Penile Prosthesis Complications: Planning, Prevention, and Decision Making

Sexual Medicine Reviews
Nickolas D ScherzerWayne J G Hellstrom

Abstract

Inflatable penile prosthesis (IPP) is an established treatment option for men with erectile dysfunction (ED) refractory to medical therapy. Standardization of surgical technique and improvements in device construction have reduced all-cause complication rates to less than 5% in recent reports. Nonetheless, complications do exist, and can strongly impact morbidity and the quality of life of patients. Prosthetic urologists must be aware of the constellation of complications that can arise during or after IPP placement. To provide a comprehensive review of penile prosthesis complications and discuss preventative strategies, as well as proper preoperative, intraoperative, and postoperative decision making. A review of the available literature from 1973 to 2018 was performed using PubMed with regard to IPP complications. We reviewed publications that outlined preoperative planning strategies and the following IPP complications: hematoma, floppy glans, corporal fibrosis, corporal perforation and crossover, urethral injury, infection, impending erosion, and glandular ischemia. Careful patient and device selection, setting realistic expectations of postsurgical outcomes, and adherence to a perioperative checklist is essential in the pr...Continue Reading

Citations

Mar 23, 2019·Expert Review of Medical Devices·Brian DickWayne Jg Hellstrom
Mar 20, 2019·International Journal of Impotence Research·Michel ApojRicardo Munarriz
Oct 28, 2019·International Journal of Impotence Research·Perry J Xu, Faysal A Yafi
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