Tips for a proper outcome with the use of penile prostheses

Tips for a proper outcome with the use of penile prostheses

Andrés M. Díaz-Hung 1, Daniel E. Mejía-Arcila 2, Herney A. García-Perdomo 3

1 Unidad de Urología/Urooncología, Departamento de Cirugía; Grupo de investigación UROGIV; Escuela de Medicina, Universidad del Valle, Cali, Colombia; 2 Grupo de investigación UROGIV; Asociación Científica de Estudiantes de Medicina de la Universidad del Valle. Escuela de Medicina, Universidad del Valle, Cali, Colombia; 3 UROGIV Research Group, School of Medicine, Universidad del Valle, Cali; Department of Surgery, Division of Urology/Urooncology, School of Medicine, Universidad de Valle, Cali; Colombia

*Correspondence: Herney A. García-Perdomo. Email: herney.garcia@correounivalle.edu.co

Abstract

Penile prostheses marked an important change in the history of erectile dysfunction management, mainly in men refractory to other existing methods. Currently, there are three options for penile prosthesis implants, which are: two-piece, three-piece and semi-rigid prostheses; each with a specific indication. There are also different types of surgical approaches, of which the most used are the penoscrotal and suprapubic approaches. Regarding surgical complications, infection is one of the most frequent, which is why implants impregnated with antibiotics and irrigable implants with antibiotic and/or antifungal solution of choice have been developed to mitigate infection, since it has been Coated devices have been reported to reduce the incidence of device infection by approximately 50%, as has the implementation of other techniques such as no-touch to reduce infection. Objective: This review aims to provide a detailed contextualization on the surgical management of erectile dysfunction with penile prosthesis implants, placement indications, types of prosthesis, placement tips, most used surgical approaches, and prevention of complications; with the objective of educating doctors and health personnel to become familiar with the procedure, better guide patients, and increase their satisfaction. Conclusions: The penile prosthesis is an effective strategy for the treatment of erectile dysfunction in men refractory to other interventions.

Keywords: Penile prosthesis; Penile implantation; Erectile dysfunction

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