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Updated: Jul 15, 2026

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[Penile protheses multicentre practice evaluation, results after 282 procedures].

Johann Menard1, Jack-Charles Tremeaux, Antoine Faix

  • 1Département d'Urologie-Andrologie, Hôpital Robert Debré, CHU de Reims, France. johann-menard@wanadoo.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|May 11, 2007
PubMed
Summary

Penile prostheses offer high patient satisfaction and low complication rates for erectile dysfunction. Implantation should follow failed conservative treatments and be performed by experienced surgeons for optimal outcomes.

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Area of Science:

  • Urology
  • Andrology
  • Surgical Innovation

Background:

  • Erectile dysfunction (ED) significantly impacts quality of life.
  • Penile prostheses are a treatment option for refractory ED.
  • Multicenter data evaluation is crucial for practice standardization.

Purpose of the Study:

  • To evaluate penile prosthesis implantation practices across multiple centers.
  • To analyze complication rates and patient satisfaction following penile prosthesis surgery.
  • To assess the impact of surgeon experience on outcomes.

Main Methods:

  • Retrospective analysis of 282 penile prostheses implanted between 1996-2005 in 254 patients.
  • Data collection included patient demographics, ED etiology, implant type, and surgical approach.

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  • Postoperative outcomes assessed via complication rates and International Index of Erectile Function (IIEF) scores.

    • Main Results:

    • Average patient age was 58.6 years, with a mean ED duration of 39.2 months.
    • Common etiologies included arterial disease (35.3%), diabetes (22.8%), and post-prostatectomy (16.5%).
    • Sepsis rate was 2.2%, mechanical dysfunction 7.5%, and other complications 1.8%; diabetes increased septic risk (7.6%).
    • Overall patient satisfaction was 86.7%, with IIEF scores improving significantly from 20.5 to 68.9.

    Conclusions:

    • Penile prostheses provide high satisfaction and low complication rates.
    • Appropriate patient selection and experienced surgical teams are vital for success.
    • Multicenter data supports the efficacy of penile prostheses comparable to international series.