How is Penile Prosthesis Implanted for Diabetics and Heart Patients?
Penile prosthesis implantation is considered an optimal solution for cases that have not responded to other treatments, such as sexual stimulants or medications that increase testosterone levels in the blood.

Patients with diabetes and heart conditions require special care and attention. Many wonder if penile prosthesis implantation is suitable for such cases to enhance their sexual function and enjoy the benefits of penile prosthesis like individuals without these chronic diseases. Or is there a risk involved?

How to perform a penile prosthesis implantation procedure for a diabetic patient?

The risks of diabetes lie in cases where blood glucose levels are not well controlled. When blood glucose levels are high, tissues become saturated with glucose, creating a fertile medium for bacteria. The healing process of wounds slows down, and a wound may remain open for a week or more instead of healing in a day or two, increasing the chances of infection.
The implantation of a penile prosthesis requires ideal conditions so that no complications occur. Therefore, the diabetic patient must control his glucose levels before the procedure, which is confirmed by performing a cumulative blood glucose level. It is more accurate than fasting and random blood glucose tests because it shows the extent of the glucose tissue saturation.
When we ensure that the tissues are healthy and that blood glucose levels remain at an acceptable level, we can perform the procedure.
First and foremost, like in all cases, strict sterilization is crucial before, during, and after the procedure. A special prosthesis with an antibiotic-coated layer is chosen. It is implanted inside the penis, emphasizing the importance of preserving the cavernous tissues and arteries in such cases. This ensures that antibiotics reach the area surrounding the implants, which is the key to achieving the highest success rates in penile prosthesis implantation in Egypt and the Middle East, as demonstrated by Professor Adham Zaazaa, especially in delicate cases like diabetic patients.
One of the best techniques that suit these cases is the No-Touch Technique, meaning that the penile prostheses are implanted directly inside the penis without touching any surface of or any part of the patient’s skin to ensure the highest levels of safety and sterilization for the diabetic patient.

How to perform penile prosthesis implantation for patients with heart conditions?

Patients requiring penile prosthesis for erectile dysfunction due to heart conditions need to take special precautions, including anesthesia, as well as undergo an electrocardiogram and echocardiography.
If the patient is taking any anticoagulant medications, these medications are stopped, and suitable alternatives are provided a week before the surgery to control blood clotting and prevent bruises or hematomas in the scrotal sac after the procedure.
By following these simple steps, the patient with a heart condition becomes fully prepared for the surgery, ensuring safety and peace of mind.

Patients with hemophilia or blood platelet disorders require specific arrangements with a cardiologist or hematologist.
Therefore, specific criteria are applied for each disease to enhance safety. Overall, penile prosthesis implantation can be performed safely, taking into account all necessary precautions for each case.