Penile prosthesis: adjunct to treatment in patients with neurogenic bladder

During the last 4 years we have implanted penile prostheses in 33 patients with neurogenic bladders, primarily to manage bladder dysfunction but also to correct impotence in some cases. Although complications occurred in 6 patients urinary problems did not increase postoperatively. The 10 patients who wore condom catheters indicated that the penile prosthesis helped to keep the catheter in place and the 8 who used intermittent self-catheterization reported that the urethral meatus was more accessible with the insertion of the prosthesis. Of the 24 patients who were sexually active 19 experienced orgasm postoperatively.