title: Report of a multicenter clinical evaluation of the Dura-II penile prosthesis.
abstract: OBJECTIVE
  Information was collected during the first 2 years of an ongoing, prospective, multi-institutional evaluation of the Dura-II penile prosthesis. Evaluation included data on clinical outcomes and a patient satisfaction survey, and will continue for 5 years after implantation for each patient.
  
  
  METHODS
  To date 196 patients have been evaluated. Surgical data, adverse events and information from satisfaction surveys are reported.
  
  
  RESULTS
  At a followup of 13.4 +/- 8.4 months postoperatively, adverse events occurred in 8.2% of the patients, resulting in reoperation in 5.1%. There have been no mechanical failures. Overall satisfaction rates were 85% at 3 months, 83% at 1 year and 91% at 2 years after implantation, and levels of sexual functioning were correspondingly high. A majority of patients assigned high scores to rigidity, concealability, ability to have intercourse and erection size, although satisfaction with erection size ranked lower than the other measures.
  
  
  CONCLUSIONS
  The Dura-II penile prosthesis provides a satisfactory result and has an acceptable level of complications associated with its use. Further followup will assess temporal changes in satisfaction rates and sexual functioning for these patients.
authors.affiliation: Department of Urology, Wilford Hall Medical Center, San Antonio, Texas 78236-5300, USA.
authors.forename: W S
authors.initials: WS
authors.lastname: Kearse
authors.forename: A L
authors.initials: AL
authors.lastname: Sago
authors.forename: S J
authors.initials: SJ
authors.lastname: Peretsman
authors.forename: J O
authors.initials: JO
authors.lastname: Bolton
authors.forename: R G
authors.initials: RG
authors.lastname: Holcomb
authors.forename: P K
authors.initials: PK
authors.lastname: Reddy
authors.forename: P H
authors.initials: PH
authors.lastname: Bernhard
authors.forename: S M
authors.initials: SM
authors.lastname: Eppel
authors.forename: J H
authors.initials: JH
authors.lastname: Lewis
authors.forename: M
authors.initials: M
authors.lastname: Gladshteyn
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D007172:Erectile Dysfunction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015917:Penile Prosthesis; D011446:Prospective Studies; D011474:Prosthesis Design; D016896:Treatment Outcome