When the penis is in the state of rest, these cavernous bodies are slightly full of blood, but on having received sexual stimulation, the brain sends signs so that the cavernous bodies fill with blood and the exit floodgates close, and in this way the penis becomes more and more rigid.

When the signs that the brain sends are discontinuous (example: neurological injuries) or the blood flow is insufficient (example: vascular injuries) or the erectile tissue is damaged, the erection is weak or nonexistent.

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What does the placement of a penis prosthesis consist of?
The procedure is performed under spinal anesthesia with a small incision in the skin and then the internal tissue of the cavernous bodies (organ responsible for the erectile function) is replaced by one prosthesis that would realize the erection in artificial form design of prosthesis being inflated

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It is necessary in the first instance for the patient to undergo psychological therapy and medical treatment of the base illnesses that predispose them to an erectile malfunction; for example: Diabetes, Hipercolesterolemia, etc.

Then to implement a first-line therapy with oral medications, like for example: Sildenafil or Tadalafil.

In case that this therapy is insufficient or does not work or is contraindicated for presenting cardiologic pathology, it is possible to try an intracavernosa therapy with glass substances you activate or devices of gap

The placement of a penis prosthesis is one more alternative in the set of therapeutic tools we have, which we reserve for those patients who have failed in other kinds of therapies.

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How many types of prosthesis are there?
Hay dos sistemas, maleables o semirrigidas e inflables de 2 y 3 elementos, éstas de aspecto más fisiológico.

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Infection or rejection of the prosthesis (very rare)
Adverse Reactions to the anesthesia (very rare)
Post operative pain (very rare) Haematoma (very rare)

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What is a vaginal sling?
It is a prosthesis that is placed through the vagina whose target is to control urinary incontinence.

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How many types of incontinence are there?
1 - Urge urine incontinence: in this pathology there is a disorder in the activity of the bladder, in which the patient cannot control the desire to urinate at the moment when it becomes present. In general it is secondary to disorders of the nervous system that affect the vesicle activity. This disorder is primarily treated with medicine that can help to control the nervous disorders of the bladder.

2. - Stress urinary incontinence: takes place on having realized efforts like for example: to cough, to sneeze, to laugh etc. It is the most common type of incontinence and it is solved by the placement of vaginal Sling.

3.- Mixed urinary incontinence: in this type we find together the combination of stress and of urge incontinence. The treatment is realized combining the placement of sling and medical treatment.

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What does the placement of the vaginal sling consist of?
The procedure is realized under sedation or epidural (spinal anesthesia) with a small incision in the previous face of the vagina and two others in the field of the orifice choke. This way the Sling is placed between the vagina and the bladder doing of ceiling and preventing from producing to him an escape of involuntary urine.

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Does it hurt?
No

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Infection of the prosthesis or rejection of the same (very rare)
Adverse Reactions to the anesthesia (very rare)
Fistula vesico - vaginal (very rare)
Retention of urine (very rare)

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What does it consist?
The testicular prosthesis is used to restore the corporal image in those patients which for different reason (traumatism, tumours. etc.) they have lost a testicle.

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How is the surgery?
Technically it is simple, minimally invasive and with an aesthetic excellent result. It consists of placing inside the bag scrotal a prosthesis that it replaces to the lost testicle.

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Does it hurt?
No

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What does the vasectomy consists?
The vasectomy is the surgical interruption of the deferential conduit, which connects the unit testicle - epididymis with the urethra, interrupting the flow of sperms towards the ejaculated one. This way, the couple will support sexual relations in natural form, without risk of pregnancy.

         Before                      After

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Does it affect the ejaculation?
It does not affect the possibility of orgasm not of ejaculation, since the sperms are only a part of the semen.

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Does it hurt?
No

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How is the aesthetic result?
Excellent

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For how long is it necessary wait after the vasectomy to be able realized sexual relations?
The sexual relations it is possible to begin again in one week, behaviour in mind that has to use a contraceptive method transitorily. Later there must do control panel of quantification of sperms, which reduce gradually after the vasectomy. For the sixth week there must not already be sperms in the semen.

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