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[Penile prosthesis. Indications, classification, technic, complications, and safety]
1Centro de Urología, Andrología y Sexología de Baleares, Palma de Mallorca, España.
Objectives:
To review the indications of penile prosthesis in the treatment of erectile dysfunction and describe a new classification based on the design and material of the prosthesis.
Methods:
Penile prosthesis are classified. The advantages and disadvantages of the different prosthesis types are given. The surgical technique is described, as well as the pre-, intra- and postoperative complications observed in 300 procedures involving penile prosthesis performed over a 10-year period.
Results:
6 of the 300 prosthesis required removal (4 of these 6 prosthesis were reimplanted); 17 prosthesis were changed due to implant failure.
Conclusions:
Penile prostheses are the best solution currently available for erectile dysfunction not amenable to any other type of treatment and carry minimal complications if the technique is performed correctly.