An external penile prosthesis offers a non-surgical option for individuals seeking to achieve or maintain penile rigidity. These devices are worn externally, providing physical support for penetrative sexual activity. They differ from surgically implanted penile prostheses, which involve an internal medical procedure.
Understanding External Penile Prostheses
External penile prostheses enable penetrative sexual intercourse for individuals who experience difficulty achieving or sustaining an erection. These devices do not require surgical intervention, offering a less invasive approach. They provide the necessary rigidity and support for sexual activity.
Many individuals use external penile prostheses due to erectile dysfunction (ED), a condition where achieving or maintaining an erection firm enough for sexual intercourse is challenging. This can stem from various underlying health issues, including cardiovascular disease, diabetes, or nerve damage. External prostheses may be considered when other treatments, such as oral medications or vacuum erection devices, have not been effective or are not suitable. Transgender men who have undergone phalloplasty may also use these devices to aid in sexual function, sometimes as a temporary measure before an internal implant.
Types of External Penile Prostheses
The market offers different configurations of external penile prostheses. One common type is the penis sleeve, a hollow, penis-shaped device that slips over the existing penis. These sleeves come in diverse shapes, sizes, and textures, often made from pliable materials such as silicone or rubber. Some designs feature a complete sheath that covers the entire glans, while others incorporate a ring or hole at the base to secure the device and prevent slippage.
Another category includes penile support devices, which operate more like a splint. These devices are generally less visible than sleeves and are often composed of two custom-fitted rings. One ring is positioned at the base of the penis, and the other near the glans, with rigid rods connecting them along the underside. These devices hold the penis in an erect position, allowing for penetration.
Using and Caring for an External Penile Prosthesis
Proper application of an external penile prosthesis involves ensuring a secure and comfortable fit. For penis sleeves, lubrication is applied to both the penis and the inside of the sleeve to facilitate smooth placement and reduce friction. Penile support devices, with their ring and rod structure, require careful positioning of the rings around the base and glans, ensuring the connecting rods provide adequate external rigidity. Removal is typically the reverse of application, done gently to avoid skin irritation.
Maintaining hygiene is important for external penile prostheses to prevent bacterial buildup and ensure device longevity. General best practices suggest cleaning the device thoroughly after each use with mild soap and warm water. After washing, the prosthesis should be rinsed completely and allowed to air dry, or dried with a clean, soft cloth, before being stored in a clean, dry place away from direct sunlight or extreme temperatures.
Living with an External Penile Prosthesis
Using an external penile prosthesis can significantly influence a person’s quality of life, particularly for those whose intimacy has been impacted by erectile challenges. The ability to engage in penetrative sexual activity can restore a sense of normalcy and contribute to improved self-esteem and confidence. Many individuals report a positive impact on their sexual satisfaction, and this often extends to their partners. The device provides physical support, which can reduce anxiety about performance and allow for a more spontaneous approach to intimacy.
Adjusting to the use of an external penile prosthesis involves both practical and emotional considerations. Open communication with a partner is highly beneficial, allowing for shared understanding of expectations and desires regarding sexual intimacy. While the device enables physical penetration, it generally does not interfere with the ability to achieve orgasm or ejaculation, as the nerves responsible for these sensations are not affected. Exploring different positions and techniques can help optimize comfort and satisfaction for both individuals.