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KMID : 0356420090270010010
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Journal of Korean Andrology
2009 Volume.27 No. 1 p.10 ~ p.17
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Complications of Penile Prosthesis Implantation
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Park Jong-Kwan
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Abstract
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Penile prosthesis implantation is the best effective method to treat the patient with erectile dysfunction, although this is the most invasive surgery. There are two kinds of the penile prosthesis, which has been used, inflatable and non-inflatable. The implantation of non-inflatable penile prosthesis is easy, less expensive, and has less complication compared with inflatable penile prosthesis implantation. At past, infection and mechanical failure were frequently occurred, however, complication rates included infection and mechanical failures decreased due to mechanical development of penile prosthesis and operative technique at present. Although the rate of complication is low, complications mostly need invasive revision surgery and has higher infection rate than first time implantation. The rate of successful implantation of a semi-rigid rod penile prosthesis and use for coitus is 72% to 92%. 10 year survival rate in the implantation of inflatable penile prosthesis is 68.5% to 74.9%. The three-piece inflatable penile prosthesis implantation has the highest patient satisfaction rates (consistently over 90%). The survival rate should be decreased as time goes by. The more common and important complications are infection, mechanical failure, which include tube broken, corporal crossover of cylinder, corporal and urethral perforation, supersonic transporter (SST) or glans bowing deformity, deep vein thrombosis, migration of reservoir into the abnormal space, reservoir erosion into adjacent viscera, urethral stricture, and penile necrosis. Complications of these penile prosthesis continue to decline, however patient satisfaction rates, tolerability, and longevity continue to increase. We have to concentrate the selection of the patient and penile prosthesis, improvement of surgical technique to provide the highest quality of life for the erectile dysfunction patient, who required surgery.
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KEYWORD
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Penile prosthesis implantation, Complication, Infection, Prosthesis failure, Survival rate
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