The Inflatable Penile Prosthesis (IPP) is a medical device designed to restore erectile function for men who have not found success with other treatments. This device is completely concealed within the body and allows a man to achieve an erection on demand. The deflation process is a fundamental aspect of its functionality. This guide focuses on the practical, step-by-step instructions for properly deflating the device after use.
Identifying the Inflatable Implant System
The ability to deflate the device is exclusive to the inflatable type of penile implant, the most common choice among patients. This system is a closed hydraulic loop with three primary components implanted inside the body. Two cylinders are positioned within the shaft of the penis, expanding with fluid to create the erection.
A separate fluid-filled reservoir is typically placed in the lower abdomen to hold the fluid when the device is not in use. The pump mechanism, located discreetly under the skin of the scrotum, serves as the user interface for both inflation and deflation.
The pump consists of a rounded bulb for inflation and a firm, rectangular section, the deflation block. The deflation block contains the specific valve or button that controls the release of fluid pressure. Locating this deflation button is crucial, as it is the single point of control for returning the penis to a flaccid state. Thin, internal tubing connects the system, facilitating the transfer of sterile saline fluid between the reservoir, pump, and cylinders.
Detailed Steps for Deflation
Deflating the implant involves activating the release valve on the scrotal pump to transfer fluid from the cylinders back to the reservoir. First, locate the pump mechanism within the scrotum, distinguishing the firm, rectangular deflation block from the softer, rounded inflation bulb.
To begin, use one hand to gently secure the pump in place, often by grasping the tubing just above the deflation block. Use the other hand to locate the small, raised deflation button, which is the fluid release valve. This button is typically pressed by placing the thumb and forefinger on opposite sides of the deflation block and squeezing them together.
The manufacturer-recommended technique requires maintaining pressure on the deflation button for approximately four seconds to fully activate the valve. Squeezing the button opens a passageway, allowing fluid to flow out of the cylinders and return to the abdominal reservoir. A distinct physical sensation, often described as a vibration or soft click, confirms the valve has engaged and fluid transfer has begun.
After holding the button for the required time, release the pressure; the cylinders will continue to deflate naturally. Avoid squeezing the inflation bulb and the deflation button simultaneously, as this can interfere with the pump’s internal mechanism. Once the cylinders have softened, the penis may be gently squeezed to ensure all remaining fluid is returned to the reservoir, resulting in a fully flaccid state.
Troubleshooting Functionality and Post-Use Care
Sometimes, users may encounter difficulty when trying to return the implant to a fully deflated state. One common issue is incomplete deflation, which can occur if the user does not hold the deflation button long enough or apply sufficient pressure to fully engage the valve. If the penis remains partially rigid, the user should repeat the deflation process, ensuring a firm, sustained squeeze on the deflation button for the full four seconds.
If the device does not deflate at all, it may indicate a temporary issue with the pump’s internal mechanism, sometimes called a “lock-out” or “sticky pump.” In this situation, some manufacturers recommend a reset procedure, which involves squeezing the deflation block’s sides or the deflation button for a few seconds and then quickly and firmly pumping the inflation bulb once to reactivate the system. This action can sometimes clear a minor blockage or reset the valve.
In the period immediately following surgery, it is recommended to “cycle” the device by fully inflating and deflating it once or twice daily. This regular use helps condition the cylinders and reservoir, ensuring scar tissue forms correctly around the components. Failing to fully deflate the cylinders can lead to the reservoir being only partially filled, potentially limiting its capacity over time.
Persistent difficulty in deflation, inability to achieve a full erection, or pain during operation require attention from a medical professional. Malfunctions that cannot be fixed by the user include fluid leakage, evidenced by a noticeable loss of rigidity, or mechanical breakdown of the pump or tubing. Any severe or lasting pain, or the inability to deflate the device after multiple attempts, should prompt a call to the implant surgeon.