Penile prosthesis implantation for the treatment for male erectile dysfunction: clinical outcomes and lessons learnt after 955 procedures

Chung, Eric; Ван, Ч.; Wilson, Ian C.; Cartmill, Ross

doi:10.1007/s00345-012-0859-4

Cited by 64 publications

(29 citation statements)

References 21 publications

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“…Mechanical reliability of penile prosthesis has increased over time. As stated in previous reports, mechanical failure is more common with former prostheses, which was found to be independent from the etiology as in our study [11,12,14].…”

Section: Discussionsupporting

confidence: 87%

“…Penile prostheses are subject to continuous development and have gained better mechanical reliability and safety in recent decades [10], but device‐related complications together with the well‐known complications of PPI can still occur [11,12]. With the evolvement of inflatable penile prostheses with infection‐retardant coating, the infection rates have decreased over time.…”

Section: Discussionmentioning

confidence: 99%

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Does the etiology affect the outcome and satisfaction rates of penile prosthesis implantation surgery?

Bozkurt

Arslan

Kozacıoğlu

et al. 2014

The Kaohsiung J of Med Scie

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Our aim was to compare the outcomes and satisfaction rates of men undergoing penile prostheses implantation (PPI) secondary to radical prostatectomy (RP) and other causes of vasculogenic erectile dysfunction (ED). A total of 142 patients, of whom 60 underwent PPI due to ED following RP (Group 1) and 82 underwent PPI due to ED with other vasculogenic causes (Group 2) were included in this study. The preoperative erectile status was evaluated with the International Index of Erectile Function (IIEF). The satisfaction of patients and partners were evaluated by a telephone interview using Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire and Erectile Dysfunction Inventory of Treatment Satisfaction Partner Survey. Preoperative mean IIEF scores were significantly lower in Group 1 (17.5 ± 6.4 vs. 24.2 ± 5.1, p = 0.01). For Groups 1 and 2, the mean EDITS scores of the patients were 58 ± 10 and 71 ± 8, respectively, and that for the partners were 46 ± 8 and 65 ± 7, respectively. Group 1 had significantly lower scores both for the EDITS and the EDITS Partner Survey (p = 0.03, p = 0.01, respectively). Patients who had undergone RP and their partners were found to have lower satisfaction rates compared to patients with other causes of vasculogenic ED who had penile implant surgery. From this point of view, it is important to know the patient's expectations about the treatment outcomes and a preoperative psychological and sexual counseling should be managed for possible treatment alternatives after RP.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Does the etiology affect the outcome and satisfaction rates of penile prosthesis implantation surgery?

Bozkurt

Arslan

Kozacıoğlu

et al. 2014

The Kaohsiung J of Med Scie

View full text Add to dashboard Cite

show abstract

“…Chung et al . [18] recently published data on penile prosthesis implantation. Most of the 955 men studied were satisfied with the surgical outcomes, and 90% of the men stated that they would undergo prosthesis implantation again.…”

Section: Discussionmentioning

confidence: 99%

Penile length and girth restoration in severe Peyronie's disease using circular and longitudinal grafting

Egydio¹,

Kuehhas

Sansalone

2012

BJU International

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What ' s known on the subject? and What does the study add?The association between Peyronie ' s disease (PD) and erectile dysfunction (ED) is reported to be 20 -70%. Frequently, men who suffer from both ED and PD do not respond to erectogenic medication. In such cases, a simple straightening operation does not provide any benefi t to the patient, as inadequate rigidity still impedes sexual intercourse. For these patients, surgical correction of the curvature should be performed with simultaneous penile prosthesis implantation. Penile prosthesis implantation guarantees a functional straight penis. Almost all patients report adequate rigidity for sexual intercourse postoperatively; however, in up to 50% of cases, patients are dissatisfi ed with the postoperative penile length. In cases of penile prosthesis implantation for PD, a simultaneous penile lengthening procedure should be performed to increase postoperative satisfaction rates.We report our experience using a novel method for restoration of penile length and girth in patients with PD by grafting. Our study shows that penile prosthesis implantation with concomitant penile lengthening and girth restoration based on circumferential tunica albuginea incision is highly effective for extensive penile shaft reconstruction to correct severe penile shortening and narrowing, resulting in maximum penile length gain and girth restoration, regardless of plaque characteristics. OBJECTIVE• To report patient outcomes and satisfaction with our technique for penile length and girth restoration in severe Peyronie ' s disease (PD). PATIENTS AND METHODS• Between November 2006 and November 2011, 105 men with severe PD and erectile dysfunction (ED) underwent surgical correction using our new approach.• The technique consists of penile prosthesis implantation with concomitant penile lengthening and girth restoration through circular and longitudinal incisions in the tunica albuginea according to geometric principles. RESULTS• The overall patient satisfaction rate was 89.4%.• The mean ( SD ; range) functional penile length gain was 3.6 (0.7; 2 -5) cm. Patient satisfaction with penile length gain was 95.2%.• Three patients (2.9%) developed retraction with residual curvature of up to 30 ° , but no re-operation was necessary.• In one (1%) patient, the prosthesis had to be removed because of wound infection.• At a mean ( SD ; range) follow-up of 18.2 (5.9; 6 -46) months, 104 patients (99%) were able to have sexual intercourse. CONCLUSIONS• Our surgical approach for penile length and girth restoration leads to high patient satisfaction rates and excellent functional outcomes.• Our surgical approach is a safe and valid therapeutic method for the treatment of severe PD associated with ED.

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“…Obesity is associated with decreased satisfaction with penile prosthesis [67]. Long-term follow-up studies showed that at 5 years 1:10 penile prosthesis has to be replaced [69]. Long-term follow-up studies showed that at 5 years 1:10 penile prosthesis has to be replaced [69].…”

Section: Penile Prosthesismentioning

confidence: 99%

Obesity and Sexual Dysfunction in Men

Paduch

Bolyakov

Vaucher

2013

Obesity

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Penile prosthesis implantation for the treatment for male erectile dysfunction: clinical outcomes and lessons learnt after 955 procedures

Abstract: Penile prosthesis surgery is a safe and durable treatment option for male ED. Strict adherence to antimicrobial prophylaxis and surgical practice is paramount to ensure low complication rates and high patient satisfaction rate.

Cited by 64 publications

References 21 publications

Does the etiology affect the outcome and satisfaction rates of penile prosthesis implantation surgery?

Does the etiology affect the outcome and satisfaction rates of penile prosthesis implantation surgery?

Penile length and girth restoration in severe Peyronie's disease using circular and longitudinal grafting

Obesity and Sexual Dysfunction in Men

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