Current status of penile prosthesis implantation

Montague, Drogo K.; Angermeier, Kenneth W.

doi:10.1007/s11934-000-0009-1

Cited by 12 publications

(9 citation statements)

References 67 publications

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“…In the literature, it was specified that the highest levels of satisfaction were reached between the 6th and 12th postoperative months (18). Selection of the appropriate prosthesis is important both for the patient and his partner (19). In our series, the EDITS investigation form was used in order to compare the satisfaction levels of patients in whom malleable and inflatable penile prosthe sis implants were inserted.…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Outcomes of Penile Prosthesis Implantation and Partner Satisfaction

Altunkol¹,

Ercil²,

Şener³

et al. 2015

Erciyes Med J

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Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Outcomes of Penile Prosthesis Implantation and Partner Satisfaction

Altunkol¹,

Ercil²,

Şener³

et al. 2015

Erciyes Med J

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“…The inflatable device affords the advantage of a natural experience, given that it can be deactivated and made flaccid when not in use. The main risks are infection and erosion, although infection rates are typically less than 2% 52. Satisfaction rate among patients and partners using penile prostheses is the highest of all the various treatment modalities for erectile dysfunction, being as high as 85%–90% 53.…”

Section: Penile Prosthesismentioning

confidence: 99%

Post-prostatectomy erectile dysfunction: contemporary approaches from a US perspective

Hamilton

Mirza²

2014

RRU

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Success of cancer surgery often leads to life-changing side effects, and surgical treatment for malignant urologic disease often results in erectile dysfunction (ED). Patients that undergo surgical prostatectomy or cystoprostatectomy will often experience impairment of erections due to disruption of blood and nerve supply. Surgical technique, nerve sparing status, patient age, comorbid conditions, and pretreatment potency status all have an effect on post-surgical ED. Regardless of surgical technique, prostatectomy results in disruption of normal anatomy and nerve supply to the penis, which governs the functional aspects of erection. A variety of different treatment options are available for men who develop ED after prostatectomy, including vacuum erection device, oral phosphodiesterase 5 inhibitors (PDE5I), intracorporal injections, and penile prosthesis. The vacuum erection device creates an artificial erection by forming a vacuum via suction of air to draw blood into the penis. The majority of men using the vacuum erection device daily after prostatectomy, regardless of nerve-sparing status, have erections sufficient for intercourse. Phosphodiesterase 5 inhibitors remain a common treatment option for post-surgical ED and are the mainstay of therapy. They work through cyclic adenosine monophosphate and cyclic guanine monophosphate pathways and are recommended in all forms of ED. Intracorporal injections or intraurethral use of vasoactive substances may be a good second-line therapy in men who do not experience improvement with oral medications. Surgical placement of a penile prosthesis is typically the treatment strategy of choice after other options have failed. Semi-rigid and inflatable devices are available with high satisfaction rates. With careful patient counseling and proper treatment selection, patient satisfaction and improved erectile function can be achieved. We advise that patients use a vacuum erection device daily in the early postoperative period in combination with an oral PDE5I. For patients who do not respond to a vacuum erection device or PDE5I, consideration should be given to intraurethral alprostadil, intracorporal injections, or a penile prosthesis.

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“…In a review by Montague and Angermeier ,[14] for most primary penile prosthesis patients, the AMS Ultrex ® prosthesis is recommended because it produces expansion in both girth and length of the penis. In primary patients with long penises and in men with Peyronie disease, the AMS 700CX ® prosthesis is recommended.…”

Section: Surgical Pitfalls and Specific Considerationsmentioning

confidence: 99%

“…When corporal dilation is limited because of cavernosal fibrosis, for instance after removal of an infected penile prosthesis, the smaller size AMS 700CXM ® cylinders are a better option. [14]…”

Section: Surgical Pitfalls and Specific Considerationsmentioning

confidence: 99%

“…However, oversizing and deformity maybe encountered. Montague and Angermeier[14] described a cylinder measurement technique that avoids the problem of oversizing that may occur particularly in the case of the length-expanding Ultrex ® penile prosthesis, when cylinders that are too long can result in an S-shaped cylinder deformity. These types of deformities are sometimes difficult to diagnose.…”

Section: Surgical Pitfalls and Specific Considerationsmentioning

confidence: 99%

See 1 more Smart Citation

Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

Alenezi

Al-Khadhari²,

Al-Shaiji

2011

J Surg Tech Case Report

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Penile prosthesis surgery plays a vital role in the treatment of erectile dysfunction (ED). As far as outcome is concerned, it is one of the most rewarding procedures for both patients and surgeons. We describe our surgical technique for implantation of the three-piece inflatable penile prosthesis and point out the major surgical pitfalls accompanying this procedure and their specific management. The psychological outcome of penile prosthesis surgery is also discussed. Different surgical approaches are available when performing the procedure. A number of procedure-related problems can be encountered and a thorough knowledge of these is of paramount importance. Penile prosthesis surgery has a favorable psychological outcome. Surgery for implantation of an inflatable penile prosthesis is a rewarding procedure, with a high yield of patient satisfaction. Urologists should have thorough understanding of the surgical pitfalls peculiar to this procedure and their management.

show abstract

Current status of penile prosthesis implantation

Cited by 12 publications

References 67 publications

Clinical Evaluation of Outcomes of Penile Prosthesis Implantation and Partner Satisfaction

Clinical Evaluation of Outcomes of Penile Prosthesis Implantation and Partner Satisfaction

Post-prostatectomy erectile dysfunction: contemporary approaches from a US perspective

Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

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