Optimizing Outcomes in Penile Implant Surgery - 01/10/21

Doi : 10.1016/j.ucl.2021.06.010

Raul E. Fernandez-Crespo, MD ^a,^⁎ , Kristina Buscaino, DO ^a,^{^{1
Present address: 2 Tampa General Circle, STC 6 Tampa, FL 33606.}} , Rafael Carrion, MD ^b,^{^{1
Present address: 2 Tampa General Circle, STC 6 Tampa, FL 33606.}}
^a Sexual Medicine-Department of Urology, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Boulevard, Tampa, FL 33612, USA
^b Department of Urology, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Boulevard, Tampa, FL 33612, USA

^∗Corresponding author. 2 Tampa General Circle, STC 6, Tampa, FL 33606.2 Tampa General CircleSTC 6TampaFL33606

Résumé

Since their initial release in the 1970s, modern penile prostheses have been subjected to continuous improvement with respect to both device engineering and surgical technique. Proper implantation begins with appropriate patient selection and counseling; these are essential elements to optimize results and set expectations postoperatively. An evidence-based protocol for the prevention of infections is essential. A pain management protocol should be initiated even before surgery. Strict adherence to recommended intraoperative techniques minimizes the risk complications; when complications occur, a step-by-step process for management improves odds of resolution. Safe techniques to increase the perceived or actual penile length postimplant can markedly improve patient satisfaction. Postoperatively, the surgeon and the patient should follow strict evidence-based instructions to optimize the overall outcomes of penile prosthesis surgery

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Keywords : Inflatable penile prosthesis, Penile implant, Erectile dysfunction, Surgical technique, Intraoperative complications