Impotence

Penile Prosthesis

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Penile Prosthesis, Penile Implants

  • Indications
  1. Third-line treatment for Erectile Dysfunction when refractory to other measures
  • Preparations
  • Prosthesis types
  1. Semi-Rigid (persistently erect)
  2. Self-contained inflatable
  3. Three Piece inflatable
    1. Corpora cavernosa each replaced with an inflatable tube
    2. Intraabominal reservoir
    3. Pump contained within Scrotum
  • Adverse Effects
  1. Infection (requires immediate removal)
  2. Malfunction
  3. Perforation
  4. Scarring
  • Procedure
  1. Intraoperative time: 30 minutes to 2 hours
  2. Hospitalized overnight
  3. Urologic Follow-up
    1. Postoperative: 7-10 days
    2. Postoperative: 6 weeks
    3. Yearly evaluation
  4. No sexual activity for 6 weeks after procedure
  5. Does not interfere with normal penile function
    1. Urination
    2. Ejaculation
    3. Orgasm
  • References
  1. Rew (2016) Am Fam Physician 94(10): 820-7 [PubMed]