Penile prosthesis: adjunct to treatment in patients with neurogenic bladder.
During the last 4 years we have implanted penile prostheses in 33 patients with neurogenic bladders, primarily to manage bladder dysfunction but also to correct impotence in some cases. Although complications occurred in 6 patients urinary problems did not increase postoperatively. The 10 patients who wore condom catheters indicated that the penile prosthesis helped to keep the catheter in place and the 8 who used intermittent self-catheterization reported that the urethral meatus was more accessible with the insertion of the prosthesis. Of the 24 patients who were sexually active 19 experienced orgasm postoperatively.
D000328:Adult; D000818:Animals; D002408:Catheters, Indwelling; D003307:Copulation; D007172:Erectile Dysfunction; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000523:psychology; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D014554:Urination