Surgical Treatment of Erectile Dysfunction and Peyronie's Disease Using Malleable Prosthesis

Peyronie's disease (PD) is a condition of middle aged men and frequently accompanied by erectile dysfunction (ED) which was attributed to penile deformity, vascular pathology and psychological components.

The implantation of semi-rigid penile prosthesis allows for these patients to undergo a simple procedure aimed at correction both penile deformity and ED. The aim of this study was to investigate surgical and clinical outcomes and patient satisfaction rate at long term follow-up after semi-rigid penile prosthesis implantation (PPI) in men with PD and ED.

A total of 66 patients with mean age of 49. 2 (range, 30-76) years old underwent semi-rigid PPI between 1995 and 2006. Genesis (Coloplast®) was used for implantation in a standard manner by penoscrotal approach without using any graft and remodeling technique. In all patients, dilatation of corpora was performed without any difficulty and straightening of the penis was achieved. A retrospective review of clinical database and prospective telephone survey were conducted in all patients.

The mean follow-up time was 9. 7 years (range, 6 to 17). There wasn't any clinical infection and complication during follow-up period. Fifty-nine patients were sexually active at the time of the interview. None of the patients reported residual curvature. The overall patient satisfaction was 91. 5% (54 patients). Primary reasons for dissatisfaction were decreased penile length and prosthesis problems.

Based on our results semi-rigid PPI is effective and easy procedure for treatment of men with PD and ED without any complication and with high patient satisfaction rate in long-term follow up period. &nbsp.

Urology journal. 2015 Dec 23*** epublish ***

Ufuk Yavuz, Seyfettin Ciftci, Murat Ustuner, Hasan Yilmaz, Melih Culha

Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey. Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey. , Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey. , Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey. , Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.

PubMed

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