Editorial comment: Clinical Recommendations From the European Society for Sexual Medicine Exploring Partner Expectations, Satisfaction in Male and Phalloplasty Cohorts, the Impact of Penile Length, Girth and Implant Type, Reservoir Placement, and the Influence of Comorbidities and Social Circumstances

Abstract

Guidelines for Male Sexual Dysfunction recognize penile prosthesis implantation as the third line treatment for erectile dysfunction (ED). Given the invasive and essentially irreversible nature of penile prosthesis implantation (PPI) surgery, counseling regarding short-and long-term postoperative expectations is essential (1).Since the beginning of the penile prosthesis implantation, multiple modifications have been made which has lead to decreased postoperative infection and mechanical failure and increased rigidity, durability, and patient satisfaction (2, 3).Currently, the preferred type of penile implant in developed countries is the inflatable one. In certain regions of the world (like Brazil), the malleable penile prosthesis is the penile implant of choice for ED, certainly because of economic reasons (no insurance coverage) (4), but providing high patient and partner satisfaction rates (5).