Penile prostheses: Are they obsolete?

Abstract

PURPOSE: The purpose of this review was to examine the role of penile prosthesis implantation in the era of multiple treatment options for erectile dysfunction (ED). METHODOLOGY: A literature search was performed to identify reports of three-piece inflatable penile prosthesis survival, free of mechanical failure in which results were given as Kaplan-Meier projections. Patient and partner satisfaction articles were also identified and reviewed. CONCLUSIONS: With multiple treatment options for ED, the percentage of men going on to penile prosthesis implantation is decreasing. However, because of the attractiveness of new treatment options and increased public awareness, more men with ED are presenting today for treatment. Penile prosthesis implantation is the only option which is applicable to nearly every man with ED and thus penile prosthesis implantation continues to play an important role in the management of ED. Patient and partner satisfaction with penile prosthesis implantation, particularly with three-piece inflatable devices, is higher than for any other treatment option.

Keywords

• Erectile dysfunction
• inflattable prosthesis
• malleable prosthesis
• prosthesis