Experience with the Hydroflex penile prosthesis

Based on the author's experience, the Hydroflex penile prosthesis is an excellent addition to the urologist's armamentarium in the management of erectile impotence, where so indicated. As with all prostheses, it does have certain advantages and some limitations when compared with other types of penile prostheses. Simplicity of implantation and rigidity of the phallus is equivalent to that of a rigid type of device. Penile flaccidity and concealment is almost equivalent to that achievable with the IPP in the majority of patients. The quality of erection, ie, the length and girth of the penis, is somewhat less than that achieved with the IPP, but certainly better than with the rigid type of prosthesis. To date, the mechanical reliability of the Hydroflex has been excellent. When presenting the surgical prosthetic options to a patient, it is essential for the urologist to describe the advantages and disadvantages of each one of the various prostheses so that a rational decision can be made. However, it is also important to request the patient's permission for the surgeon to make the final decision at time of surgery, so that the optimal results can be attained.