History, Contemporary Outcomes, and Future of Penile Prostheses: A Review of the Literature

Trost, Landon

doi:10.1002/smrj.8

Cited by 35 publications

(11 citation statements)

References 99 publications

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“…Other techniques which have been investigated to accommodate implants in patients with fibrotic corpora include extended/wider incisions, multiple incision methods, and corporal counter incisions. The use of synthetic grafting materials has fallen out of practice due to high rates of patient infection (up to 50%) (53). Smaller implants can also be placed in patients with more serious cases of fibrosis-either permanently or to progressively expand the corporal tunnel to allow for replacement with a larger implant in the future (41).…”

Section: Surgical Considerations and Post-operative Results For Three-piece Implants Cylindersmentioning

confidence: 99%

Narrative review of penile prosthetic implant technology and surgical results, including transgender patients

Polchert¹,

Dick²,

Raheem³

2021

Transl Androl Urol

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Over the past 40 years, the technological and surgical advancements in penile prostheses have led to increased patient satisfaction rates and decreased complication and infection rates. In cis males with erectile dysfunction (ED), these technological improvements tremendously improve quality of life. In female to male transgender patients, prostheses provide the ability to engage in penetrative intercourse and to urinate standing. This review evaluates technological and surgical advancements in penile prosthetics in the context of documented patient satisfaction and complication rates from prosthesis surgeries. Retrospective studies of penile implant usage in female to male gender-affirming surgeries report that infection and complication rates are higher than those seen in cis males. There are newer prostheses developed specifically for female to male reassignment surgeries, but outcome data is limited. Continued research and development are needed to develop more efficacious penile implantation options for gender affirmation surgery.

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Section: Surgical Considerations and Post-operative Results For Three-piece Implants Cylindersmentioning

confidence: 99%

Narrative review of penile prosthetic implant technology and surgical results, including transgender patients

Polchert¹,

Dick²,

Raheem³

2021

Transl Androl Urol

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“…Post-operative satisfaction is the product of numerous variables and is highly dependent on expectation management ( 58 ). Contemporary series have cited IPP satisfaction rates from 78–96% ( 59 - 62 ). Satisfaction with IPP placement is a consequence of numerous variables.…”

Section: Expectation Managementmentioning

confidence: 99%

Preoperative counseling and expectation management for inflatable penile prosthesis implantation

Narang

Figler

Coward

2017

Transl. Androl. Urol.

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The inflatable penile prosthesis (IPP) is the gold standard surgical treatment for medical refractory erectile dysfunction (ED). While the modern IPP has enjoyed high satisfaction rates as a product of its continued innovation, reliability, and performance, patient dissatisfaction can still occur. IPP implantation restores physiologic function with cosmetic and psychological consequences, both of which place inherent emphasis on preoperative counseling and expectation management. This review aims to highlight the complex nature of such counseling and provide practitioners with a roadmap to navigate the landscape. Preoperative counseling begins with appropriate patient selection and identification of those patients who are at risk for dissatisfaction as a result of personality characteristics. The informed consent provides a natural framework to discuss the host of complications and risks that are associated with surgery, including infection, device malfunction, damage to nearby structures, and device erosion. Device selection is a nuanced process that merges patient preference with clinical factors and consideration. We address device selection through a description of cylinder construction, pump design, and reservoir placement in the context of preoperative counseling. Lastly, we draw attention to expectation management with a specific focus on possible post-operative changes to penile length and sensation as well as partner involvement. The modern IPP provides excellent results with high patient and partner satisfaction. Ultimately, satisfaction is dependent on multiple factors, but providing accurate, realistic counseling and expectation management prepares patients for the best possible outcomes.

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“…Since the advent of the inflatable penile prosthesis (IPP) in 1973, it has become the surgical gold standard in treating patients with refractory erectile dysfunction (ED) [ 1 , 2 ]. Three-piece inflatable implants have shown greater satisfaction among patients compared to the semi-rigid rods, due to their better concealability and more natural erections [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Penile Hemodynamic Response to Phosphodiesterase Type V Inhibitors after Cavernosal Sparing Inflatable Penile Prosthesis Implantation: A Prospective Randomized Open-Blinded End-Point (PROBE) Study

Zaazaa

Bayerle-Eder

Elnabarawy

et al. 2021

Advances in Urology

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Forceful corporal dilatation amidst penile prosthesis implantation may injure cavernosal arteries compromising penile vasculature. In this study, we aimed to compare the conventional and cavernosal sparing techniques regarding cavernosal artery preservation. Overall, 33 patients underwent inflatable penile prosthesis implantation with Coloplast Titan Touch® three-piece inflatable penile implants. 16 patients had conventional implantations with serial vigorous dilatations, while 17 patients were implanted with the cavernosal sparing technique, consisting of a single minimal corporal dilatation after an intraoperative intracavernosal injection (ICI) of Alprostadil. Postoperatively, a penile duplex Doppler ultrasound study was performed. Whenever a cavernosal artery was spared and thus successfully probed, its hemodynamics were studied before and after an oral administration of a phosphodiesterase type 5 inhibitor (PDE5i). A cavernosal artery was successfully probed in 16/17 (94%) of patients in the cavernosal sparing group compared to 5/16 (31%) of patients in the conventional group with a significant statistical difference ( P = 0.001 ). This demonstrated that the cavernosal sparing technique was superior to the conventional approach in preserving the cavernosal artery (odds ratio 35.2, 95% IC 3.5–344.2; P = 0.0022 ). Whenever a cavernosal artery could be probed, its hemodynamic responsiveness was also preserved. This trial is registered with NCT03733860.

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History, Contemporary Outcomes, and Future of Penile Prostheses: A Review of the Literature

Cited by 35 publications

References 99 publications

Narrative review of penile prosthetic implant technology and surgical results, including transgender patients

Narrative review of penile prosthetic implant technology and surgical results, including transgender patients

Preoperative counseling and expectation management for inflatable penile prosthesis implantation

Penile Hemodynamic Response to Phosphodiesterase Type V Inhibitors after Cavernosal Sparing Inflatable Penile Prosthesis Implantation: A Prospective Randomized Open-Blinded End-Point (PROBE) Study

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