Erectile Function Significant Enough for Penetration During Sexual Intercourse after Removal of Inflatable Penile Prosthesis

For some patients with impotence and concomitant severe tunical/corporeal tissue fibrosis, insertion of a penile prosthesis is the only option to restore erectile function. Closing the tunica over an inflatable penile prosthesis in these patients can be challenging. We review our previous study which included 15 patients with severe corporeal or tunical fibrosis who underwent corporeal reconstruction with autologous rectus fascia to allow placement of an inflatable penile prosthesis. At a mean follow-up of 18 months (range 12 to 64), all patients had aprosthesisthat was functioning properly without evidence of separation, herniation, or erosion of the graft. Sexual activity resumed at a mean time of 9 weeks (range 8 to 10). There were no adverse events related to the graft or its harvest. Use of rectus fascia graft for coverage of a tunical defect during a difficult penile prosthesis placement is surgically feasible, safe, and efficacious.

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Inflatable penile prosthesis in the radical prostatectomy patient: a review

F1000Research ◽

10.12688/f1000research.15241.1 ◽

2018 ◽

Vol 7 ◽

pp. 770 ◽

Cited By ~ 3

Author(s):

Nelson Bennett ◽

I-shen Huang

Keyword(s):

Prostate Cancer ◽

Erectile Function ◽

Penile Prosthesis ◽

Review Article ◽

Pelvic Surgery ◽

Significant Issue ◽

Inflatable Penile Prosthesis ◽

Special Patient Population ◽

Special Patient ◽

Urinary Control

In the population of patients with prostate cancer, survivorship has come to the forefront of continuity-of-care. In addition to urinary control, erectile function is a significant issue after radical pelvic surgery. Penile prosthesis surgery remains an excellent option for restoring erectile function to those for whom more conservative measures have failed. This review article outlines the anatomical, surgical and post-operative consideration involved in the placement of a penile prosthesis in this special patient population.

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Effect of a three-piece inflatable penile prosthesis combined with a phosphodiesterase-5 inhibitor on erectile dysfunction

Journal of International Medical Research ◽

10.1177/0300060520985365 ◽

2021 ◽

Vol 49 (4) ◽

pp. 030006052098536

Author(s):

Jian Wang ◽

Peng Wu ◽

Qiang Liu ◽

Liangliang Ben ◽

Geng Chen ◽

...

Keyword(s):

Erectile Dysfunction ◽

Adhesion Molecule ◽

Erectile Function ◽

Life Quality ◽

Penile Prosthesis ◽

Sexual Life ◽

Controlled Study ◽

Phosphodiesterase 5 Inhibitor ◽

Inflatable Penile Prosthesis ◽

Phosphodiesterase 5

Objective To investigate the therapeutic effect of implanting a three-piece inflatable penile prosthesis (IPP) combined with the phosphodiesterase-5 inhibitor sildenafil in severe erectile dysfunction (ED) patients. Methods This randomized controlled study included 123 ED patients. Sixty-two patients received the IPP implantation and 61 patients received the IPP implantation and the phosphodiesterase-5 inhibitor sildenafil. Erectile function and sexual life quality were evaluated using the five-item International Index of Erectile Function (IIEF) and modified Sexual Life Quality Questionnaire–Quality of Life domain (mSLQQ-QoL), respectively. Serum interleukin (IL)-6, IL-8, tumor necrosis factor (TNF)-α, vascular cell adhesion molecule (VCAM)-1, and intercellular adhesion molecule (ICAM)-1 levels were assessed. Kaplan–Meier curves were used to assess the overall IPP survival. Results Implantation of the three-piece IPP with sildenafil improved erectile function and sexual life quality, alleviated the inflammatory response, reduced the complication rate, and improved overall IPP survival. Conclusion Implantation of the three-piece IPP combined with a phosphodiesterase-5 inhibitor significantly improved clinical outcomes and the prognosis in ED patients.

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