Device profile of the Ambicor two-piece inflatable penile prosthesis for treatment of erectile dysfunction: overview of its safety and efficacy

Simón, Daniel; Alter, Kevin; Bajic, Petar; Levine, Laurence A.

doi:10.1080/17434440.2021.1853524

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…14 Fluid leak at the proximal end of the cylinders was one of the most common reasons for mechanical failure before the device was redesigned in 1998. 17 Despite these revisions, cylinder aneurysms at the deflation flex point continue to be a cause of mechanical failure. 18 A systematic review of penile prosthesis found higher survival rates among malleable and 2-piece implants compared to 3-piece implants.…”

Section: Risk Of Intraoperative Injuriesmentioning

confidence: 99%

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Safety and Efficacy of Inflatable Penile Prostheses for the Treatment of Erectile Dysfunction: Evidence to Date

Wang¹,

Levine²

2022

MDER

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Erectile dysfunction (ED) is a common problem, and prevalence rates are expected to rise as life expectancy increases worldwide. In more severe cases of ED, penile prosthesis implantation has been an excellent option for patients. Over the past few decades, significant design improvements have been made to the penile prosthesis and modifications to surgical technique to improve clinical outcomes. The purpose of this review is to summarize the safety and efficacy of FDA-approved penile implants in the US market. Design modifications have greatly improved the safety and reliability of the implant. Development of improved surgical techniques has decreased intraoperative injuries and reservoir-related complications. With its high overall satisfaction rates and low risk of complications, the inflatable penile prosthesis remains an excellent option for patients with erectile dysfunction.

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Section: Risk Of Intraoperative Injuriesmentioning

confidence: 99%

“…Thus, the Ambicor 2-piece implant is a less popular choice and accounts for less than 5% of penile implants today. 17 However, the Ambicor prosthesis is still considered an excellent option for certain patients with a history of pelvic surgery or radiation.…”

Section: Risk Of Intraoperative Injuriesmentioning

confidence: 99%

Safety and Efficacy of Inflatable Penile Prostheses for the Treatment of Erectile Dysfunction: Evidence to Date

Wang¹,

Levine²

2022

MDER

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Practical Considerations in Inflatable Penile Implant Surgery

Chung

Mulhall

2021

The Journal of Sexual Medicine

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Background Penile prosthesis implantation remains an effective solution for men with medical-refractory erectile dysfunction (ED) following radical pelvic surgery. Despite the distortion of pelvic anatomy, a penile implant can be performed with excellent clinical outcomes provided strict patient selection, proper preoperative workup and safe surgical principles are adhered to. Aim To provide practical recommendations on inflatable penile prosthesis (IPP) implantation in patients with medical-refractory ED, with an emphasis on patient selection and counselling, preoperative workup as well as surgical considerations to minimize intraoperative complications. Methods A Medline search on relevant English-only articles on penile prostheses and pelvic surgery was undertaken and the following terms were included in the search for articles of interest: “bladder cancer”, “prostate cancer”, “rectal cancer”, “pelvic surgery” and “inflatable penile implant”. Outcomes Clinical key recommendations on patient selection, preoperative workup and surgical principles. RESULTS Patients should be made aware of the mechanics of IPP and the informed consent process should outline the benefits and disadvantages of IPP surgery, alternative treatment options, cost, potential prosthetic complications and patient’s expectations on clinical outcomes. Specialised diagnostic test for workup for ED is often not necessary although preoperative workup should include screening for active infection and optimising pre-existing medical comorbidities. Precautionary measures should be carried out to minimise infective complication. Corporal dilation and reservoir placement can be challenging in this group, and surgeons may require knowledge of advanced reconstructive surgical techniques when dealing with specific cases such as coexisting Peyronie’s disease and continence issue. Clinical translation Strict patient selection and counselling process coupled with safe surgical principles are important to achieve excellent linical outcomes and patient satisfaction rates. Strengths and limitations This masterclass paper provides an overview of the practical considerations for men who are undergoing IPP surgery following radical pelvic surgery. Limitations include the lack of highquality data and detailed surgical description on each surgical troubleshooting steps for various prosthetic-related complications. CONCLUSION The IPP implantation can be performed efficiently and safely in patients following radical pelvic surgery.

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A narrative review on malleable and inflatable penile implants: choosing the right implant for the right patient

Goodstein,

Jenkins

2023

Int J Impot Res

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Device profile of the Ambicor two-piece inflatable penile prosthesis for treatment of erectile dysfunction: overview of its safety and efficacy

Cited by 3 publications

References 33 publications

Safety and Efficacy of Inflatable Penile Prostheses for the Treatment of Erectile Dysfunction: Evidence to Date

Safety and Efficacy of Inflatable Penile Prostheses for the Treatment of Erectile Dysfunction: Evidence to Date

Practical Considerations in Inflatable Penile Implant Surgery

A narrative review on malleable and inflatable penile implants: choosing the right implant for the right patient

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