Clinical experience with Dynaflex penile prostheses in 120 patients.
OBJECTIVE
To present our experience with the Dynaflex (American Medical Systems) self-contained inflatable penile prosthesis and define specific complication and patient dissatisfaction rates.


METHODS
From May 1990 through January 1998, 120 men underwent implantation of a Dynaflex prosthesis. The follow-up period ranged from 2 to 80 months (mean 42).


RESULTS
Specific complication rates observed after penile prosthesis implantation were as follows: prosthetic infection, 4.16%; mechanical device failure, 7.5%; and patient dissatisfaction because of inability to work the pump, 16.66%. After intensive teaching, the patient dissatisfaction rate dropped to 0.83%. The overall complication rate was 14.15%.


CONCLUSIONS
With several types of penile prostheses available, Dynaflex can be regarded as an appropriate alternative with a relatively low mechanical failure rate. However, careful preoperative assessment and patient education in the use of the pump mechanism are essential to obtain a successful result.
Anafarta
K
K
Department of Urology, University of Ankara School of Medicine, Turkey.
Yaman
O
O
Aydos
K
K
D007172:Erectile Dysfunction / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D015917:Penile Prosthesis / Q000009:adverse effects*; D011475:Prosthesis Failure