Penile Prosthesis: What Should We Do about Complications?

Abstract

Even in the era of phoshodiesterase type 5 inhibitors, penile implants are considered the definitive solution for the treatment of organic erectile disfunction. The advent of new surgical tools and new infection-resistant materials has significantly reduced the risk of intra and post-operative complications and the need for revision surgery. Various companies have also improved their mechanical systems in order to reduce the risk of failures, and their products are now so good they may last lifelong. In this article, we evaluate the intraoperative and postoperative complications recorded in our experience and in literature reports, and make some suggestions as to how to prevent or correct them.

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

“…Bladder and bowel injuries can occur during the implantation of the reservoir into the Retzius cavity blindly. Laparotomy and cystoscopy may be needed in these types of injuries (7). In addition, other complications, such as cavernous perforation, mechanical dysfunction, malposition, constant pain, and erosion can be seen.…”

Complications after penile implant surgery

“…8. Тотальная некрэктомия тканей, окружающих экструдирован-ные цилиндры эндофаллопротеза с пенильной ампутацией (адаптиро-вано из [6])…”

“…9. «Деформация Конкорда» вследствие имплантации малых по раз-меру цилиндров (адаптировано из [6]) Fig. 9.…”

“…9. "Concord deformation" due to implantation of small cylinders (adapted from [6]) теризуется постоянной болью и данными локального статуса [2,26]. В таких случаях решение заключается в замене протеза.…”

“…Современные фаллопротезы представлены полу-жесткими моделями AMS Spectra (American Medical System, США), Coloplast Genesis (Coloplast, США), Tube (Promedon, Аргентина) и гидравлическими трехкомпо-нентными системами AMS-700 CX, AMS-700 CX IZ, AMS-700 LGX (все -American Medical System, США), Coloplast Titan OTR (Coloplast, США), Zephyr Surgical Implants 475 (Zephyr, Швейцария) [5,6]. Несмотря на постоянное совершенствование оперативной техники имплантации протезов и улучшение свойств материалов, осложнения после ЭФП по-прежнему остаются акту-альной проблемой современной генитальной хирургии.…”