Objectives: We aimed to present our 9 years of clinical experience in penile prosthesis implantation(PPI).
Material and Methods: Between 2003-2011, the data of 94 patients who underwent PPI surgery in our clinic were retrospectively analysed. Prior to the surgery, all patients had an clinical interview and also underwent psychiatric evaluation for informational purposes. A regional mechanical cleaning was performed in all patients prior to surgery. The penoscrotal incision was used in all.
Results: PPI was performed in 94 patients. The mean age was 58,76. 43 patients developing after radical pelvic surgery and 51 patients due
to organic reasons except for radical surgery had occurred erectile dysfunction. 48 malleable and 46 inflatable prosthesis were applied. 46 inflatable penile prosthesis contained 42 two pieces and 4 three pieces prosthesis. Average surgical time was 70.01 minutes. In 94 application, 87 (92.5%) was successful. Penile pain after surgery in 6 patients, 1 penoscrotal sensitivity and itchy lesions, infection in 6 patients and mechanical prosthetic failure in 2 patients were observed. While infections were terated by medical treatment, 4 infected patients were treated by removing old prosthesis and re-inserting new one after medical teratment. The non-functional prosthesis related to mechanical failure was removed, new 2-pieces inflatable prostheses were inserted in. In 1 patient, the prosthesis was removed and not inserted again.
Conclusion: In our clinic, penile prosthesis implantations are performed with reasonable success and complication rates.
Key Words: Erectile dysfunction, penile prosthesis implantation, surgical experience.
Abstract
Objectives: We aimed to present our 9 years of clinical experience in penile prosthesis implantation(PPI).
Material and Methods: Between 2003-2011, the data of 94 patients who underwent PPI surgery in our clinic were retrospectively analysed. Prior to the surgery, all patients had an clinical interview and also underwent psychiatric evaluation for informational purposes. A regional mechanical cleaning was performed in all patients prior to surgery. The penoscrotal incision was used in all.
Results: PPI was performed in 94 patients. The mean age was 58,76. 43 patients developing after radical pelvic surgery and 51 patients due
to organic reasons except for radical surgery had occurred erectile dysfunction. 48 malleable and 46 inflatable prosthesis were applied. 46 inflatable penile prosthesis contained 42 two pieces and 4 three pieces prosthesis. Average surgical time was 70.01 minutes. In 94 application, 87 (92.5%) was successful. Penile pain after surgery in 6 patients, 1 penoscrotal sensitivity and itchy lesions, infection in 6 patients and mechanical prosthetic failure in 2 patients were observed. While infections were terated by medical treatment, 4 infected patients were treated by removing old prosthesis and re-inserting new one after medical teratment. The non-functional prosthesis related to mechanical failure was removed, new 2-pieces inflatable prostheses were inserted in. In 1 patient, the prosthesis was removed and not inserted again.
Conclusion: In our clinic, penile prosthesis implantations are performed with reasonable success and complication rates.
Key Words: Erectile dysfunction, penile prosthesis implantation, surgical experience.