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Penile prosthesis or penile implant surgery is performed as a treatment for men with erectile dysfunction and in some cases to increase the size of the penis (Penis Augmentation). These devices are either malleable (bendable) or inflatable. The simplest type of prosthesis consists of a pair of malleable rods surgically implanted within the erection chambers of the penis, under general anesthetic. With this type of implant, the penis is always semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sex. This type of implant is a good choice for men with spinal cord injuries and/or limited hand strength. Today, many men choose a hydraulic, inflatable prosthesis, which allows them to have an erection when they choose, and it's easier to conceal. It is also more natural.
A penile implant is usually used when there is a clear medical cause for erectile dysfunction and when the problem is unlikely to resolve or improve naturally or with other medical treatments. Sometimes a penile prosthesis is implanted during surgery to reconstruct the penis when scarring has caused erections to curve (Peyronie's disease).
The price of a Penile Prosthesis in Japan can vary widely because of several influencing factors. The total cost may vary depending on your health condition's severity, the treatment plan chosen, the quality of the implants utilised, and any additional medical treatments.
Even while the cost factor could sound alluring, it needs to be looked at from a wider angle. The skill of the surgeon, the reputation of the hospital, the outcomes for successful patients, and your degree of comfort with the medical personnel are all crucial factors to take into account. It is advised to discuss the overall fees and acceptable forms of payment with your chosen clinic when you first meet with them.
Before the procedure, you will need to consult with your doctor and it is okay to feel nervous about having surgery on the penis and discussing the risks, benefits, and what to expect with your doctor may reduce your anxiety. Sometimes, you may need to undergo some tests before the procedure to make sure there are no underlying health concerns. During your consultation with your doctor, you will have a full discussion regarding the type of implants you can choose. The main types of penile prosthesis are:
Once you have chosen the type of prosthesis you want, your doctor will give you instructions on how to prepare for the surgery. You normally will be asked to fast for a certain amount of time before the surgery and to shave the area. During the surgery, you may be given general anesthesia, however, there are some cases where patients are given spinal anesthesia, which blocks pain in the lower part of your body. Your surgeon will also give you IV antibiotics to help prevent infection.
An incision will be made in the penis below the head, and your surgeon will place the implant through the incision. Your surgeon will customize the size of the implant based on your body and penis size. If you choose inflatable implants, your surgeon will make small incisions in the scrotum to place the pump and valve. If your surgeon is implanting a three-piece inflatable device, they will also make incisions in the abdomen to place the fluid reservoir. The incisions will be closed by stitches and the surgery can take from one hour to two hours to complete.
A penile prosthesis surgery can be carried out at an outpatient surgery facility or hospital. You should be able to go home on the same day of the surgery once the effect of the anesthesia wears off. However, you may have to stay in the hospital for two to three nights. The whole procedure requires at least 10 to 14 nights stay in the Japan because you will need to attend follow-up checkups and for the stitches to be removed.
After the surgery, you will likely need to take medications to help ease the pain and you may feel mild pain for several weeks. Some swelling and bruising may occur for the first few days. You will be advised to avoid water in the penis areas for at least a week.
Most patients can go back to strenuous physical activity and sexual activity within four to six weeks. It is best to ask your surgeon when you can resume your normal activity and sexual intercourse. During your recovery period, you will have to take antibiotics to prevent infection and the incisions will heal within five days following surgery.
Your doctor will give you post-operative care instructions which you will need to follow. For the first few days when you still have swelling, you can use ice to help to decrease it. However, you should not place it directly on the scrotum or penis as it may cause skin damage. You might need to keep your penis up on your lower abdomen and pointing toward your belly button during your healing process to prevent downward curvature.
Your doctor may also recommend you fully inflating and deflating inflatable implants twice a day so you can practice using the implant. This activity can also help stretch the surrounding tissue. For two weeks following the surgery, you will have to wear supportive underwear or a jockstrap.
A penile prosthesis surgery has a high success rate, with about 80% to 90% of men satisfied with the results. Around 90% to 95% of inflatable prosthesis produce erections suitable for intercourse. 60% to 80% of implant devices will continue to work for ten years.
For an in-depth analysis of the pros and cons of Penile prosthesis, watch this short video.
A penile prosthesis is one of the best and most effective treatments for erectile dysfunction, but there are other alternatives if you do not want to undergo surgery. Many men can take oral medications such as Sildenafil, Tadalafil, Verdenafil, and Avanafil. Another alternative is to use a penis pump, which is a hollow tube with a hand-powered or battery-powered pump.
Before the operation, a comprehensive medical check-up will be conducted, and your doctor will converse with you about your health history. This could involve blood analysis, diagnostic scans, and assessments of your heart's functionality to verify your suitability for the operation. It also serves as a chance for you to inquire and express whatever apprehensions you may have about the operation. Some patients may also need to interrupt or modify their current medications, notably those that thin the blood, to reduce any chances of heavy bleeding during the operation.
Post a Penile Prosthesis, you should prepare yourself for potential discomfort and inflammation around the area of the operation. Adhering to the provided medication and aftercare guidance will promote healing and prevent any complications. It is essential to maintain cleanliness in the operating area, make it to your follow-up reviews, and monitor your body for any signs indicating an infection or complications. You may also receive clear directives on how to handle your implant for the initial period post-surgery.
Over time, you should prepare to recommence sexual activities. Nonetheless, it is crucial to understand that a Penile Prosthesis enhances erectile performance, but it doesn't tackle other sexual problems or enhance sexual prowess. If these issues remain, it might be beneficial to talk about them with your healthcare expert.
Although the success rate is high, there are still complications and risks that you should be aware of.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Japan is special in its own way; the culture, food, people, as well as technology are envied by the world over. With old Japan, comes the ancient tradition in the form of a geisha performance, onsen (hot spring) visit in the mountains, tea ceremony, or shrine visit. In contrast, there is modern Japan, full of smart systems and electronics, colorful advertisements and displays, and ultra-modern architecture. In recent years, Japan has become one of the top destinations in the world for oncology treatments and sees many tens of thousands of medical tourists each year. Many of these travel from within the region, including China and Korea, but they are unable to compete with the SE Asian nations with prices. Private hospitals are located across the country, with a particular focus in major cities like Tokyo, Kyoto, and Osaka. 25 of these facilities are JCI-accredited, with many offering Penile Prosthesis procedures.
Located in the Pacific Ocean, Japan is a stratovolcano archipelago. The four largest islands are Honshu, Hokkaido, Kyushu, and Shikoku. With a population of 127 million, 98% are ethnic Japanese. The country perfectly balances traditional with modern technology. Tourists will first see its exceptionally modern face, but after traveling around, they will find many opportunities to connect with the beautiful traditional culture.
Japan has four distinct seasons.
The main airport for international tourists is the Narita International Airport. It is located around 60km east of central Tokyo. It serves both domestic and international flights to almost every major city around the globe. There are several budget airlines that operate flights from this airport, namely Jetstar Japan, Eastar Jet, and Peach. There are other international airports such as Kansai International Airport, New Chitose International Airport, and Kyushu Saga International Airport.
To get to Tokyo from Narita Airport, tourists can use the rail, bus, taxi, or car rental. The most affordable train line is the Keisei Line that connects with the Toei Asakusa Subway Line and the Yamanote Line, it costs around ¥1,190 to ¥1,230 ($10 to $11.3). There’s also the Sky Access Express train that offers better access to Tokyo, a trip to Asakusa will cost around ¥1,290 ($11.9) and take about 58 minutes. The quickest way to get to Tokyo will be by the Skyliner train, it takes just 36 minutes to Nippori and will cost around ¥2,470 ($22.7). The airport introduced N’EX Tokyo Round-Trip ticket for foreign passport holders that provides round-trip travel from Narita to Tokyo and back for ¥4,000 ($37) for adults and ¥2,000 ($18.4) for children.
A regular taxi from Narita to Tokyo is very expensive, usually over ¥20,000 ($184). The best option is the shared minibus that starts with ¥6,180 ($57) per person. Buses are usually more affordable, the Limousine Bus costs ¥2,880 ($26.5) and the Tokyo Shuttle costs around ¥900 ($8) to ¥1,000 ($9).
Getting around Japan is fairly easy because the country has excellent public transportation. It is recommended to get a Japan Rail Pass. Japan’s bullet train is fast but expensive. There are cheaper train options. Buses are less expensive but will take more time than trains.
Citizens of 68 countries and territories can enter and stay in Japan for up to 90 days without a visa. Citizens of Indonesia, Brunei, and Thailand are granted a 15-day visa-free trip to Japan. Citizens of the United Arab Emirates are allowed to stay for 30 days without a visa. It is advisable to contact the nearest Consular Section of the Embassy or Consulate General of Japan for more information.