Recent advancements in penile prosthetics

Abstract

Since the original inflatable penile prosthesis in the 1970s, several enhancements to penile prosthesis implant design, implant surgical technique, and post-operative care have been developed to increase overall patient (and partner) satisfaction rates. We, in this communication, seek to discuss these advancements and the overall impact in combating erectile dysfunction. As we continue to pursue avenues of effective and definitive treatment modalities for erectile dysfunction refractory to medical therapy, rates of infection and mechanical failure will hopefully continue to decline in the perioperative setting.

Treatment Options for Erectile Dysfunction in Diabetics

“…Both self and partner-reported satisfaction rates are evaluated to assess the outcomes. It has been shown that implantation of inflatable penile prosthesis brings more patient and partner satisfaction than medication therapy with PDE5 inhibitors or intracavernosal injections [22]. Satisfaction rates are reported to be higher with inflatable rather than malleable implants.…”

“…Nevertheless, PPI is costly, traumatic, and prone to complications, such as prosthetic infection, pump migration, automatic inflation, secondary surgery, etc. This is the main reason why it cannot become a first-line treatment [22].…”

“…The majority of ED patients depend on their treatment to preserve their sexual function. Current evidence from numerous trials suggests that corpora cavernosa low-intensity extracorporeal shockwave therapy (LI-ESWT) could likely achieve this goal [22]. Shockwaves (SWs) are acoustic waves that convey energy and can be non-invasively targeted and concentrated to effect a distant, chosen anatomical region when they are traveling through a material.…”

“…It was originally introduced as a non-invasive treatment for kidney stones and has since been used in the management of many other conditions, including bone fractures, musculoskeletal disorders, wound healing, Peyronie's disease, and ischemic cardiovascular disorders. In 2010, it was proposed that lowintensity extracorporeal shockwave therapy (Li-ESWT) could be a promising new treatment option for erectile dysfunction (ED) [22]. A physical shock wave known as a low-intensity extracorporeal shock wave (Li-ESW) is a noninvasive emits energy at a density of less than 0.1 mJ/mm2.…”

Reviving intimacy: Penile rehabilitation strategies for men after prostate cancer treatment

“…The 5 and 10-year overall survivals of modern prosthetics are estimated to be 90.4% and 86.6%, respectively. 26 , 58 , 59 Given IPP placement to be a more invasive treatment, there are several adverse effects including severe infection, device erosion or extrusion, mechanical failure, and changes in penile length. A penile prosthetic is considered an irreversible procedure typically reserved for patients who fail pharmaceuticals and VED.…”