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From the University of Illinois at Chicago Medical Center (updated 2/00)

blue ball

General Information

Definition Insertion of semiflexible plastic bars or an inflatable prosthesis in the penis. The former produces a permanent, partial erection. The latter can be inflated at will.
Body Parts Involved Penis.
Reasons for Surgery Impotence.
Surgical Risk Increases With blue ball  Obesity.
blue ball  Smoking.
blue ball  Stress.
blue ball  Poor nutrition.
blue ball  Recent or chronic illness.
blue ball  Alcoholism.
blue ball  Use of drugs such as: antihypertensives; muscle relaxants; tranquilizers; sleep inducers; insulin; sedatives; beta-adrenergic blockers; or cortisone.
blue ball  Use of mind-altering drugs, including: narcotics; psychedelics; hallucinogens; marijuana; sedatives; hypnotics; or cocaine.
blue ball What to Expect
Who Operates Urologist.
Where Performed Hospital.
Diagnostic Tests blue ball  Before surgery: Blood and urine studies.
blue ball  After surgery: Blood studies.
Anesthesia blue ball  Spinal anesthesia by injection.
blue ball  General anesthesia by injection and inhalation with an airway tube placed in the windpipe.
Description of Operation Plastic Implant:
blue ball  An incision is made in the underside of the penis.
blue ball  The tissues on both sides of the urethra are expanded to allow placement of the implants.
blue ball  An implant is placed on each side of the urethra.
blue ball  The skin is closed with sutures that will be absorbed by the body. Inflatable Prosthesis:
blue ball  An incision is made in the top side of the penis.
blue ball  The penile tissue is stretched to allow placement of the prosthesis. The fluid reservoir for the prosthesis is implanted under the skin above the bladder at the base of the pelvis. The prosthesis can be inflated by applying pressure on the reservoir.
blue ball  The skin is closed with sutures that will be absorbed by the body.
Possible Complications blue ball  Surgical-wound infection.
blue ball  Rejection of synthetic implants.
blue ball  Erosion of skin or urethra.
blue ball  Mechanical failure.
Average Hospital Stay 3 to 7 days.
Probable Outcome Expect complete recovery without complications. Allow about 4 weeks for recovery from surgery. Penile sensations and sexual arousal should be near normal.
blue ball Postoperative Care
General Measures blue ball  A hard ridge should form along the incision. As it heals, the ridge will recede gradually. After healing, the prosthesis should cause no discomfort.
blue ball  Use an electric heating pad, a heat lamp or a warm compress to relieve incisional pain.
blue ball Bathe and shower as usual. You may wash the incision gently with mild unscented soap.
Medication blue ball  Your doctor may prescribe: Pain relievers. Don't take prescription pain medication longer than 4 to 7 days. Use only as much as you need.
blue ball Antibiotics to fight infection.
blue ball  You may use non-prescription drugs, such as acetaminophen, for minor pain.
Activity blue ball  Avoid vigorous exercise for 6 weeks after surgery.
blue ball  Resume sexual relations when your doctor determines that healing is complete.
blue ball  Resume driving 1 week after returning home.
Diet No special diet.
blue ball Call Your Doctor If
blue ball  Pain, swelling, redness, drainage or bleeding increases in the surgical area.
blue ball  You develop signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.
blue ball  You experience new symptoms such as nausea, vomiting, constipation or abdominal swelling.
blue ball  You have pain or difficulty with urination.
blue ball  New, unexplained symptoms develop. Drugs used in treatment may produce side effects.

To view 3 line drawings of the surgical procedure, click here.

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