I’m Dr. Sébastien Beley, urological surgeon and andrologist in Paris, and today I’d like to talk to you about a subject that’s important to many men: how to regain a good glans erection when you have a penile implant. This problem is often overlooked, but it has a major impact on the quality of sexual life and pleasure. In this article, I explain the mechanisms involved, the limitations of conventional penile implants, and above all, how Vitaros can provide an innovative and effective solution.

Understanding erection with a penile implant

When some men suffer from severe erectile dysfunction, insertion of a penile implant is often the surgical solution proposed. This implant restores sufficient rigidity to the penis, particularly the corpus cavernosum, to enable penetration. However, it’s important to understand that the implant does not recreate a natural erection in the full sense of the term.

The corpus cavernosum regains its rigidity thanks to the implant, but the glans, the terminal part of the penis, generally does not benefit from a real erection. In some men, not only is the corpus cavernosum lost, but also the glans penis. The implant stabilizes the glans penis, but does not increase its volume or expand its mucous membrane, which is characteristic of a natural erection.

Consequences of lack of glans erection

This lack of glandular erection has several important consequences:

• Loss of penile volume: On average, the length of the penis is reduced by one to one point five centimetres. This loss is linked to the absence of glans turgor.
• Loss of sensation: The crown of the glans is a highly sensitive area, rich in tactile receptors. When this area is not swollen, there is a noticeable reduction in sensitivity, leading to a loss of pleasure during intercourse.

In short, even if thepenile implant restores the mechanical function of the erection, it does not guarantee complete restoration of sexual pleasure, not least because of the absence of glandular erection.

The role of Vitaros in improving glans erection

To overcome this limitation, I suggest that patients try Vitaros. Vitaros is a prostaglandin in gel form that is instilled directly into the urethral canal. In some men, just a small drop is enough to cause turgidity of the glans, i.e. an increase in arterial blood flow to the area, resulting in a genuine erection of the glans.

How does Vitaros work?

Vitaros gel acts locally by dilating the blood vessels of the glans via a pharmacological action. Injected into the urethra, it diffuses to the corpus spongiosum and induces a glandular erection. This action complements the mechanical erection obtained with the penile implant, enabling a more complete and natural restoration of erection.

It is important to note that Vitaros does not work in all men. In particular, its effectiveness depends on the permeability of the urethral canal:

• In some men, the urethral canal is very tight, preventing the gel from spreading to the glans penis and spongy body.
• In others, diffusion is sufficient to cause effective turgidity of the glans.

Unfortunately, there is no pre-test to predict with certainty whether Vitaros will be effective. The only way to know is to carry out a trial under medical supervision.

Practical advice on using Vitaros

To maximize your chances of success with Vitaros, here are a few practical tips I recommend:

1. Storage: Store Vitaros in the refrigerator after purchase from a pharmacy.
2. Warming up: Before use, warm up the gel by rubbing it between your hands or keeping it in your trouser pocket for a few minutes. This liquefies the gel and makes it easier to instill.
3. Instillation: instill a small drop into the urethral canal at the last moment, just before sexual activity.
4. Patience: Wait a few minutes for the gel to diffuse and cause a glandular erection.

If you’re a man with a penile implant and you’re experiencing a lack of glans filling despite a good erection of the penis, I urge you to try Vitaros. This treatment can considerably improve the quality of your erection and your sensory experience.

Why is glandular erection so important?

One might think that the rigidity of the penis achieved by the implant is sufficient for satisfactory sexuality. However, the quality of an erection depends not only on mechanical rigidity, but also on the sensitivity and pleasure felt, which are largely mediated by the glans.

The crown of the glans is a key area for male sexual pleasure. It contains a high concentration of sensory nerve endings. During a natural erection, this area swells and becomes more sensitive, increasing stimulation and pleasure. Without this glandular turgor, sensation is attenuated, which can impair sexual satisfaction and self-confidence.

By restoring glandular erection, Vitaros provides a sensory dimension often lost in men with penile implants.

Who can benefit from this approach?

This solution is primarily intended for men who :

• Have undergone penile implant surgery to treat severe erectile dysfunction.
• Observe good mechanical erection thanks to the implant, but absence or lack of glans filling.
• Wish to improve their sensitivity and erection quality to regain satisfying sexual pleasure.

If this sounds like you, don’t hesitate to consult a specialist urologist. Trying Vitaros can be a key step towards improving your sex life.

Precautions and treatment limits

Like all medicines, Vitaros has precautions for use:

• It may not work in some men due to urethral impermeability.
• The gel must be used in accordance with medical recommendations to avoid any adverse effects.
• It does not replace the need for background treatment or medical advice for erectile dysfunction.

It is therefore essential to discuss this treatment with your doctor before starting, and to follow his or her advice for safe and effective use.

Conclusion: Towards complete restoration of erection with penile implant and Vitaros

Penile implant surgery is a major advance for men suffering from severe erectile dysfunction. It enables the mechanical function of the penis to be restored and an active sex life re-established. However, the absence of a glandular erection remains a major limitation that can affect satisfaction and pleasure.

Vitaros offers a valuable complementary solution. By promoting turgidity of the glans, this urethral gel complements the action of the implant, delivering a more natural, complete and pleasurable erection.

If you are concerned by this problem, I encourage you to consider this treatment and discuss it with your urologist. Don’t forget that sexual health is a fundamental aspect of well-being, and that today there are solutions to suit every situation.

Finally, take care of your sexual health, and don’t hesitate to seek information and support from competent professionals.