Resurrecting Sex: Solving Sexual Problems and Revolutionizing Your Relationship by David Schnarch

Author:David Schnarch [Schnarch, David]
Language: eng
Format: epub
Tags: Self-Help, General, Health & Fitness, Sexuality, Psychology, Human Sexuality
ISBN: 9780060931780
Google: MfhLMKk9R54C
Amazon: 0060931787
Publisher: Harper Collins
Published: 2003-08-04T16:00:00+00:00

Surgically Enhanced Sexual Response

Now we shift from lighthearted times to the no-fooling-around versions of sex enhancements. To date, surgical attempts to enhance sexual response have mainly focused on erection problems. Women’s genitals neither require nor lend themselves to the kinds of surgical procedures that have been developed for men. In past decades surgery was often performed as a general solution for erection problems, regardless of their cause. Now that Viagra and similar drugs provide more convenient and effective options (Chapter 9), surgical solutions are appropriate only where specifically indicated.

Vascular Surgery and Penile Implants

Vascular erection problems can be caused by (or coincide with) heart disease, tumors, cancers, and some forms of diabetes. At risk are the arteries that conduct blood to the genitals and the veins that carry it away. All these (and a lot more) must be intact and operating properly.

Surgical solutions center around (1) enhancing blood flow into the penis and decreasing blood flow out or (2) inflating the penis by some artificial means. The options run along two different lines: fluid hydraulics or mechanical engineering—meaning vascular surgery or penile implants.

Some men have vascular problems that limit blood flow to their penises. Sometimes surgery can correct congenital vascular anomalies or traumatic injuries to arteries in relatively young men. A few decades back, vascular surgery to tie off small blood vessels of the penis became popular. This is not a common procedure today and should not be performed without direct evidence of vascular leakage.

By current standards, surgical solutions seem unbelievably crude. Studying erections on the level of neurochemical transmitters and receptor sites within the penis was fanciful thinking thirty years ago. The possibility that John Q. Public could play with that process at will by the turn of the century (with Viagra) was beyond imagination. Thousands of men opted for vascular surgery and penile implants in prior decades. Some are happy with the results; many are not. Some had the procedures because these were their best options at the time.

Rigid implants. Modern penile implants first appeared in the 1960s, in the form of rigid silicon rods inserted within the penis. Implant surgery replaces (or hollows out) the corpus cavernosa, two spongelike cigar-shaped bodies in the fleshy underside of the penis. Normally these cavities expand when engorged with blood, producing rigidity for an erection. Surgery produces a constant erection with silicon rods, which extend from the base to the head of the penis. When not in use, this permanent erection is strapped to the man’s leg in order to keep him from inadvertently clearing the table or scaring other guys at the gym.

Semirigid implants. Hinged (semirigid) implants, which soon followed the rigid type, produce a more manageable erection. These are similar, except the rods flex like hinged soda straws, bending near the base of the penis. Men can thus aim their permanent erection up or down, depending on intent. Couples who make a game out of aiming it are usually most pleased with this implant. Their attitude, not their aim, makes the difference.

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