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Related Concept Videos

Penis01:29

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The penis serves a dual role in sexual reproduction and urination. It consists of three main regions: the glans penis, the body, and the root, each with distinct functions and unique anatomical features.
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Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
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The accessory ducts involved in sperm maturation and transportation include the epididymides, vasa deferentia, ejaculatory ducts, and urethra. These ducts play a critical role in the maturation, storage, and transportation of sperm from the testes to the urethra, where it is then released during ejaculation.
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Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
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[Penile prosthesis].

C Kaspar1, A Henkel2

  • 1Klinik für Urologie, Universitätsmedizin Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland. cordelia.kaspar@uk-essen.de.

Der Urologe. Ausg. A
|April 30, 2021
PubMed
Summary
This summary is machine-generated.

Penile prostheses (PPs) offer a definitive solution for erectile dysfunction (ED), providing a "normal" erection and satisfactory sexual life. Patient selection and counseling are crucial for successful outcomes and high satisfaction rates.

Keywords:
Device failureErectile dysfunctionPeyronies’ diseaseProsthesis infectionSexual satisfaction

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Area of Science:

  • Urology
  • Andrology
  • Medical Devices

Background:

  • Penile prostheses (PPs) are a definitive treatment for erectile dysfunction (ED), induratio penis plastica, post-phalloplasty, and priapism.
  • The primary goal is to restore erectile function for a satisfactory sexual life.
  • Surgical considerations include patient dexterity, comorbidities, and contraindications.

Purpose of the Study:

  • To review the indications, surgical approaches, and outcomes of penile prosthesis implantation.
  • To compare semirigid and inflatable penile prostheses.
  • To emphasize the importance of patient selection and counseling.

Main Methods:

  • Review of literature on penile prosthesis implantation.
  • Discussion of surgical techniques, including infrapubic and penoscrotal approaches.
  • Analysis of complication rates and patient satisfaction.

Main Results:

  • Inflatable penile prostheses are preferred by most patients for mimicking natural erections.
  • PP implantation has high patient and partner satisfaction rates, irrespective of the indication.
  • No significant differences were found between various manufacturers' models.

Conclusions:

  • Penile prosthesis implantation is a highly effective treatment for ED with excellent long-term outcomes.
  • Careful patient selection, detailed counseling, and appropriate prosthesis choice are essential for maximizing satisfaction and minimizing complications.
  • Product reliability contributes to the high satisfaction rates reported for penile prostheses.