[Replacement of prosthesis of the penis].
OBJECTIVE
To analyze the series of patients who underwent replacement of their penile prosthesis between years 1990 to 1999, due to any kind of complication.


METHODS
85 patients underwent implantation, 13 different prosthesis models being utilized. It was replaced (once or more) in 15 of these patients (17.64%). The mean age at the moment of the replacement was 51.5 years. The most frequent surgical approach was the infrapubic one.


RESULTS
A total of 32 prosthesis-replacement interventions were carried out. The main causes were: mechanical failure (13 cases, 40.62%); infection (10 cases, 31.25%); and corpus cavernosum perforation (five cases, 15.62%). Progressive increase of complications incidence with regard to the ordinal number of the implanted prosthesis was not observed. Best overall results: Mentor Mark II and AMS 700 Ultrex Plus. At present day, only eight (53.33%) out of 15 reimplanted patients use their prosthesis with normality.


CONCLUSIONS
Those patients who undergo replacement of their penile prosthesis are potential sources for later complications. Their knowledge and proper handling is important in order to a progressive improvement of the final results, (above all if--such as our case--these ones are not suitable for conformity).
Cruz Guerra
N A
NA
Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Allona Almagro
A
A
Clemente Ramos
L
L
Navío Niño
S
S
Sáenz de Tejada y Gorman
I
I
Linares Quevedo
A
A
Escudero Barrilero
A
A
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015917:Penile Prosthesis / Q000009:adverse effects / Q000523:psychology; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D012086:Reoperation