Skip to main content
Erschienen in: Current Urology Reports 2/2021

01.02.2021 | Men's Health (R Carrion, Section Editor)

Current Status for Semirigid Penile Prosthetic Devices

verfasst von: Raul E. Fernandez-Crespo, Kristina Buscaino, Justin Parker, Rafael Carrion

Erschienen in: Current Urology Reports | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The goal of this paper was to evaluate the current use of semirigid penile prosthesis (SRPP), surgical techniques for insertion of SRPP, and how to prevent and approach surgical complications.

Recent Findings

SRPP is a valid option for those who are refractory to medical therapy for erectile dysfunction (ED) and even more appropriate for specific subsets of patient populations.

Summary

It is important for urologists to know which patient population SRPP is preferred for. Several studies have shown good patient outcomes and patient satisfaction with those who underwent SRPP.
Literatur
1.•
Zurück zum Zitat Carrion H, Martinez D, Parker J, Hakky T, Bickell M, Boyle A, et al. A history of the penile implant to 1974. Sex Med Rev. 2016;4(3):285–93 A concise history of the development of penile implants, before and after 1974.CrossRefPubMed Carrion H, Martinez D, Parker J, Hakky T, Bickell M, Boyle A, et al. A history of the penile implant to 1974. Sex Med Rev. 2016;4(3):285–93 A concise history of the development of penile implants, before and after 1974.CrossRefPubMed
6.••
Zurück zum Zitat Mulcahy JJ. The development of modern penile implants. Sex Med Rev. 2016;4(2):177–89. https://doi.org/10.1016/j.sxmr.2015.11.003In-depth historical description of the development of penile implant, including all the modifications as well as many complications from current and previous penile implants. Mulcahy JJ. The development of modern penile implants. Sex Med Rev. 2016;4(2):177–89. https://​doi.​org/​10.​1016/​j.​sxmr.​2015.​11.​003In-depth historical description of the development of penile implant, including all the modifications as well as many complications from current and previous penile implants.
8.
Zurück zum Zitat Genesis® Malleable Penile Prosthesis. Instructions [Package insert] for use. Coloplast; 2017. Genesis® Malleable Penile Prosthesis. Instructions [Package insert] for use. Coloplast; 2017.
10.
Zurück zum Zitat Nealon S, Baumgarten A, Mendez M, DiGiorgio L, Patel P, Ramasamy R, et al. 107 initial experience with the Boston Scientific Tactra semi-rigid penile prosthesis: a multi-institutional case series. J Sex Med. 2020;1(suppl 1):S26.CrossRef Nealon S, Baumgarten A, Mendez M, DiGiorgio L, Patel P, Ramasamy R, et al. 107 initial experience with the Boston Scientific Tactra semi-rigid penile prosthesis: a multi-institutional case series. J Sex Med. 2020;1(suppl 1):S26.CrossRef
13.
Zurück zum Zitat Spectra™ Concealable Penile Prosthesis. Instructions [Package insert] for use: American Medical Systems, Inc. 2017. Spectra™ Concealable Penile Prosthesis. Instructions [Package insert] for use: American Medical Systems, Inc. 2017.
15.
Zurück zum Zitat Tactra™ Malleable Penile Prosthesis. Directions [Package insert] of use. Boston Scientific; 2018. Tactra™ Malleable Penile Prosthesis. Directions [Package insert] of use. Boston Scientific; 2018.
35.••
Zurück zum Zitat Habous M, Tealab A, Farag M, Soliman T, Williamson B, Mahmoud S, et al. Malleable penile implant is an effective therapeutic option in men with Peyronie’s disease and erectile dysfunction. Sex Med. 2018;6(1):24–9. https://doi.org/10.1016/j.esxm.2017.10.004In this publication, the efficacy and the safety of the malleable penile prosthesis for the correction of penile curvature was clearly demonstrated, as well as the performance of adjuvant intraoperative maneuvers for correction of residual curvature. Patient satisfaction was the same when compared to those patients that underwent placement of inflatable penile prosthesis. Habous M, Tealab A, Farag M, Soliman T, Williamson B, Mahmoud S, et al. Malleable penile implant is an effective therapeutic option in men with Peyronie’s disease and erectile dysfunction. Sex Med. 2018;6(1):24–9. https://​doi.​org/​10.​1016/​j.​esxm.​2017.​10.​004In this publication, the efficacy and the safety of the malleable penile prosthesis for the correction of penile curvature was clearly demonstrated, as well as the performance of adjuvant intraoperative maneuvers for correction of residual curvature. Patient satisfaction was the same when compared to those patients that underwent placement of inflatable penile prosthesis.
36.
Zurück zum Zitat Yavuz U, Ciftci S, Ustuner M, Yilmaz H, Culha M. Surgical treatment of erectile dysfunction and Peyronie’s disease using malleable prosthesis. Urol J. 2015;12(6):2428–33.PubMed Yavuz U, Ciftci S, Ustuner M, Yilmaz H, Culha M. Surgical treatment of erectile dysfunction and Peyronie’s disease using malleable prosthesis. Urol J. 2015;12(6):2428–33.PubMed
54.••
Zurück zum Zitat Rooker SA, Vyas KS, DiFilippo EC, Nolan IT, Morrison SD, Santucci RA. The Rise of the Neophallus: A Systematic Review of Penile Prosthetic Outcomes and Complications in Gender-Affirming Surgery. J Sex Med. 2019;16(5):661–72. https://doi.org/10.1016/j.jsxm.2019.03.009A very thorough review regarding the timing, selection, and placement of penile prosthesis after phalloplasty in trans men. Also, intraoperative and postoperative complications as well as recommendations for prevention of these are discussed. Rooker SA, Vyas KS, DiFilippo EC, Nolan IT, Morrison SD, Santucci RA. The Rise of the Neophallus: A Systematic Review of Penile Prosthetic Outcomes and Complications in Gender-Affirming Surgery. J Sex Med. 2019;16(5):661–72. https://​doi.​org/​10.​1016/​j.​jsxm.​2019.​03.​009A very thorough review regarding the timing, selection, and placement of penile prosthesis after phalloplasty in trans men. Also, intraoperative and postoperative complications as well as recommendations for prevention of these are discussed.
76.••
Zurück zum Zitat Gross MS, Phillips EA, Carrasquillo RJ, Thornton A, Greenfield JM, Levine LA, et al. Multicenter investigation of the micro-organisms involved in penile prosthesis infection: an analysis of the efficacy of the AUA and EAU guidelines for penile prosthesis prophylaxis. J Sex Med. 2017;14(3):455–63. https://doi.org/10.1016/j.jsxm.2017.01.007A retrospective multi-institutional study in which 227 cultures were obtained in explantation or salvage procedures. A high incidence of Candida species as well as anaerobes was found, and how the antibiotics recommended by the American Urological Association and the European Urological Association do not cover many of the organisms that were grown. Gross MS, Phillips EA, Carrasquillo RJ, Thornton A, Greenfield JM, Levine LA, et al. Multicenter investigation of the micro-organisms involved in penile prosthesis infection: an analysis of the efficacy of the AUA and EAU guidelines for penile prosthesis prophylaxis. J Sex Med. 2017;14(3):455–63. https://​doi.​org/​10.​1016/​j.​jsxm.​2017.​01.​007A retrospective multi-institutional study in which 227 cultures were obtained in explantation or salvage procedures. A high incidence of Candida species as well as anaerobes was found, and how the antibiotics recommended by the American Urological Association and the European Urological Association do not cover many of the organisms that were grown.
77.••
Zurück zum Zitat Gross MS, Phillips EA, Balen A, Eid JF, Yang C, Simon R, et al. The malleable implant salvage technique: infection outcomes after Mulcahy salvage procedure and replacement of infected inflatable penile prosthesis with malleable prosthesis. J Urol. 2016;195(3):694–8. https://doi.org/10.1016/j.juro.2015.08.091A retrospective multi-institution study, in which employment of the Mulcahy salvage technique was used but with insertion of a malleable implant. Ninety-three percent of the patients that underwent this modified technique remained infection free in the postoperative period. Gross MS, Phillips EA, Balen A, Eid JF, Yang C, Simon R, et al. The malleable implant salvage technique: infection outcomes after Mulcahy salvage procedure and replacement of infected inflatable penile prosthesis with malleable prosthesis. J Urol. 2016;195(3):694–8. https://​doi.​org/​10.​1016/​j.​juro.​2015.​08.​091A retrospective multi-institution study, in which employment of the Mulcahy salvage technique was used but with insertion of a malleable implant. Ninety-three percent of the patients that underwent this modified technique remained infection free in the postoperative period.
84.••
Zurück zum Zitat Mulcahy JJ. The prevention and management of noninfectious complications of penile implants. Sex Med Rev. 2015;3(3):203–13. https://doi.org/10.1002/smrj.41Excellent summary for the prevention and the management of most intraoperative and postoperative complications of penile implant surgery. Mulcahy JJ. The prevention and management of noninfectious complications of penile implants. Sex Med Rev. 2015;3(3):203–13. https://​doi.​org/​10.​1002/​smrj.​41Excellent summary for the prevention and the management of most intraoperative and postoperative complications of penile implant surgery.
87.•
Metadaten
Titel
Current Status for Semirigid Penile Prosthetic Devices
verfasst von
Raul E. Fernandez-Crespo
Kristina Buscaino
Justin Parker
Rafael Carrion
Publikationsdatum
01.02.2021
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 2/2021
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-020-01028-4

Weitere Artikel der Ausgabe 2/2021

Current Urology Reports 2/2021 Zur Ausgabe

New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)

Imaging in Gender Affirmation Surgery

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.