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Penile Prostheses

  • Chapter
Urological Prostheses, Appliances and Catheters

Part of the book series: Clinical Practice in Urology ((PRACTICE UROLOG))

Abstract

The implantation of a paired penile prosthesis into impotent men is a simple procedure, usually without serious complications, and can greatly improve the quality of life for both the patient and his partner. The success of these operations is not disputed but depends upon the correct selection of patients who have a realistic expectation for the procedure. The surgery itself is straightforward but should be carried out with a minimum of tissue trauma in order to lessen the risk of infection. The overall success rate is 90% but in some groups of patients it will be much higher.

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References

  • Barry JM, Seifert A (1979) Penoscrotal approach for placement of paired penile implants for impotence. J Urol 122: 321–326

    Google Scholar 

  • Beheri GE (1966) Surgical treatment of impotence. J Plast Reconstr Surg 38: 92–97

    Article  CAS  Google Scholar 

  • Bennett AH (1982) Placement of penile prosthesis during surgery for malignancy. Urology 20: 276–277

    Article  PubMed  CAS  Google Scholar 

  • Benson RC, Barrett DM, Patterson DE (1983) The Jonas prosthesis: technical considerations and results. J Urol 130: 920–922

    PubMed  Google Scholar 

  • Bergman RT, Howard AH, Barnes RW (1948) Plastic reconstruction of the penis. J Urol 59: 1174–1182

    PubMed  CAS  Google Scholar 

  • Bertram RA, Carson LC, Webster GD (1985) Implantation of penile prostheses in patients impotent after priapism. Urology 26: 325–327

    Article  PubMed  CAS  Google Scholar 

  • Beutler LE, Scott FB, Rogers RR, Karacan I, Baer PE, Gaines JA (1986) Inflatable and non inflatable penile prostheses: comparative follow up evaluation. Urology 27: 136–143

    Article  PubMed  CAS  Google Scholar 

  • Blum MD (1989) Infections of genitourinary prostheses. Infect Dis Clin North Am 3: 259–274

    PubMed  CAS  Google Scholar 

  • Bogarus N (1936) Uber die voile plastische wiederherstellung eines zum koitus fahigen Penis (peni plastica totalis). Zentralbl Chir 63: 1271–1276

    Google Scholar 

  • Bour J, Steinhardt G (1984) Penile necrosis in patients with diabetes mellitus and end stage renal disease. J Urol 132: 560–561

    PubMed  CAS  Google Scholar 

  • Bradley WE, Timm GW, Gallagher JM, Johnson BK (1985) New method for continuous measurement of nocturnal penile tumescence and rigidity. Urology 26: 4–9

    Article  PubMed  CAS  Google Scholar 

  • Brindley GS (1983) Cavernosal alpha blockade: a new technique for investigation and treatment of erectile impotence. Br J Psychiatry 143: 132–37

    Article  Google Scholar 

  • Brown JB, Fryer MP, Randall P, Lu MP (1953) Silicones in plastic surgery. Plast Reconstr Surg 12: 374–376

    Article  CAS  Google Scholar 

  • Buvat J, Buvat-Herbaut M, Dehaene JC, Lemaire A (1986) Is intracavernous injection of papaverine a reliable screening test for vascular impotence? J Urol 135: 476–478

    PubMed  CAS  Google Scholar 

  • Carson CL (1989) Infections in genitourinary prostheses. Urol Clin North Am 16: 139–147

    PubMed  CAS  Google Scholar 

  • Chaikin L, Carrion H, Plitano V (1981) Complications of the Small-Carrion prosthesis: long term follow up. J Urol 126: 44–45

    PubMed  CAS  Google Scholar 

  • Dickinson IK, Pryor JP (1989) Pharmacocavernometry: a modified papaverine test. Br J Urol 63: 539–545

    Article  PubMed  CAS  Google Scholar 

  • Diokno AC (1983) Asymmetric inflation of the penile cylinders: etiology and management. J Urol 129: 1127–1130

    PubMed  CAS  Google Scholar 

  • Dorflinger T, Bruskewitz R (1986) AMS malleable prosthesis. Urology 18: 480–485

    Article  Google Scholar 

  • Douglas LL (1987) Technique for placement of Small-Carrion prosthesis post priapism. Urology 30: 273–274

    Article  PubMed  CAS  Google Scholar 

  • Finney RP (1977) New hinged silicone penile implant. J Urol 118: 585–587

    PubMed  CAS  Google Scholar 

  • Finney RP (1984) Finney Flexirod prosthesis. Urology 23: 79–82

    Article  PubMed  CAS  Google Scholar 

  • Finney RP (1986) Flexiflate penile prosthesis. Semin Urol 4: 244–246

    PubMed  CAS  Google Scholar 

  • Fishman IJ (1986) Experience with the Hydroflex penile prosthesis. Semin Urol 4: 239–243

    PubMed  CAS  Google Scholar 

  • Fishman IJ (1989) Corporal reconstruction procedure for complicated penile implants. Urol Clin North Am 16: 73–90

    PubMed  CAS  Google Scholar 

  • Fowler CJ, Ali Z, Kirby RS, Pryor JP (1988) The value of testing for unmyelinated fibre, sensory neuropathy in diabetic impotence. Br J Urol 61: 63–67

    Article  PubMed  CAS  Google Scholar 

  • Fritzler M, Flores-Sandoral FN, Light TK (1986) Dacron “sock” repair for proximal corporeal perforation. Urology 28: 524–526

    Article  PubMed  CAS  Google Scholar 

  • Frumkin AP (1944) Reconstruction of the male genitalia. Rev Soviet Med 2: 14–21

    Google Scholar 

  • Furlow WL (1978) Inflatable penile prosthesis: new device for cylinder insertion. Urology 12: 447–449

    Article  PubMed  CAS  Google Scholar 

  • Furlow WL, Motley RC (1988) The inflatable penile prosthesis: clinical experience with a new controlled expansion device. J Urol 139: 945–946

    PubMed  CAS  Google Scholar 

  • Gillies H (1948) Congenital absence of penis. Br J Plast Surg 1: 8–28

    Article  PubMed  CAS  Google Scholar 

  • Goodwin WE, Scott WW (1952) Phalloplasty. J Urol 68: 903–908

    PubMed  CAS  Google Scholar 

  • Golgi H (1979) Experience with penile prosthesis in spinal cord injury patients. J Urol 121: 288–289

    Google Scholar 

  • Goulding FJ (1987) Function of Hydroflex penile implant. Urology 30: 490–491

    Article  PubMed  CAS  Google Scholar 

  • Habal MB (1984) The biological basis for the clinical application of the silicones. Arch Surg 119: 843–848

    PubMed  CAS  Google Scholar 

  • Herzberg Z, Kellett MJ, Morgan RJ, Pryor JP (1981) Method, indications and results of corpus cavernosography. Br J Urol 53: 641–644

    Article  PubMed  CAS  Google Scholar 

  • Hinman F (1989) Atlas of urologic surgery. WB Saunders, Philadelphia Irwin JR (1989) Legal aspects of urologic prosthetic devices. Urol Clin North Am 16: 165–174

    Google Scholar 

  • Jonas U (1983) Five years’ experience with the silicone-silver penile prosthesis: improvements and new developments. World J Urol 1: 251–256

    Article  Google Scholar 

  • Jonas U, Jacobi GH (1980) Silicone-silver penile prosthesis: description, operative approach and results. J Urol 123: 865–867

    PubMed  CAS  Google Scholar 

  • Kabalin JN, Kessler R (1989a) Penile prosthesis surgery: review of 10 year experience and examination of reoperations. Urology 23: 17–19

    Article  Google Scholar 

  • Kabalin JN, Kessler R (1989b) Successful implantation of penile prostheses in organ transplanted patients. Urology 33: 282–284

    Article  PubMed  CAS  Google Scholar 

  • Karacan I, Moore CA (1987) Diagnosis of impotence. In: Pryor JP, Lipshultz LI (eds) Andrology. Butterworths, London, pp 133–147

    Google Scholar 

  • Kelami A (1980) Atlas of operative andrology. De Gruyter, Berlin

    Google Scholar 

  • Kelami A (1985) Implantation of Small-Carrion prosthesis in the treatment of erectile impotence after priapism. Difficulties and effects. Urol Int 40: 343–346

    Article  PubMed  CAS  Google Scholar 

  • Korenman SG, Viosca SP, Kaiser FE, Mooradian AD, Morley JE (1990) Use of a vacuum tumescence device in the treatment of impotence. J Am Geriatr Soc 38: 217–220

    PubMed  CAS  Google Scholar 

  • Krane RJ (1986) OmniPhase penile prosthesis. Semin Urol 4: 247–251

    PubMed  CAS  Google Scholar 

  • Krane RJ (1988) Penile prostheses. Urol Clin North Am 15: 103–109

    PubMed  CAS  Google Scholar 

  • Krane RJ, Freedberg PS, Siroky MB (1981) Jonas silicone-silver prosthesis: initial experience in America. J Urol 126: 475–476

    PubMed  CAS  Google Scholar 

  • Krauss DJ (1985) Single cylinder penile prosthesis. Urology 26: 466–467

    Article  PubMed  CAS  Google Scholar 

  • Krauss DJ (1986) Elimination of pain caused by Small-Carrion penile prosthesis. Urology 28: 22–23

    Google Scholar 

  • Lash H (1968) Silicone implant for impotence. J Urol 100: 709–710

    PubMed  CAS  Google Scholar 

  • Lash H, Zimmerman DC, Loeffler RA (1964) Silicon implantation, inlay method. Plast Reconstr Surg 34: 75–79

    Article  PubMed  CAS  Google Scholar 

  • Loeffler RA, Iveson RE (1976) Surgical treatment of impotence in the male. Plast Reconstr Surg 58: 292–297

    Article  PubMed  CAS  Google Scholar 

  • Loeffler RA, Sayegh ES (1960) Perforated acrylic implant in management of organic impotence. J Urol 84: 559–561

    PubMed  CAS  Google Scholar 

  • Lue TF, Hricak H, Marich KW, Tanagho EA (1985) Vasculogenic impotence evaluated by high-resolution ultrasonography and pulsed Doppler spectrum analysis. Radiology 155: 777–781

    PubMed  CAS  Google Scholar 

  • Maatman TJ, Montague DK (1987) Intracorporal drainage after removal of infected penile prostheses. Urology 30 (suppl): 42–43

    Google Scholar 

  • Malloy T, Wein A, Carpiniello VL (1981) Advanced Peyronie’s disease treated with the inflatable penile prosthesis. J Urol 125: 327–328

    PubMed  CAS  Google Scholar 

  • Malloy T, Wein A, Carpiniello VL (1987) Reliability of AMS 700 inflatable penile prosthesis. Urology 28: 385–387

    Article  Google Scholar 

  • McClellan DS, Masih BK (1985) Gangrene of the penis as a complication of penile prosthesis. J Urol 133: 862

    PubMed  CAS  Google Scholar 

  • Merrill DC (1989) Mentor inflatable penile prostheses. Urol Clin North Am 16: 51–66

    PubMed  CAS  Google Scholar 

  • Michal V, Kramer J, Pospichal J (1978) External iliac steal syndrome. J Cardiovasc Surg 19: 355–357

    CAS  Google Scholar 

  • Montague DK (1986) Penile prosthesis. In: McDougal WS (ed) Rob and Smiths’ operative surgery: urology. Butterworths, London, pp 599–610

    Google Scholar 

  • Montague DK (1987) Periprosthetic infections. J Urol 138: 68–69

    PubMed  CAS  Google Scholar 

  • Moul JW, McLoed DG (1986) Experience with the AMS 600 malleable prosthesis. J Urol 135: 929–931

    PubMed  CAS  Google Scholar 

  • Moul JW, McLoed DG (1989) Negative pressure devices in the explanted penile prosthesis population. J Urol 142: 729–931

    PubMed  CAS  Google Scholar 

  • Mulcahy JJ (1987) A technique of maintaining penile prosthesis position to prevent proximal migration. J Urol 137: 294–296

    PubMed  CAS  Google Scholar 

  • Mulcahy JJ (1989a) The OmniPhase and DuraPhase penile prostheses. Urol Clin North Am 16: 25–31

    PubMed  CAS  Google Scholar 

  • Mulcahy JJ (1989b) The Hydroflex penile prosthesis. Urol Clin North Am 16: 33–38

    PubMed  CAS  Google Scholar 

  • Mulcahy JJ, Rowland RG (1987) Tunica wedge excision to correct penile curvature associated with the inflatable prosthesis. J Urol 138: 63–64

    PubMed  CAS  Google Scholar 

  • Mulcahy JJ, Krane RJ, Lloyd K, Edson M, Siroky MB (1990) DuraPhase penile prosthesis - results of clinical trials in 63 patients. J Urol 143: 518–519

    PubMed  CAS  Google Scholar 

  • Nadig PW, Ware JC, Blumoff R (1986) Noninvasive device to produce and maintain an erectionlike state. Urology 37: 126–131

    Article  Google Scholar 

  • Nesbit RM (1965) Congenital curvature of the phallus: Report of three cases with description of corrective operation. J Urol 93: 230–232

    PubMed  CAS  Google Scholar 

  • Nielsen KT, Bruskewitz RC (1989) Semirigid and malleable rod penile prosthesis. Urol Clin North Am 16: 13–23

    PubMed  CAS  Google Scholar 

  • O’Donnell PD (1986) Operative approach for secondary placement of penile prosthesis. Urology 28: 108–110

    Article  PubMed  Google Scholar 

  • Pearman RO (1967) Treatment of organic impotence by implantation of penile prosthesis. J Urol 97: 716–719

    PubMed  CAS  Google Scholar 

  • Pearman RO (1972) Insertion of a silastic penile prosthesis for the treatment of organic sexual impotence. J Urol 107: 802–806

    PubMed  CAS  Google Scholar 

  • Porter LH (1989) Development of a penile prosthesis: the Hydroflex. Urol Clin North Am 16: 149–164

    PubMed  CAS  Google Scholar 

  • Pryor JP, Hehir M (1982) The management of priapism. Br J Urol 54: 751–754

    Article  PubMed  CAS  Google Scholar 

  • Pryor JP, Hill JT, Packham DA, Yates Bell AJ (1981) Penile injuries with particular reference to the erectile tissue. Br J Urol 53: 42–46

    Article  PubMed  CAS  Google Scholar 

  • Raz S, de Kernion JB, Kaufman JJ (1977) Surgical treatment of Peyronie’s disease: a new approach. J Urol 117: 598–601

    PubMed  CAS  Google Scholar 

  • Rowe PH, Royle MJ (1983) Use of Jonas silicon-silver prosthesis in erectile impotence. J R Soc Med 76: 1019–1022

    PubMed  CAS  Google Scholar 

  • Rubin L, Brombery BE, Walden RH (1971) Long term human reaction to synthetic plastics. Surg Gynecol Obstet 132: 622–623

    Google Scholar 

  • Scarzella GI (1988) Cylinder reliability of inflatable penile prosthesis. Urology 33: 486–489

    Article  Google Scholar 

  • Scarzella GI (1989) Improved technique for implanting AMS 700 CX inflatable penile prostheses using transverse scrotal approach. Urology 34: 388–389

    Article  PubMed  CAS  Google Scholar 

  • Schovar LR (1989) Sex therapy for the penile prosthesis recipient. Urol Clin North Am 16: 91–98

    Google Scholar 

  • Scott FB (1987) Outpatient implantation of penile prostheses under local anaesthesia. Urol Clin North Am 14: 177–186

    PubMed  CAS  Google Scholar 

  • Scott FB, Bradley WE, Timm GW (1973) Managment of erectile impotence; use of an implantable inflatable prosthesis. Urology 2: 80–82

    Article  PubMed  CAS  Google Scholar 

  • Scott FB, Fishman IJ, Light JK (1983) A decade of experience with the inflatable penile prosthesis. World J Urol 1: 244–250

    Article  Google Scholar 

  • Shelling RH, Maxted WC (1980) Major complications of silicone penile prosthesis. Urology 15: 131–133

    Article  PubMed  CAS  Google Scholar 

  • Sidi AA, Peng W, Sanseau C, Lange PH (1987) Penile prosthesis surgery in the treatment of impotence in the immuno suppressed man. J Urol 137: 681

    PubMed  CAS  Google Scholar 

  • Small MP (1987) Semirigid and malleable penile implants. Urol Clin North Am 14: 187–201

    PubMed  CAS  Google Scholar 

  • Small MP, Carrion H (1975) A new penile prosthesis for treating impotence. Contemporary Urology 7: 29–33

    Google Scholar 

  • Stanisic TH, Dean JC (1989) The FlexiFlate and FlexiFlate II penile prostheses. Urol Clin North Am 16: 39–49

    PubMed  CAS  Google Scholar 

  • Strachan JR and Pryor JP (1987) Diagnostic intracorporeal papaverine and erectile dysfunction. Br J Urol 59: 264–266

    Article  PubMed  CAS  Google Scholar 

  • Subrini L, Couvelaire R (1974) Le traitement chirurgual de l’impuissance virile par intabation prothétique intra cavernseuse. J Urol Nephrol 80: 269–276

    CAS  Google Scholar 

  • Tawil EA, Gregory JG (1986) Failure of the Jonas prosthesis. J Urol 135: 702–703

    PubMed  CAS  Google Scholar 

  • Tawil EA, Hawatmeh IS, Apte S, Gregory JG (1984) Multiple fractures of the silver wire strands as a complication of the silicone-silver wire prosthesis. J Urol 132: 762–763

    PubMed  CAS  Google Scholar 

  • Thanalla JV, Thompson ST (1987) Infectious complications of penile prosthetic implants. J Urol 138: 65–67

    Google Scholar 

  • Turner LA, Althof SE, Levine SB, Tobias TR, Kursh ED, Bodner D, Resnick MI (1990) Treating erectile dysfunction with external vacuum devices: impact upon sexual, psychological and marital functioning. J Urol 144: 79–82

    PubMed  CAS  Google Scholar 

  • Virag R, Spencer PP, Frydman D (1984) Artificial erection in diagnosis and treatment of impotence. Urology 24: 157–161

    Article  PubMed  CAS  Google Scholar 

  • Virag R, Brouilly, P, Frydman D (1985) Is impotence an arterial disorder? Lancet 1: 181–184

    Article  PubMed  CAS  Google Scholar 

  • Walther PJ, Andriani RG, Maggio MI, Carson CC (1987) Fourniers gangrene: a complication of penile prosthesis implantation in a renal transplant patient. J Urol 137: 299–300

    PubMed  CAS  Google Scholar 

  • Wespes E, Delcour C, Stragven J, Schulman CC (1986) Pharmacocavernometry-cavernography in impotence. Br J Urol 58: 429–433

    Article  PubMed  CAS  Google Scholar 

  • Wiles PG (1988) Successful non-invasive management of erectile impotence in diabetic men. Br Med J 296: 161–162

    Article  CAS  Google Scholar 

  • Witherington R (1989) Vacuum constriction device for management of erectile impotence. J Urol 141: 320–322

    PubMed  CAS  Google Scholar 

  • Zentgraf M, Baccouche M, Jünemann KP (1988) Diagnosis and therapy of erectile dysfunction using papaverine and phentolamine. Urol Int 43: 65–75

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. J. P. Pryor
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Editors and Affiliations

  1. King’s College, London, UK

    John P. Pryor MS, FRCS (Consultant Urologist) (Consultant Urologist)

  2. St. Peter’s Hospitals, London, UK

    John P. Pryor MS, FRCS (Consultant Urologist) (Consultant Urologist)

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© 1992 Springer-Verlag London Limited

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Pryor, J.P. (1992). Penile Prostheses. In: Pryor, J.P. (eds) Urological Prostheses, Appliances and Catheters. Clinical Practice in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-1461-1_9

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  • DOI: https://doi.org/10.1007/978-1-4471-1461-1_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1463-5

  • Online ISBN: 978-1-4471-1461-1

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