Mentor Alpha 1 inflatable penile prosthesis: patient satisfaction and device reliability.
OBJECTIVE
This report describes a study of patient satisfaction and device reliability in 50 organically impotent males who were implanted with a Mentor Alpha 1 inflatable penile prosthesis.


METHODS
Data were obtained from review of medical records, and patient-completed structured questionnaires.


RESULTS
The average patient age was fifty-nine years (range: 25 to 90 years). Thirty-one patients (62%) had underlying medical conditions, and all tried at least one other treatment prior to implantation. All patients received perioperative prophylactic antibiotics, and all were drained with a closed suction drain for twenty-four hours. Follow-up ranged from two to forty-one months (av. 15 mos). Complications occurred in 2 patients (4%), including 1 periprosthetic infection and 1 intraoperative cylinder aneurysm. An average of one office visit was required for teaching inflation/deflation. Ninety-eight percent of the patients and 96 percent of their partners were satisfied with the device. Ninety-four percent and 96 percent thought the device was easy to inflate and deflate, respectively. Two patients (4%) reported partial cylinder inflation related to physical activity. All were satisfied with the girth and rigidity, but only 92 percent were satisfied with the length. Ninety-eight percent said they would undergo the procedure again and would recommend this implant to other impotent patients.


CONCLUSIONS
These data indicate that the Mentor Alpha 1 device has good short-term mechanical reliability, and yields a high level of patient and partner satisfaction.
Garber
B B
BB
Division of Urology, Graduate Hospital, Philadelphia, Pennsylvania.
D007172:Erectile Dysfunction / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015917:Penile Prosthesis / Q000523:psychology; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012747:Sexual Partners / Q000523:psychology*; D013997:Time Factors