Penile Prosthesis Implantation for End-Stage Erectile Dysfunction after Radical Prostatectomy

Reviews in Urology

Drogo K Montague¹ 

[1] Section of Prosthetic Surgery and Genitourethral Reconstruction, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, OH

关键词: Erectile dysfunction;    Penile prostheses;    Radical prostatectomy;   

DOI  :  

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

When erectile dysfunction occurs after radical prostatectomy and phosphodiesterase-5 inhibitor therapy fails, second-line therapies such as vacuum constriction devices, intraurethral prostaglandins, and penile injection therapy should be offered. When second-line therapies are not effective or acceptable to the man and his partner, penile prosthesis implantation becomes the treatment of choice. Today’s 3-piece inflatable devices offer flaccidity and erection that approach the natural state. Design improvements have resulted in devices that have freedom from mechanical failure ranging from 92% to 94%. Antibiotic and hydrophilic coatings have reduced infection rates.

【 授权许可】

Unknown