Fifteen years experience of penile prosthesis insertion

Abstract

Introduction and Objectives: To review the outcome and patient satisfaction of penile prosthesis insertion over a 15 y period. Patients/Materials and Methods: We reviewed the notes of 172 patients who underwent penile prosthesis insertion between January 1980 and May 1995. From the notes information was determined on age of the patient, type of prosthesis, surgical approach and length of stay. Also noted were risk factors for erectile dysfunction and the aetiology. Twenty patients were known to have died or moved away. To assess the impact the operation had on quality of life, 152 questionnaires were sent of which 103 were returned (67%). The questionnaire gained information about sexual activity, before and after the operation and the overall satisfaction of the patient and his partner and whether they felt the operation was a success. Results: Overall 149 patients were known to have had malleable prostheses inserted and 23 had in¯atables. The commonest organic groups were vascular disease, diabetes and Peyronies disease. Fifteen patients had two procedures. Four patients required revision of the prosthesis due to erosion, and there was one death due to pulmonary embolism. One hundred and three completed questionnaires have been returned to date the median time since operation was 4 y, the range being six months to 16 y and 78% thought the operation was a success. Conclusions: The insertion of malleable prostheses is associated with low complication rates, good patient satisfaction and improved quality of life for the couple. Concealment was not a major problem.

Preservation of Cavernosal Erectile Function after Soft Penile Prosthesis Implant in Peyronie's Disease: Long-Term Followup

“…This prosthesis consists of silicone elastomer which has three zones with different features:

the central zone has a variable rigidity and size to satisfy different clinical necessities and to permit an easy insertion;

the distal zone is made of softer silicone to reduce the risk of extrusion;

the proximal zone presents a series of slightly cone-shaped segments, with a size of 3 mm, smaller than the central zone, to facilitate the insertion into corpora cavernosa. It requires less dilatation even in the presence of severe fibrosis and can reduce crural pain because of better flexibility [7, 8].

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“…It requires less dilatation even in the presence of severe fibrosis and can reduce crural pain because of better flexibility [7, 8]. …”

“…Another possible treatment, especially with associated erectile dysfunction, is penile prosthesis placement. These surgical treatments warrant adequate correction of penile curvature and recovery of patient sexual satisfaction [7–9]. …”