Who needs surgery Patients with definite diagnosis of impotence who have poor or ineffective oral medication, or who cannot tolerate the side effects of medication. What surgery is usually needed for impotence The surgical methods for treating impotence include various types of vascular surgery as well as penile prosthesis surgery; there is an international consensus that the surgical methods for treating impotence have the highest efficiency and satisfaction with penile prosthesis. Vascular surgery is basically not recommended because its effect is not certain and most of them will recur within 1-2 years. The following cases are not suitable for penile prosthesis 1.Severe fibrosis of the penile corpus cavernosum and abnormally short penis 2, there are serious systemic diseases, such as diabetes, heart, lung, kidney, liver and other serious failure, advanced malignant tumors, or systemic bleeding diseases, serious neuropsychiatric diseases and other uncontrolled people. 3. Those who suffer from active infection, especially genitourinary tract infection, which is not controlled. Pre-surgical preparation 1.Conventional cardiopulmonary function tests, coagulation mechanism analysis. 2.Control of chronic systemic diseases such as diabetes, hypertension and cardiovascular diseases, urinary tract infections, etc. 3.Adequate doctor-patient communication. Anesthesia and position 1.Epidural anesthesia, general anesthesia can be used as needed. 2.Take a flat position with the buttocks slightly padded (mainly to facilitate intraoperative expansion of the distal penile corpus cavernosum) and the legs slightly apart, which can make the scrotal area of the penis more clearly exposed and facilitate intraoperative expansion of the distal penile corpus cavernosum. Post-operative treatment 1.Maintain two broad-spectrum antibiotics for 7-10 days, with static injection for more than 2-3 days and oral administration for 5-7 days. 2.Remove the urinary catheter with pressure bandage within 24 hours after surgery, put the penis in atrophy, and remove the drainage after the bruise is drained. 3.Instruct the patient to master the operation of the fluid pump valve, and instruct him to practice the operation by himself after 2 weeks, and to have sexual intercourse after 6 weeks.