The use of penile prostheses in the treatment of impotence

Evans, Christine M.

doi:10.1046/j.1464-410x.1998.00597.x

Cited by 45 publications

(43 citation statements)

References 20 publications

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“…Since its introduction in the 1970s, the surgical technique of penile prosthesis implantation has evolved from placing a single silastic prosthesis in the pendulous part of the penis, 1,2 to the current intracorporeal placement. 3 Although the design and function of the modern prosthesis has changed and improved, a persistent complaint that has been noted by both patients and their sexual partners is the subjective sensation of a cold glans penis in those men with a penile prosthesis. 4,5 Montsorsi et al 5 reported the etiology of patient dissatisfaction with postoperative sexual activity following insertion of a semirigid penile prosthesis to be sensation of a cold glans penis in 24%.…”

Section: Introductionmentioning

confidence: 99%

Cutaneous temperature measurements in men with penile prostheses: a comparison study

et al. 2005

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To evaluate and compare the cutaneous temperature of the penis in normal men, those with erectile dysfunction (ED), those with semirigid penile prostheses (SRPPs), and those with inflatable penile prostheses (IPPs), and those before and after trimix injection to create a penile erection. A total of 68 patients were evaluated. Five patient groups were identified, including men with normal erectile function, with ED, with SRPPs, with IPPs, and following intracavernosal injection of trimix solution. Cutaneous glans temperature increased significantly by more than 2.21C in the trimix-injected group compared with all other groups (Po0.001). Using cutaneous temperature measurements of the penis, patients with SRPPs had significantly lower cutaneous glans temperatures than normals (Po0.02), those in the ED group (Po0.04), and those in the IPP-deflated group (Po0.01). The mean temperature difference was 1.4470.401C. Using cutaneous temperature measurements of the penis, men with SRPPs have a colder glans as compared with men with normal erectile function, ED, IPPs, and those who have received an injection of trimix. Men with normal erectile function, ED, and IPPs did not have significant cutaneous temperature differences.

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Section: Introductionmentioning

confidence: 99%

Cutaneous temperature measurements in men with penile prostheses: a comparison study

et al. 2005

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“…Penile prostheses, which first began to be used in the 1970s, were modernized with the development of new prostheses with a silicon inner side and metal support in 1989. Then, with the production of inflatable and multiple-piece and even antibiotic-coated prostheses, devices that led to less complications and were more suitable for social life were developed (22,23). An ideal penile prosthesis should be able to be implanted without leading to a serious complication during the operation, have an adequate length and rigidity for penetration, and provide the highest patient and partner satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Clinical Results of Penile Prosthesis Implantation for Treating Organic Erectile Dysfunction

Kadıhasanoğlu¹,

Erkan²,

Yücetaş³

et al. 2016

Istanbul Med J

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Erectile dysfunction (ED) is the second most common sexual dysfunction in men after premature ejaculation (1) and is defined as "the inability of a man to have and/or maintain adequate penile erection for sexual intercourse for at least 6 months" (2). In a community-based study conducted by the Turkish Society of Andrology on the prevalence of ED, its prevalence was found to be 69.2% (33.2% as mild, 27.5% as moderate, and 8.5% as advanced ED) (3). According to the findings of the Massachusetts Male Aging Study (MMAS), which is accepted to be a reference as one of the most important international epidemiological studies, of male patients between the ages of 40 and 70 years, 17% had mild ED, 25% had moderate ED, and 10% had severe ED (4). Based on these findings, it is estimated that the number of ED patients will increase to approximately 322 million worldwide in 2015 (5). It has been demonstrated that frequent ED can seriously affect the quality of life of the spouse as well as the patient (4).In basic scientific and clinical studies conducted on the physiology and pathophysiology of erection, it has been revealed that ED is a vascular pathology associated with risk factors, such as cardiovascular diseases, hypertension, atherosclerosis, lipid disorders, smoking, diabetes mellitus, obesity, metabolic syndrome, and a sedentary lifestyle (2, 6). Apart from the abovementioned medical problems, iatrogenic factors, such as pelvic surgeries, particularly radical prostatectomy where even bilateral neuroprotective is applied, are also among the important factors that play a role in the occurrence of ED (7).Currently, lifestyle changes and primary and secondary care conservative therapies, including medical treatment choices applied orally or through intracavernous injection, are the first techniques performed for patients with ED. Phosphodiesterase type-5 inhibitors, intracavernous injections, intraurethral alprostadil, and vacuum devices can fail in approximately 80% of patients because they discontinue the treatment (8, 9). In such a situation or in ED patients, particularly in the case of ED with an organic origin, with no adequate response to the treatment, despite invasive and costly intervention, flexible or inflatable penile prosthesis implantation, which has been The Clinical Results of Penile Prosthesis Implantation for the Treatment of Organic Erectile DysfunctionIntroduction: The aim of this study is to evaluate the clinical results of penile prosthesis implantation for the treatment of the patients with organic erectile dysfunction (ED).Methods: Medical records of penile prosthesis implantation for the treatments of 36 patients with organic ED between January 2006 and December 2014 were retrospectively reviewed. The demographic data of the patients, the causes and duration of ED, operative time, hospitalization time, types of prosthesis, and intraoperative and postoperative complications were evaluated. Results:The mean age of patients was 53.94±9.66 years and the mean body mass index of the patients was 27....

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“…Erektil disfonksiyon tedavisinde farmakolojik ajanlardan yanıt alınamayan olgularda penil protez implantasyonu (PPI) etkili bir tedavi seçeneğidir (1). İkibinli yılların başında PPI sonrası 5 yıl içinde en sık görülen komplikasyonlar mekanik sorunlar (%10-20) ve enfeksiyonlar (%2-6) olarak saptanmış ve gelişen teknoloji ve antibiyotik kaplı protezlerin gündeme gelmesi ile bu oranlar giderek azalmıştır (2).…”

Section: Introductionunclassified

Penil Protez Geç Dönem Komplikasyonu Organize Olmuş İntrakavernozal Hematom: Olgu Sunumu

Çelik

Karazindiyanoğlu²

2015

J Contemp Med

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Penil protez implantasyonu (PPI) sonrası korporal perforasyon/erozyon nadir görülen bir komplikasyondur. Bu çalışmada PPI sonrası geç dönemde oluşan kavernöz kaynaklı penil hematom olgusunu sunduk. Bükülebilir penil protezi bulunan 63 yaşında erkek hastada 3 ay önce başlayan peniste şişlik şikayeti ile kliniğimize başvurdu.Yapılan tetkikler sonucu penil hematom tespit edildi. Hematom boşaltılması planlandı. Peroperatif hematomun kavernöz kaynaklı olduğu gözlendi. Hematom boşaltılması sonrası protez çıkartılmadan korpus kavernozum içi antibiyotikli serum ile yıkandı ve primer tamir edildi. Ampirik antibiyoterapi ve günlük pansuman ile enfeksiyon oluşmadan yara yerinin 10.günde iyiliştiği gözlendi. PPI sonrası geç dönemde ençok mekanik sorunlar görülmekte olup kavernöz kaynaklı hematom da olabilir ve penil protez çıkarılmadan tedavi edilebilir.

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The use of penile prostheses in the treatment of impotence

Cited by 45 publications

References 20 publications

Cutaneous temperature measurements in men with penile prostheses: a comparison study

Cutaneous temperature measurements in men with penile prostheses: a comparison study

Clinical Results of Penile Prosthesis Implantation for Treating Organic Erectile Dysfunction

Penil Protez Geç Dönem Komplikasyonu Organize Olmuş İntrakavernozal Hematom: Olgu Sunumu

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