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Long-term results with Hydroflex and Dynaflex penile prostheses: device survival comparison to multicomponent
S K Wilson1, M Cleves, J R Delk
1Southwest Impotency Center, Van Buren, Arkansas, USA.
Purpose:
We compared our experience with self-contained inflatable and multicomponent prostheses during similar intervals.
Materials And Methods:
We followed 295 patients with self-contained prostheses and 1,026 with multicomponent inflatable devices for up to 8 years. Revision rates for mechanical failure, infection or patient dissatisfaction were statistically analyzed.
Results:
Multicomponent inflatable prostheses were superior with regard to mechanical reliability and patient satisfaction, with no differences in rate of infection. Self-contained prostheses were best replaced with the AMS 700CX device, thus avoiding aneurysm.
Conclusions:
Self-contained inflatable prostheses may be of limited value for the treatment of impotence. The AMS 700CX is the device of choice for replacement of explanted self-contained prostheses.
