Project Description

Erectile dysfunction (ED) and male incontinence are two common conditions that can affect men’s sexual health and quality of life. While they are separate conditions with distinct causes, they can sometimes occur together.

Erectile dysfunction is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can be caused by various factors, including physical conditions such as diabetes, high blood pressure, or heart disease, as well as psychological factors such as anxiety, stress, or depression. Certain medications or lifestyle factors such as smoking, alcohol consumption, or lack of exercise can also contribute to ED.

Male incontinence, on the other hand, is the involuntary loss of urine or feces due to a weakened or damaged pelvic floor muscle. This condition can be caused by a variety of factors, including aging, prostate surgery, nerve damage, or other medical conditions. While ED and male incontinence are separate conditions, they can sometimes occur together, especially in older men. Incontinence can interfere with sexual activity, causing embarrassment and anxiety, which can exacerbate ED.

There are various treatment options for ED and male incontinence, ranging from lifestyle changes and behavioral modifications to medication and surgery.

Overall, both ED and male incontinence can have a significant impact on men’s quality of life, affecting their sexual function and emotional well-being. Seeking timely medical attention and tailored treatment can help improve symptoms and overall health outcomes.

About the Masterclass

The appropriate surgery for ED and male incontinence will depend on the underlying cause of the condition and the severity of the symptoms. In some cases, surgery may be recommended when other treatments have been ineffective or are not appropriate.

For ED, the most common surgical treatment is penile implant surgery. In this procedure, a device is implanted into the penis that can be inflated to produce an erection. There are several types of penile implants, including inflatable and non-inflatable devices, and the specific type of implant recommended will depend on the patient’s individual needs and preferences.

For male incontinence, surgery may involve repairing or reinforcing the muscles and tissues in the pelvic area. One common surgical procedure for male incontinence is the placement of an artificial urinary sphincter (AUS). The AUS is a small device that is implanted around the urethra to control the flow of urine. Another surgical option is the placement of a sling or mesh to support the urethra and prevent urine leakage.

Vision

Fix quality of life the patient with ED and Male Incontinence

Mission

Educate, and raise the awareness of professional healthcare that the medical devices already exist in our country

Surgeon message

Dr. Kuncoro Adi, Sp.U(k) Bandung Urogical Center Melinda 2 Hospital

Penile implants or penile prosthesis are medical device which implanted to the patient with dysfunction erection throught surgery process

This procedure is the last tool if alternatives medication or injection no longer achieved to satisfied the patient.

so many causes by etiology that the patients unable to get an erection anymore, due to trauma, the age factor, or abnormal factor of neuro.

Post of surgery, commonly patient can be doing sexual activity after 1 months, because we wait the wound healing process.

The Process of Inflatable Penile Implants surgery

Inflatable penile implant surgery is a surgical procedure that involves the insertion of a device into the penis to allow a man to achieve an erection. Here are the steps involved in the process:

  1. The surgeon makes a small incision in the scrotum or at the base of the penis to create a pocket for the inflatable implant.
  2. The inflatable implant consists of two cylinders, a pump, and a reservoir. The surgeon carefully places the cylinders inside the penis and connects them to the pump and reservoir. The pump is usually placed in the scrotum, and the reservoir is placed in the abdomen.
  3. The surgeon closes the incision with sutures.
  4. After surgery, the patient will need to rest for a few days and avoid strenuous activities. A catheter may be inserted into the bladder to help drain urine for a few days.
  5. After a few weeks of healing, the implant can be activated. The patient inflates the cylinders by squeezing the pump in the scrotum, which moves fluid from the reservoir into the cylinders. This creates an erection. To deflate the implant, the patient releases a valve on the pump, which allows the fluid to return to the reservoir.

The Process of AUS Surgery

Artificial urinary sphincter (AUS) surgery is a procedure used to treat male urinary incontinence. The surgery involves the placement of an artificial sphincter around the urethra, which can be controlled by the patient to regulate urine flow. Here are the teps involved in the process:

  1. The surgery is typically performed under general anesthesia.
  2. The surgeon makes a small incision in the scrotum to access the urethra.
  3. The surgeon carefully places the artificial sphincter around the urethra. The sphincter consists of a cuff, a pump, and a pressure-regulating balloon. The cuff is placed around the urethra, and the pump and pressure-regulating balloon are placed in the scrotum.
  4. The surgeon closes the incision with sutures.
  5. After surgery, the patient will need to rest for a few days and avoid strenuous activities. A catheter may be inserted into the bladder to help drain urine for a few days.
  6. After a few weeks of healing, the artificial sphincter can be activated. The patient can control the sphincter by squeezing the pump in the scrotum, which regulates the pressure in the cuff around the urethra. This allows the patient to control urine flow and prevent incontinence.

For men suffering from erectile dysfunction or male incontinence, penile implant surgery and AUS surgery can have a significant positive impact on their quality of life.

Inflatable penile implants can allow men to achieve an erection, which can improve sexual function and satisfaction. Similarly, AUS surgery can help men control urine flow, which can also improve sexual function and confidence. Men who have had penile implant surgery or AUS surgery may feel more confident and comfortable in social and intimate situations, which can improve overall quality of life. AUS surgery can greatly reduce or eliminate urinary incontinence, which can improve quality of life and prevent embarrassment or discomfort.

By addressing issues related to erectile dysfunction or incontinence, these surgeries can also help improve emotional well-being, reduce stress and anxiety, and improve overall quality of life.