Penile Prosthesis Implant in the Special Populations: Diabetics, Neurogenic Conditions, Fibrotic Cases, Concurrent Urinary Continence Surgery, and Salvage Implants

Overview

Journal Asian J Androl

Specialty Urology

Date 2019 Dec 4

PMID 31793445

Citations 12

Authors

Eric Chung

Affiliations

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Abstract

Penile prosthesis implant (PPI) remains an effective and safe treatment option for men with erectile dysfunction (ED). However, PPI surgery can be associated with a higher risk of complications in certain populations. This article provides a critical review of relevant publications pertaining to PPI in men with diabetes, significant corporal fibrosis, spinal cord injury, concurrent continence surgery, and complex salvage cases. The discussion of each category of special populations includes a brief review of the surgical challenges and a practical action-based set of recommendations. While specific patient populations posed considerable challenges in PPI surgery, strict pre- and postoperative management coupled with safe surgical practice is a prerequisite to achieving excellent clinical outcomes and high patient satisfaction rate.

Citing Articles

A narrative review on synchronous concurrent versus delayed sequential surgery in the artificial urinary sphincter and penile prosthesis implantation.

Chung E Transl Androl Urol. 2024; 13(8):1650-1656.

PMID: 39280664 PMC: 11399055. DOI: 10.21037/tau-23-22.

Penile fibrosis-still scarring urologists today: a narrative review.

Fernandez Crespo R, Stroie F, Taylor L, Pignanelli M, Parker J, Carrion R Transl Androl Urol. 2024; 13(1):127-138.

PMID: 38404545 PMC: 10891380. DOI: 10.21037/tau-23-206.

Penile prosthesis in the medically complex patient: a narrative review.

Van Huele A, van Renterghem K Transl Androl Urol. 2024; 12(12):1885-1892.

PMID: 38196703 PMC: 10772644. DOI: 10.21037/tau-23-71.

Perspective: Residual penile curvature correction during penile prosthesis implantation by plication in Peyronie's patients.

Chung E, Blecher G Int J Impot Res. 2023; 35(7):643-646.

PMID: 37864087 PMC: 10622317. DOI: 10.1038/s41443-023-00774-6.

Complications and troubleshooting in primary penile prosthetic surgery-a review.

Byrne E, Ungerer G, Ziegelmann M, Kohler T Int J Impot Res. 2023; 35(7):679-685.

PMID: 37106087 DOI: 10.1038/s41443-023-00699-0.

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