Management of erectile impotence Use of implantable inflatable prosthesis

Scott, F. Brantley; Bradley, William E.; Timm, Gerald W.

doi:10.1016/0090-4295(73)90224-0

Cited by 530 publications

(53 citation statements)

References 6 publications

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“…The first implants, which were semi-rigid or malleable, were almost replaced when the first inflatable penile prosthesis was developed in 1973 by Scott et al 8. Since then, significant advances and improvements have been produced both in design as well as in the materials used to manufacture the prosthesis.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses

et al. 2017

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Most widespread three-component penile prosthesis models are 700CX™ and Titan®. Our purpose is to assess patient and partner satisfaction after the first implant. This is a multicenter, retrospective, nonrandomized study in which all patients who met the inclusion criteria between 2009 and 2013 were included. In total, 248 patients agreed to participate. To evaluate patient satisfaction, a validated but modified 11-question questionnaire was completed (EDITS); and a nonvalidated two-item questionnaire was given to the partner. Statistical analysis used an ordinal logistic regression model. Two hundred and forty-eight patients (194 with 700CX™ vs 54 with Titan®) and 207 couples completed the questionnaire (165 with 700CX™ vs 42 with Titan®). Overall satisfaction was high. Both showed great reliability for sexual intercourse and high compliance with prior expectations. Most patients were able to manage the penile prosthesis correctly within 6 months. Postoperative penile shortening led to some dissatisfaction in 42% and 46% of cases (700CX™ /Titan®). Significant differences were found in three questions of patients’ questionnaire. There were more patients satisfied with the 700CX™ (P = 0.0001). No patient with Titan® implant took longer than 6 months to optimal management. Only 4% of patients with 700CX™ implant were dissatisfied with the deflation, in contrast to 24% with the Titan® (P = 0.0031). Of the two partners’ questions, one showed a statistically significant difference (P = 0.0026). It seems that group 700CX™ would recommend to re-implant the prosthesis with a greater tendency. The overall satisfaction was very high for both prostheses. The final aspect of the erected and flaccid penis was satisfactory, but both groups showed significant discontent with its final size. Partners’ overall satisfaction was high.

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Section: Introductionmentioning

confidence: 99%

Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses

et al. 2017

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“…The inflatable penile prosthesis (IPP) became available in the early 1970's 12. Since then, the IPP has become more dependable mechanically with superior flaccidity and rigidity 345.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

et al. 2016

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A common complaint after inflatable penile prosthesis surgery is reduced penile length. We previously reported how using the Coloplast Titan inflatable penile prosthesis with aggressive new length measurement technique (NLMT) coupled with postoperative IPP rehabilitation of the implant for 1-year helped to improve patient satisfaction and erectile penile measurements. This is a 2 years follow-up of a prospective, three-center, study of 40 patients who underwent Titan prosthesis placement, with new length measurement technique for erectile dysfunction. Patient instructions were to inflate daily for 6 months and then inflate maximally for 1–2 h daily for 6–24 months. Fifteen penile measurements were taken before and immediately after surgery and at follow-up visits. Measurement changes were improved at 24 months as compared to immediately postoperative and at 12 months. 67.8% of subjects were satisfied with their length at 2 years, and 77% had perceived penile length that was longer (30.8%) or the same (46.2%) as prior to the surgery. 64.3% and 17.9% of subjects had increased and unchanged satisfaction, respectively, with penile length as compared to prior to penile implant surgery. All but one subject (96.5%) was satisfied with the overall function of his implant. This study suggests using the Coloplast Titan with aggressive cylinder sizing, and a postoperative penile rehabilitation inflation protocol can optimize patient satisfaction and erectile penile measurements at 2 years postimplant.

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“…[12] At least one-third of patients with erectile dysfunction (ED) do not respond to conservative treatment, particularly to phosphodiesterase type 5 inhibitors and intracavernosal injection therapy. Half of the patients with ED have severe and irreversible damage and will be candidates for penile prosthesis surgery.…”

Section: Introductionmentioning

confidence: 99%

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.

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Management of erectile impotence Use of implantable inflatable prosthesis

Cited by 530 publications

References 6 publications

Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses

Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses

Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

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