scholarly journals Multiple Site Fracture of Both Rods in a Malleable Penile Implant

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Marcelo Almeida Pinheiro ◽  
Haroldo Brasil Barroso Filho ◽  
Francisco José Cabral Mesquita ◽  
Ivon Teixeira de Souza ◽  
Rafael Silva Guimarães ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Penile Prosthesis ◽  
Definitive Treatment ◽  
Multiple Site ◽  
Review Of The Literature ◽  
Penile Implant ◽  
Bilateral Fracture ◽  
Low Incidence ◽  
Urethral Lesion

Penile prosthesis implant is the definitive treatment for refractory erectile dysfunction. Fracture of malleable prosthesis is rarely described due to its low incidence. We describe a case of multiple, bilateral fracture of a malleable penile implant, ten years after implantation. After the diagnosis, a review surgery was performed and the implants were replaced. No corporal rupture or urethral lesion was observed. Review of the literature shows few articles reporting penile implant fractures, and to our knowledge no other article has described multiple, bilateral fractures of a penile prosthesis.

scholarly journals Recent advancements in penile prosthetics

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 193 ◽  
Author(s):  
Mathew Q Fakhoury ◽  
Joshua Halpern ◽  
Nelson Bennett
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Technique ◽  
Penile Prosthesis ◽  
Treatment Modalities ◽  
Implant Design ◽  
Definitive Treatment ◽  
Inflatable Penile Prosthesis ◽  
Operative Care ◽  
Partner Satisfaction ◽  
Satisfaction Rates

Since the original inflatable penile prosthesis in the 1970s, several enhancements to penile prosthesis implant design, implant surgical technique, and post-operative care have been developed to increase overall patient (and partner) satisfaction rates. We, in this communication, seek to discuss these advancements and the overall impact in combating erectile dysfunction. As we continue to pursue avenues of effective and definitive treatment modalities for erectile dysfunction refractory to medical therapy, rates of infection and mechanical failure will hopefully continue to decline in the perioperative setting.

scholarly journals Preoperative Psychosocial Evaluation of Penile Prosthesis Candidates

2008 ◽  
Vol 2 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Erin Winters Ulloa ◽  
Amy K. Silberbogen ◽  
Kirstin Brown
Keyword(s):  
Preoperative Evaluation ◽  
Invasive Procedure ◽  
Penile Prosthesis ◽  
Sexual History ◽  
Relationship Functioning ◽  
Review Of The Literature ◽  
Treatment Interventions ◽  
Recommended Treatment ◽  
Penile Implant ◽  
Satisfaction With Treatment

Penile prosthesis surgery is a recommended treatment option for a subset of patients who present with erectile dysfunction (ED). Although treatment outcome research indicates that patients are generally satisfied with this intervention, it remains an invasive procedure with risk for complications. A review of the literature reveals general agreement for the importance of a thorough preoperative evaluation to determine appropriateness for a penile implant; however, there are no known descriptions of such an evaluation in the literature. This article provides an introduction to the domains that are most relevant to assess in a patient who is considering penile implant surgery: sexual history (including organic and psychogenic causes of ED), success and utilization of other treatment interventions, relationship functioning, and patient expectations for and knowledge of the procedure. The advantages to this approach are presented, particularly in enhancing patient satisfaction with treatment outcomes.

scholarly journals Outcomes of low-flow priapism and role of integrated penile prosthesis management

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mamdouh M. Elhawy ◽  
A. M. Fawzy
Keyword(s):  
Erectile Dysfunction ◽  
Erectile Function ◽  
Penile Prosthesis ◽  
Low Flow ◽  
Penile Prostheses ◽  
Immediate Placement ◽  
Penile Implant ◽  
History Of ◽  
Short And Long Term ◽  
Good Treatment Option

Abstract Background The natural history of priapism and predictors of erectile dysfunction (ED) remain vague due to defective reporting, different management techniques and variable follow-up durations. Acquiring more information concerning the prognosis of erectile function after priapism can help to assess the burden of post-priapism ED. Also, it may guide the decision-making process regarding penile prosthesis insertion in refractory and late post-priapism ED. In this study, we tried to evaluate the state of erectile function after recovery and how far penile implant surgery could be integrated in the early and late management of priapism-related ED. Methods We included 72 patients with low-flow priapism who were managed via a stepwise approach starting from aspiration through percutaneous distal shunt up to distal shunt. Immediate placement of a penile prosthesis was completed in eight refractory patients, including three that were inserted even before an open distal corporoglanular shunt. Results Nearly two-thirds (70.3%) of recovered priapism patients developed ED, but penile prostheses were inserted only in 35.5% of ED cases. There were no differences in the short- and long-term complications of immediate versus delayed prosthesis placement except for difficulty with the insertion of the penile prosthesis in delayed procedures. Conclusions Immediate placement of a penile prosthesis is a good treatment option in the setting of refractory priapism with comparable outcomes to those of patients with post-priapism ED who received prostheses. Immediate penile prosthesis insertion was further justified by the high incidence of post-priapism erectile dysfunction.

scholarly journals Penile Implants in the Treatment of Peyronie's Disease with Erectile Dysfunction

2020 ◽  
Vol 19 (2) ◽  
pp. 13-22
Author(s):  
Mazen Yones Muhammed ◽  
Keyword(s):  
Erectile Dysfunction ◽  
Pathological Condition ◽  
Penile Prosthesis ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Penile Prostheses ◽  
Penile Implants ◽  
Penile Implant ◽  
Residual Curvature ◽  
Peyronie's Disease

Background: Peyronie’s disease and erectile dysfunction is common related pathological condition and single treatment for both conditions is the goal. Objective: To report our practice in the managing of patients with Peyronie’s disease associated with erectile dysfunction. Patients and Methods: This study was carried out during the period of 2014-2018, twenty-one adult patients (39-68) years were treated by malleable penile implant surgery. All patients presented with Peyronie’s disease associated with erectile dysfunction. The sorts of additional maneuvers and their achievement in additional straightening the residual curvature have been stated. Results: We deliberate medical conditions that have an association between erectile dysfunction and Peyronie’s disease and performing straightening procedures, modeling was successful in decrease penile curvature and Patient satisfaction rates 80% for both patients, partners have been reported in this literature. Conclusion: However, when Peyronie’s disease exists with ED, the gold standard treatment is penile prosthesis surgery with additional straightening procedures. Keywords: Penile prostheses, Erectile dysfunction, Peyronie’s disease

scholarly journals Long-term outcomes after penile prosthesis placement for the Management of Erectile Dysfunction: a single-Centre experience

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Valentine Frydman ◽  
Ugo Pinar ◽  
Maher Abdessater ◽  
William Akakpo ◽  
Pietro Grande ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Erectile Dysfunction ◽  
Penile Prosthesis ◽  
Perioperative Outcomes ◽  
Single Centre ◽  
Satisfactory Outcome ◽  
Single Centre Experience ◽  
Life Threatening ◽  
Few Data

Abstract Background Penile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales. Results A total of 130 patients received a PP (median age: 62.5 years [IQR: 58–69]; median International Index of Erectile Function (IEEF-5) score: 6 [IQR: 5–7]). Median follow-up was 6.3 years [IQR: 4–9.4]. Thirty-two (24.6%) patients underwent surgical revision, of which 20 were PP removals (15.4%). Global PP survival rate was 84.6% and previous PP placement was a risk factor for PP removal (p = 0.02). There were six (4.6%) non-life-threatening intraoperative events including two which resulted in non-placement of a PP (1.5%). EAUiaic grade was 0 for 124 procedures (95.4%), 1 for four procedures (3.1%) and 2 for two procedures (1.5%). Of patients who still had their PP at the end of the study, 91 (80.5%) expressed satisfaction. Conclusions PP implantation is a last-resort treatment for ED with a satisfactory outcome. PPs are well accepted by patients.

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