[Silicone-silver penis prosthesis (Jonas-Eska), long-term experiences. A critical assessment]

As an example of a semirigid/malleable penile prosthesis for the treatment of erectile dysfunction, the silicone-silver device is described. After a short introduction in which all types in current use are listed, the penile prosthesis itself and the implantation technique are described and the long-term results, which are good in around 92% of the cases, are presented. Importance is attached to the problems and complications and to the specification of surgical aids needed for successful implantation. In view of the alternative treatment options available, the use of alloplastics is now regarded as a last option in the treatment of erectile dysfunction; however, even in 1991 penile implants give the best results known so far.