Penile prosthesis implantation for the treatment of erectile dysfunction

ABSTRACT

To evaluate the outcome of penile prosthesis implantation Salmaniya Medical Complex, urology unit Retrospective study. The data of Patients who underwent penile prosthesis implantation for the treatment of erectile dysfunction from 10/01/2003 to 01/01/2008 were reviewed. The patients were operated by a single surgeon using the same technique. Fifty-three patients underwent penile prosthesis implantation surgery for ED. The mean age was 56 [ranged between 27-81 years]. The implanted prosthesis is manufactured by the American Medical Systems. Thirty-three patients had AMS 650 Malleable penile prosthesis and 20 patients had AMS Ambicor inflatable penile prosthesis. The most common complication was superficial wound infection in 3 patients, erosion in 2 patients and urinary retention in one patient. Forty-seven patients [88%] were satisfied with the outcome, more with inflatable devises. The dissatisfaction was mainly due to cosmetic factors, high expectations and glans penis flaccidity. Penile prosthesis surgery is a safe and effective treatment for patients with erectile dysfunction in whom medical treatment had failed. It has a high patient satisfaction rate. In our study, the satisfaction rate was 88% and we encountered few minor complications