Restoring Confidence & Quality of Life

Prosthetic Surgery

Prosthetic urology is a specialised area of urology focused on restoring urinary and sexual function through the use of advanced implanted devices.

These procedures can provide life-changing improvements for men affected by conditions such as severe erectile dysfunction, urinary incontinence and the loss of a testicle following injury, cancer treatment or other medical conditions.

Dr Paul Manohar provides comprehensive assessment and management of prosthetic urological conditions.

Many patients seek prosthetic surgery after other treatments have been unsuccessful or when symptoms continue to significantly impact quality of life. Modern prosthetic devices are highly sophisticated, offering excellent functional outcomes, durability and patient satisfaction.

Treatment recommendations are tailored to each patient’s symptoms, goals and individual circumstances, ensuring patients fully understand the available options and expected outcomes.

Conditions & Treatments

Prosthetic Conditions Managed by Dr Paul Manohar

Dr Manohar provides expert assessment and treatment for conditions that may benefit from prosthetic urological surgery. Explore the conditions below to learn more about symptoms, causes and available treatment options.

Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity.

While erectile dysfunction becomes more common with age, it can affect men of all ages and may have a significant impact on confidence, relationships and overall quality of life.

Common causes include:

  • Diabetes
  • Cardiovascular disease
  • High blood pressure
  • Previous pelvic surgery
  • Prostate cancer treatment
  • Hormonal conditions
  • Neurological disorders
  • Psychological factors

Many men respond well to medications or other non-surgical treatments. However, some patients continue to experience significant symptoms despite these therapies.

For men with severe or treatment-resistant erectile dysfunction, penile implant surgery may provide a reliable and highly effective solution. Modern penile prostheses are concealed entirely within the body and can restore sexual function with high patient and partner satisfaction.

Types of penile implant surgery include:

  • Inflatable penile prosthesis: An inflatable penile prosthesis is a surgically implanted device consisting of inflatable cylinders, a fluid reservoir and a small pump, all concealed entirely within the body.
  • Malleable / flexible rods: A malleable penile prosthesis consists of two flexible rods surgically implanted within the penis, allowing it to be manually positioned as required for sexual activity.

Dr Manohar provides comprehensive assessment and can discuss the full range of available treatment options, including penile prosthetic surgery where appropriate.

Male urinary incontinence refers to the involuntary leakage of urine and can range from occasional leakage during physical activity through to more severe and persistent symptoms.

Common causes include:

  • Prostate surgery
  • Radiation therapy
  • Neurological conditions
  • Bladder dysfunction
  • Pelvic trauma

Urinary incontinence can significantly affect quality of life, leading to embarrassment, reduced confidence and restrictions on daily activities.

Treatment depends on the underlying cause and severity of symptoms. While some men benefit from pelvic floor rehabilitation and conservative measures, others may require surgical intervention.

Prosthetic treatment options such as artificial urinary sphincters can provide excellent long-term control of urinary leakage and restore confidence for appropriately selected patients.

Treatment for prostate cancer can be highly successful in controlling the disease, but some men experience ongoing urinary or sexual function concerns following treatment.

Potential issues may include:

  • Erectile dysfunction
  • Urinary leakage
  • Reduced sexual confidence
  • Changes in quality of life
  • Difficulties returning to previous levels of function

These concerns may occur following robotic prostatectomy, radiation therapy or other prostate cancer treatments.

Dr Manohar works closely with patients to address these challenges and explore available treatment options. Depending on the individual’s circumstances, management may include rehabilitation strategies, medications, prosthetic surgery (penile implant surgery) or other interventions designed to restore function and improve quality of life.

Because every patient’s recovery journey is different, treatment plans are tailored to individual goals and expectations.

A testicular prosthesis is an implant designed to restore the appearance and feel of a testicle following loss, removal or congenital absence.

Some men choose a prosthesis following:

  • Testicular cancer surgery
  • Trauma
  • Torsion resulting in testicular loss
  • Congenital absence of a testicle
  • Other medical conditions

While a testicular prosthesis does not restore fertility or hormone production, it can help improve body image, confidence and overall wellbeing.

The procedure is typically straightforward and involves placement of a specially designed implant within the scrotum to achieve a natural appearance.

Dr Manohar can discuss the benefits, risks and suitability of testicular prosthesis implantation as part of a personalised treatment plan.

Modern prosthetic urology offers highly effective solutions for men experiencing significant urinary or sexual dysfunction.

Advances in implant technology have resulted in devices that are durable, discreet and capable of delivering excellent functional outcomes. For many patients, prosthetic surgery can restore independence, confidence and quality of life when other treatments have been unsuccessful.

A comprehensive assessment is essential to determine whether prosthetic surgery is appropriate and to identify the most suitable treatment option for each individual.

Take the First Step

If you are experiencing erectile dysfunction, urinary incontinence or functional concerns following prostate cancer treatment, specialist assessment can help identify the most appropriate treatment options.

Dr Paul Manohar provides comprehensive care for patients considering prosthetic urological surgery, combining advanced surgical expertise with a personalised and supportive approach. He welcomes both public and private patients and consults across Melbourne’s eastern and south-eastern suburbs.

Contact the practice today to arrange an appointment and discuss your treatment options.

Get In Touch

Discuss Your Urological Concerns With Dr Paul Manohar

Whether you are experiencing concerning symptoms, have a recent diagnosis, or are seeking a second opinion, Dr Paul Manohar provides experienced, personalised urological care across South-Eastern Melbourne and Gippsland.

Consulting locations include:

  •  Berwick
  • Malvern East
  • Moorabbin
  • Mount Waverley
  • Warragul