Malleable Penile Implant Is an Effective Therapeutic Option in Men With Peyronie’s Disease and Erectile Dysfunction

Abstract

BackgroundThe inflatable penile prosthesis (IPP) is typically the preferred implant for Peyronie’s disease (PD) and malleable penile prostheses (MPPs) have been discouraged.AimsTo evaluate the effectiveness and patient satisfaction of the MPP vs IPP in patients with PD.MethodsMen with PD and erectile dysfunction who elected for penile implant surgery constituted the study population. Preoperatively, demographic and comorbidity parameters were recorded. Curvature was measured with a goniometer at maximum rigidity after intracavernosal injection of a vasoactive agent. Postoperatively, overall satisfaction was measured at 3, 6, 12, and 24 months on 5-point Likert scale from 1 (dissatisfied) to 5 (very satisfied).Results166 men with a mean age of 59 ± 10 years were analyzed. The mean preoperative curvature in the entire cohort was 65° (range = 30–130°). 94% of patients with MPP had total resolution of their curvature at the end of the operation, whereas 8 patients (6%) had residual curvature (25–40°). In the IPP group 25 of 30 (83.3%) had a straight penis at the end of surgery, whereas 5 of 30 (16.7%) had residual curvature, with the mean magnitude being 33° in the MPP group and 30° in the IPP group. 86% of all patients had diabetes. There were no differences between the 2 implant groups in age, hemoglobin A1c, body mass index, or smoking status. The mean patient satisfaction was 4.42 ± 0.70 (range = 2–5) and there was no difference between the 2 groups. The mean follow-up period was 23.4 months (range = 6–29 months).ConclusionWe found that the MPP is as effective as the IPP in curvature correction in patients with PD, with similar patient satisfaction for the 2 groups.Habous M, Farag M, Tealab A, et al. Malleable Penile Implant Is an Effective Therapeutic Option in Men With Peyronie’s Disease and Erectile Dysfunction. Sex Med 2018;6:24–29.

Surgical Outcomes and Patient Satisfaction With the Low-Cost, Semi-Rigid Shah Penile Prosthesis: A boon to the Developing Countries

“…Habous M et al observed nearly similar satisfaction rates of 4.4 ± 0.7 and 4.3 ± 0.8 (on a 5-point Likert scale) with SPP and IPP in PD respectively. 17 Similarly, the 3 patients with PD in our series who received Shah PP reported the maximum overall satisfaction of 4 on a scale 0–4.…”

Peyronie’s disease: Contemporary evaluation and management

“…The IPP is favored for men with PD because of concerns regarding persistent deformity, lack of girth enhancement, limited concealment and even partner dissatisfaction, but recent work has found reported high patient satisfaction rates with malleable prostheses as well 129–131 . This has important implications, as malleable devices are more accessible and less expensive in some regions of the world.…”

Is there still a place for malleable penile implants in the United States? Wilson’s Workshop #18

“…Peyronie's disease MPP have been successfully used in men with a history of Peyronie's disease (PD). Habous et al from Saudi Arabia evaluated patient satisfaction and effectiveness of the MPP vs. IPP in patients with PD [25]. In this study, 166 men with ED and PD were evaluated for 24 months after the insertion of a MPP or IPP.…”