Complications and Reimplantation of Penile Implants

Abstract

Background:Complications of penile prosthesis implants can be divided into surgical and mechanical failure. We investigated penile prosthesis implants to clarify the surgical and mechanical complications that have arisen in our clinical experience. Methods: In the 1 1 years between 1984 and 1995, 83 penile prostheses were implanted in 74 patients ranging from 37 to 82 years of age.Results: O f the 64 malleable and mechanical prostheses, 1 1 were extracted, including 4 removed because of surgical complications and 2 due to mechanical failure. Of the 19 inflatable prostheses, 6were removed, including 1 extracted due to surgical complication and 5 extracted due to mechanical failure. Nine reimplantations for 8 patients were performed and all these cases had good results. As a result, 66 out of 74 patients could have coitus after prosthetic surgery. Conclusions: Penile prosthetic surgery is an established method of treating organic impotence, however, it should only be considered for selected and well-informed patients to avoid complications and revision surgery.Int J Urol 1997;4:52-54

Bioengineered Tissues for Urogenital Repair in Children

“…Although silicone is an accepted biomaterial for penile prostheses, biocompatibility is a concern (51,52). Use of a natural prosthesis composed of autologous cells may be advantageous.…”

SSI Grand Master Lecture 2 ‘Tissue engineering applications for erectile dysfunction’

“…6,7 The use of a natural prosthesis composed of autologous cells may be advantageous. A feasibility study for creating natural penile prostheses made of cartilage was performed initially.…”

“…4,5 However, biocompatibility and biomechanical issues have been a problem in selected patients. 6,7 Vascular reconstructive techniques to restore erectile function have been performed for several decades. 8,9 Although the overall outcome of vascular reconstruction for erectile dysfunction has been gradually improving due to the evolution of microsurgical techniques, operative complications, such as infection, vessel occlusion and overall operative morbidity are not negligible.…”

Bioengineered corporal tissue for structural and functional restoration of the penis

“…Various reconstructive procedures have been attempted to achieve functional and cosmetic properties, but these are often limited by a shortage of native penile tissue (5)(6)(7)(8). In addition, these reconstructive procedures often involve multiple-stage surgeries, which may include the use of silicone penile prostheses or autograft implantation (9), but corporal tissue function is not restored.…”