Penile Prosthesis Surgery: A Review of Prosthetic Devices and Associated Complications

Sadeghi‐Nejad, Hossein

doi:10.1111/j.1743-6109.2007.00434.x

Cited by 106 publications

(103 citation statements)

References 106 publications

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“…Patients with co-morbidities such as diabetes and vascular disease are more likely to have erosive complications secondary to poor microvascular tissue. 18 Prosthesis wear has been observed mostly at the tip of the distal penile cylinders and the penile pump. 19 It has been hypothesized that the underlying causes of erosion seem to be associated with malfunction, infection or both, suggesting an inflammatory etiology.…”

Section: Discussionmentioning

confidence: 99%

Does a replacement or revision of an inflatable penile prosthesis lead to decreased patient satisfaction?

Caire

Boonjindasup

2011

Int J Impot Res

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To analyze the reason for replacement, revision and overall satisfaction of a cohort who underwent surgical replacement of an inflatable penile prosthesis (IPP). A cohort of 105 patients who underwent IPP replacement from 2005-2007 was retrieved from the prosthesis database. Approximately 21.9% (23) underwent replacement or revision of their prosthesis because of complications, and were further analyzed. Reason for removal was stratified into infectious and non-infectious (erosion, non-function and patient discomfort). Age, race (African American vs nonAfrican American), smoking history, hypertension, diabetes, coronary artery disease and hyperlipidemia were stratified by reason for removal. Finally, we contacted patients and recorded subjective satisfaction with their IPP. The reason for removal was most commonly because of a nonfunctional IPP (47.8%), followed by infection (30.4%), erosion (17.4%) and patient discomfort (4.3%). Age and race did not show a significant difference when analyzing reason for replacement (P40.05). Patients who were smokers (P ¼ 0.907) had hypertension (P ¼ 0.554), diabetes (P ¼ 0.591) or hyperlipidemia (P ¼ 0.219) did not have significantly higher infection rates. Approximately 58.3% were satisfied with their prosthesis, 75% would have the surgery performed again and 91.7% would still recommend prosthesis surgery. Device malfunction was the primary reason for replacement/removal at our institution. Despite the complications of prosthesis reoperation, the majority of patients were still satisfied with their prosthesis, would have the surgery performed again and would recommend prosthesis surgery to a friend.

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Section: Discussionmentioning

confidence: 99%

Does a replacement or revision of an inflatable penile prosthesis lead to decreased patient satisfaction?

Caire

Boonjindasup

2011

Int J Impot Res

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“…The advantage of this device was ease of implantation like malleable devices, with the cosmetic appeal of inflatables (Sadeghi-Nejad, 2007). To inflate the device, a small pump located at the distal end of the prosthesis is compressed and fluid transfers from a self-contained fluid reservoir into the nondistensible inner chamber (Simmons & Montague, 2008).…”

Section: Inflatable Penile Prosthesismentioning

confidence: 99%

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

et al. 2015

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Erectile dysfunction has been a concern for men since the beginning of written history. For many men it can lead to severe psychological distress and humiliation. The treatment of erectile dysfunction has advanced significantly over the past 200 years. Men today are presented with many more viable therapy options leading to improved efficacy and more satisfactory sex lives. The objective of this article is to explore historical options for the treatment of erectile dysfunction, with particular emphasis on the development and progression of the inflatable penile prosthesis.

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“…This may also lead to a shortening of the penis and increase the difficulty of placing another prosthesis in the future (21). The vast majority of infections occur within the first year after implantation (22).…”

Section: Commentsmentioning

confidence: 99%

Penile prosthesis implantation in an academic institution in Latin America

et al. 2010

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Purpose: We performed a retrospective study to analyze the effectiveness of implantable penile prostheses in the treatment of erectile dysfunction. Results: Approximately half of patients had previously used oral drugs before implantation of the prosthesis. About 45% had diabetes, 25.9% had previously undergone radical prostatectomy (RP), and 64% had hypertension. Exchange was performed in 5.7% for fracture, inadequate size, or extrusion. A total of 24.5% of men had immediate postoperative pain, 7.9% had local infection, and 8.6% had other complications. Patients who had previously undergone RP were 3.2 times more likely to experience a postoperative complication than patients who had not (p = 0.061). Eighty-nine (64%) patients returned to having sex as they had before being diagnosed with ED. Ninety-two of the men (66.2%) had sexual intercourse one to two times per week. One hundred twenty patients (86.3%) rated their level of satisfaction as good, excellent or very good, which was similar to the percentage of partners. The mean follow-up was 40 months. Conclusion: Higher rates of postoperative infections and mechanical problems with the implant were found in this study as compared to other studies, which was probably associated with the relative lack of experience of the trainees who were performing the surgeries. Patients with a history of RP or diabetes mellitus prior to implantation were at higher risk of postoperative complications.

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Penile Prosthesis Surgery: A Review of Prosthetic Devices and Associated Complications

Cited by 106 publications

References 106 publications

Does a replacement or revision of an inflatable penile prosthesis lead to decreased patient satisfaction?

Does a replacement or revision of an inflatable penile prosthesis lead to decreased patient satisfaction?

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

Penile prosthesis implantation in an academic institution in Latin America

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