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Erectile Function Significant Enough for Penetration During Sexual Intercourse after Removal of Inflatable Penile Prosthesis
The Journal of Sexual Medicine, 08/21/2012
Martinez DR et al. – To the authors' knowledge, and after thorough review of the literature, they could not find any reports of erectile function significant enough to take part in sexual intercourse and penetration after removal of a three–piece inflatable penile prosthesis (IPP). The implant usually disrupts the normal anatomy which allows for cavernosal arterial vasodilation and increased blood flow into the corpora. Following dilation of the corpora the cylinders are inserted and inflated, and the smooth muscle that makes up the corpora cavernosum is compressed against the wall of the tunica albuginea. Theoretically, the remaining smooth muscle tissue may retain some of its physiologic function, adding some additional girth to the penis with an already activated IPP during sexual intercourse.