Penile prosthesis implantation: past, present and future

Abstract

Penile prosthesis implantation is the oldest effective treatment for erectile dysfunction. This review examines the past, present and future of penile prosthesis implantation. Advances in prosthetic design and implantation techniques have resulted today in devices that produce nearly normal flaccid and erect states, and have remarkable freedom from mechanical failure. The future of prosthetic design holds promises for even more improvements.

Erectile Dysfunction: A Review of Historical Treatments With a Focus on the Development of the Inflatable Penile Prosthesis

“…In 1964, Drs. H. Lash, D. C. Zimmerman, and R. A. Loeffler implanted the first single-rod rubber prosthesis made of silicone (Simmons & Montague, 2008). This single rod was implanted beneath Buck's fascia but outside of the corpora cavernosum, which led to problems with erosion and extrusion (Henry, 2009).…”

“…This device was composed of paired silicone rods with an embedded silver wire core. This design gave men the ability to voluntarily bend the penis when they desired concealment or urination and to straighten the penis when they desired an erection (Simmons & Montague, 2008). Current semi-rigid devices are made by American Medical Systems® (AMS, Minnetonka, MN) and Coloplast® (Minneapolis, MN, formerly Mentor).…”

“…The Jonas prosthesis (Jonas & Jacobi, 1980) was the first malleable device introduced in 1980 and resembles the malleable device available today (Simmons & Montague, 2008). This device was composed of paired silicone rods with an embedded silver wire core.…”

“…For this reason, devices such as the Flexirod by Dr. Roy P. Finney were invented (Henry, 2009). The device consisted of paired semi-rigid silicone rods placed in each cavernosal body (Simmons & Montague, 2008). Additional features included a soft hinge placed beneath the pubis for concealment, a tapered distal end that allowed for better glans stability, and a trimmable tail for size adjustment (Finney, 1984).…”

Twenty years of IJIR

“…We are honored and privileged to have my dear friend, Jacob Rajfer 23 who provides an indepth report of his discovery of NO, which is undoubtedly the most important scientific discovery in the field of male sexual medicine in the past 20 years. Dr Karl Montague, a pioneer in the field of penile prosthetics, and his colleague 24 provide a nice presentation of the past, present and future of penile prosthesis implantation. Tom Lue, an esteemed colleague and mentor, who has been involved in sexual medicine for over two decades, and his colleagues 25 have written a contemporary overview of Peyronie's disease.…”