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City: Tyumen
Gratitude
Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

City: -
I got ALL my questions answered
I was at the consultation of Professor Vsevolod Borisovich Matveev... I got ALL my questions answered... And even more...In a word-not a man, but a HUMAN BEING...!!! The staff is friendly, answers all questions, helps, etc... People with health problems come in...They all have no
time for this or that...Employees understand all this and make their stay in the clinic as comfortable as possible...
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City: Moscow
Thanks to A. V. Kovalenko
Good afternoon! Alexey Vasilyevich Kovalenko received a patient in the acute phase of inflammation after examination in another clinic ("clinic" is the key here) with a diagnosis of lifelong catheterization from the head of the urology department. In JSC " EMC " doctor Alexey
Vasilyevich removed the inflammation, established a diagnosis, which was confirmed a month later by additional examinations and successfully performed the operation.The patient is sent home without a catheter to live, work, raise children and be happy.There are no words in the world to express our gratitude to Alexey Vasilyevich!We believe that the clinic of JSC "EMC "(Shchepkina 35) should be infinitely proud of such a specialist and professional in their field!And we wish our doctor a long long life, successful operations and thank you for meeting a real doctor!
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