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Revision surgery for penile implants

B G Parulkar1, S Hamid, C B Dhabuwala

  • 1Department of Urology, Wayne State University, Detroit, MI 48201.

International Journal of Impotence Research
|March 1, 1994
PubMed
Summary
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Penile implant complications can be successfully revised. Of 42 patients undergoing corrective surgery, all achieved functioning implants, with 38 reporting good outcomes for their penile prostheses.

Area of Science:

  • Urology
  • Surgical Innovation
  • Prosthetics

Background:

  • Penile implants offer high patient satisfaction, typically 81-97% over two decades.
  • Complications and revisions are common after penile implant surgery.
  • Surgical correction is often necessary for penile implant malfunctions.

Purpose of the Study:

  • To evaluate the outcomes of surgical correction for penile implant complications.
  • To assess patient satisfaction and implant functionality after revision surgery.

Main Methods:

  • A retrospective review of 47 patients with penile implant complications between 1982 and 1992.
  • Surgical correction was performed on 42 patients.
  • Specific techniques included corporal reconstruction with Goretex grafts and rear tip extenders.

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Main Results:

  • All 42 patients who underwent corrective surgery had functioning penile implants.
  • 38 patients (89%) reported good outcomes, and 4 patients (9.5%) reported fair outcomes.
  • No increase in infection or mechanical malfunction rates was observed post-revision.

Conclusions:

  • Surgical revision of penile implants is effective in restoring function and achieving high patient satisfaction.
  • Advanced surgical techniques can successfully manage penile implant complications.
  • Revision surgery for penile prostheses is a viable option for patients experiencing issues.