Clinical experience with a self-contained inflatable penile implant: the Flexi-Flate

We implanted 23 Flexi-Flate penile prostheses during a 15-month period beginning July 1985. Of the implants 22 were followed for a mean of 16.1 months and 19 (86 per cent) function well. Satisfaction of individuals with a functioning prosthesis, as determined by interview and questionnaire (79 per cent response rate), has been good. Deflation sometimes occurs with penile shaft bending during sexual activity but this is managed satisfactorily by most couples via technique adjustments with minimal disruption of enjoyment. Reliable preoperative prosthesis size selection based on pubis to mid glans measurements was not possible in our hands secondary to broad variation in intracorporeal lengths found in the population studied.