Penile prostheses have remained the gold-standard therapy for medically refractory erectile dysfunction (ED) since their popularization. Advances in device design and surgical techniques have yielded improved rates of infection, satisfaction, and mechanical survival of devices.
Operative techniques in penile prosthesis surgery include the use of adjunctive procedures (such as ventral phalloplasty and release of the suspensory ligament), management of penile fibrosis, and manoeuvres to correct Peyronie's-disease-related curvature. Complications include urethral and corporal perforation, crossover, infection, impending erosion, and/or supersonic transporter deformity. Long-term data regarding mechanical, overall, and infection-free survival demonstrate excellent results, and, given the consistently high satisfaction rates and limited alternatives for medically refractory ED, penile prostheses are likely to remain a relevant and important treatment strategy for the foreseeable future.
Nature reviews. Urology. 2015 Dec 01 [Epub ahead of print]
Landon Trost, Philip Wanzek, George Bailey
Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA. , Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA. , Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.