Long-term outcomes of penile prostheses for the treatment of erectile dysfunction. (May 2013)

• Record Type: Journal Article
• Authors: Trost, Landon W; McCaslin, Ross; Linder, Brian; Hellstrom, Wayne JG
• Is Part Of: Expert review of medical devices. Volume 10:Number 3(2013)
• Page Start: 353
• Page End: 366
• Publication Date: 2013-05
• Subjects: erectile dysfunction -- inflatable penile prostheses -- malleable -- Peyronie's disease -- surgery -- two piece; Medical instruments and apparatus -- Periodicals; 610.28
• DOI: 10.1586/erd.12.92
• Languages: English
• ISSNs: 1743-4440

Abstract

Since their introduction 60 years ago, penile prostheses have remained the standard therapy for the management of refractory erectile dysfunction, with multiple long-term series reporting outcomes. A PubMed search was performed from 1990 to present, and outcomes of penile prosthetics were reviewed. Studies with <12 months follow-up were excluded. Overall mechanical survival of three-piece prostheses range from 81–94, 68–89 and 57–76% at 5, 10 and 15 years, respectively. Contemporary infection rates following recent device modifications are 1–2% (low risk) to 2–3% (high risk). Patient satisfaction ranges from 75–100% and varies by prosthetic device. Outcomes are further reviewed among specialized populations (revision surgery, Peyronie's disease, priapism, corporal fibrosis and neurologic impairments). Penile prostheses remain a viable surgical treatment option with excellent mechanical reliability, low infection rates and significant patient/partner satisfaction.