Penile prosthetic surgery and its role in the treatment of end-stage erectile dysfunction - an update

The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2006-07, Vol.88 (4), p.343-348
Main Authors: Jain, S, Terry, T R
Format: Article
Language:English
Subjects:
Antibiotics
Design
Erectile dysfunction
Erectile Dysfunction - surgery
Humans
Infections
Male
Patient satisfaction
Penile Prosthesis
Penis
Prostheses
Prosthesis Design
Prosthesis Failure
Prosthesis-Related Infections - prevention & control
Review
Surgery
Surgical techniques
Transplants & implants
Urology
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Summary:The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surgery has in the past been associated with technical difficulties and a high complication rate. This has spurred numerous developments in prosthesis design and surgical technique with the field changing at a rapid pace. Perhaps the most significant is the use of antimicrobial coatings on prostheses that have been shown to reduce the infection rate significantly. This review highlights those developments reported in the last 5 years.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588406X114758