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Penile prostheses in paraplegic men

A J Gross1, D H Sauerwein, J Kutzenberger

  • 1Klinik für Urologie, Georg-August-Universität, Göttingen, Germany.

British Journal of Urology
|August 1, 1996
PubMed
Summary
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Penile prostheses are effective for paraplegic men, improving erectile dysfunction and self-confidence. Flexible prostheses yielded better outcomes, and infection rates were minimized with antibiotic use and disinfection.

Area of Science:

  • Urology
  • Reconstructive Surgery
  • Sexual Medicine

Background:

  • Paraplegic men often experience erectile dysfunction and penile retraction.
  • Limited treatment options exist for sexual rehabilitation in this population.

Purpose of the Study:

  • To evaluate the efficacy of penile prostheses in improving sexual function and quality of life for paraplegic men.
  • To compare outcomes between different types of penile prostheses.

Main Methods:

  • A retrospective analysis of 179 paraplegic men who underwent penile prosthesis implantation between 1980 and 1992.
  • Indications included erectile dysfunction, penile retraction, or both.

Main Results:

  • Semi-flexible and flexible prostheses showed better outcomes than semi-rigid types.

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  • Infection rates were significantly reduced through antibiotic prophylaxis and body disinfection.
  • Successful implantation led to increased self-confidence in patients with erectile dysfunction.

    • Conclusions:

    • Penile prostheses are a viable treatment option for paraplegic men, enhancing sexual activity and self-esteem.
    • They offer an alternative for patients unwilling to use self-injection or external condom drainage.