Outcomes of Penile Prosthesis Implantation in Patients Under 40: Insights and Efficacy

Erectile dysfunction (ED) is a common sexual disorder in men, with a notable prevalence among young patients. This study aims to evaluate the clinical characteristics, perioperative parameters, patient satisfaction, and complication rates in men under 40 years old undergoing penile prosthesis implantation (PPI).

A retrospective analysis was conducted on 64 patients under 40 years of age who underwent PPI between 2006 and 2024. Preoperative assessments included history, physical examination, dynamic duplex ultrasound, and injection tests. Perioperative data, including incision type and prosthesis model, were recorded. Postoperative follow-up assessed complications, revision rates, and satisfaction levels using a Likert scale.

The mean age was 31.7 ± 5.8 years, and the median duration of ED was 6 years. Vascular causes, including arterial deficiency and cavernosal dysfunction, were identified in 64% of cases. Idiopathic ED was observed in 28.1% of patients. Three-piece inflatable prostheses were implanted, with infrapubic incisions used in 57.8% of cases. During a median follow-up of 7 years, 4.7% of patients required revisions due to mechanical failure or implant erosion. No infections were reported. Satisfaction was high, with 92.8% of respondents rating their experience as "satisfied" or "very satisfied" (mean satisfaction score: 4.5 ± 0.7).

PPI is an effective and safe treatment for ED in young men, with outcomes comparable to those of the general population. The study highlights the importance of thorough preoperative evaluation and counseling to optimize postoperative satisfaction. Further research is needed to refine patient selection and improve long-term outcomes in this population.