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A practical overview of considerations for penile prosthesis placement
Landon Trost1, Philip Wanzek1, George Bailey1
1Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
Nature Reviews. Urology
|December 2, 2015
Summary
Penile prostheses are the leading treatment for severe erectile dysfunction (ED) when other methods fail. Modern surgical techniques and device improvements ensure high patient satisfaction and long-term device survival.
Area of Science:
- Urology
- Medical Devices
- Surgical Innovation
Background:
- Penile prostheses are the established gold-standard for medically refractory erectile dysfunction (ED).
- Recent advancements have enhanced device design and surgical procedures.
- These improvements have led to better outcomes in infection rates, patient satisfaction, and device longevity.
Purpose of the Study:
- To review the current state of penile prosthesis surgery.
- To discuss operative techniques, including adjunctive procedures and management of complications.
- To evaluate the long-term efficacy and relevance of penile prostheses in ED treatment.
Main Methods:
- Review of surgical techniques for penile prosthesis implantation.
- Analysis of adjunctive procedures like ventral phalloplasty and suspensory ligament release.
- Examination of complication management and correction of penile deformities.
Main Results:
- Improved rates of infection, patient satisfaction, and mechanical survival with modern devices.
- Successful management of penile fibrosis and Peyronie's disease-related curvature.
- Long-term data show excellent mechanical, overall, and infection-free survival rates.
Conclusions:
- Penile prostheses offer excellent long-term results and high satisfaction rates.
- They remain a crucial treatment option for medically refractory erectile dysfunction.
- Continued advancements ensure their relevance and importance in urological care.