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Updated: Oct 20, 2025

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A 10-year Audit of Penile Prosthesis Insertion.

A T Looney1, B E Seery1, L C Yap1

  • 1Beaumont Hospital, Dublin, Ireland.

Irish Medical Journal
|September 14, 2021
PubMed
Summary

Penile prosthesis (PP) insertion for erectile dysfunction (ED) shows good patient satisfaction. Complication rates for PP surgery are comparable to international data, emphasizing the need for patient counseling on potential risks like device failure.

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Area of Science:

  • Urology
  • Andrology
  • Surgical Outcomes

Background:

  • Penile prosthesis (PP) insertion is a primary surgical treatment for refractory erectile dysfunction (ED).
  • While effective, PP insertion is associated with known complications.
  • Assessing outcomes in specific patient cohorts is crucial for refining surgical practice.

Purpose of the Study:

  • To evaluate the outcomes of penile prosthesis insertion performed by a single surgeon in an Irish patient cohort.
  • To document complication rates, revision needs, and patient satisfaction following PP surgery.

Main Methods:

  • A retrospective review of the Hospital In-Patient Enquiry (HIPE) system was conducted.
  • Data from 111 PP insertions in 96 patients between 2008-2017 were analyzed.
Keywords:
Penile prosthesiserectile dysfunctionpenis surgery

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  • Patient charts and an electronic database were used to gather information on aetiology, device type, surgical approach, complications, and satisfaction.
  • Main Results:

    • Post-prostatectomy was the most common cause of ED (26%).
    • The 3-piece inflatable penile prosthesis (3p-IPP) was most frequently used, with a peno-scrotal approach in 77.5% of cases.
    • No intraoperative complications occurred; 12.5% experienced peri-operative complications, and 13.5% required revision, primarily for device failure. Patient satisfaction was high (85.9%).

    Conclusions:

    • Single-surgeon PP insertion for ED yields complication rates consistent with international benchmarks.
    • Comprehensive patient counseling regarding potential risks, including device failure and erosion, is essential.
    • PP insertion remains a viable and effective option for carefully selected patients with refractory ED.