Is there still a place for malleable penile implants in the United States? Wilson's Workshop #18.


Journal

International journal of impotence research
ISSN: 1476-5489
Titre abrégé: Int J Impot Res
Pays: England
ID NLM: 9007383

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 08 08 2020
accepted: 05 11 2020
revised: 30 08 2020
medline: 30 3 2023
pubmed: 5 12 2020
entrez: 4 12 2020
Statut: ppublish

Résumé

The use of semirigid rod penile prosthesis for the management of erectile dysfunction was first described over 85 years ago. Since then, there have been numerous design advancements leading to improved overall durability, concealability, rigidity, and natural feel. However, the inflatable penile prosthesis (IPP) still has a higher patient satisfaction rate and is currently the most commonly inserted prostheses in the United States. There are still certain situations and conditions where the simplicity of a rod may be preferred over an IPP. A pair of semirigid rods has been shown to have less risk of malfunction and need for revision surgery. In addition, patients with poor manual dexterity, those undergoing a salvage for infection prosthesis and those with a prolonged (> 48 h) priapic episode may be better served with a rod than an IPP. Finally, in patients compromised by infection or priapism, the rods can later successfully be exchanged for an IPP with potentially longer, wider cylinders with resultant greater patient satisfaction.

Identifiants

pubmed: 33273715
doi: 10.1038/s41443-020-00376-6
pii: 10.1038/s41443-020-00376-6
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

82-89

Informations de copyright

© 2020. The Author(s), under exclusive licence to Springer Nature Limited.

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Auteurs

Mohit Khera (M)

Department of Urology, Baylor University, Houston, TX, USA.

John Mulcahy (J)

Department of Urology, University of Alabama, Birmingham, AL, UK.

Lexiaochuan Wen (L)

Department of Urology, Mayo Clinic, Rochester, MN, USA. Wen.Lexiaochuan@mayo.edu.

Steven K Wilson (SK)

Department of Urology, Institute for Urologic Excellence, La Quinta, CA, USA.

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