Prospective long-term results and quality-of-life assessment after Dura-II penile prosthesis placement.
OBJECTIVE
To evaluate prospectively the long-term device reliability and patient satisfaction after Dura-II malleable penile prosthesis implantation.


METHODS
Between 1992 and 1996, 94 patients underwent Dura-II implantation for erectile dysfunction. Patients were prospectively examined and completed standardized questionnaires regarding sexual activity, prosthesis function, intercourse satisfaction, and overall quality of life. An independent statistician analyzed these data.


RESULTS
The mean patient age was 63 years, and the mean patient follow-up was 5.7 years. Eighty-five patients were available for long-term evaluation. Fourteen patients died during the follow-up period. One patient was lost to follow-up, and eight prostheses (9%) were explanted; however, no mechanical defects were found in the explanted prostheses. Seventy-six percent and 87% of patients reported satisfactory rigidity and ease of concealing the device, respectively. Seventy-six percent of patients remained sexually active during the evaluation period, and 87% of patients reported that the prosthesis improved their overall quality of life. Eighty-five percent would undergo the implant surgery again, and 88% percent of patients would recommend the Dura-II prosthesis to a friend.


CONCLUSIONS
The Dura-II malleable penile prosthesis provides good rigidity, ability to conceal the device, and mechanical reliability, as demonstrated by the results of this long-term study. Most patients stated they would have the prosthesis placed again and would recommend it to a friend.
Ferguson
Kenneth H
KH
Department of Urology (MCSU), Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236, USA.
Cespedes
R Duane
RD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004867:Equipment Design; D007172:Erectile Dysfunction / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019935:Penile Implantation / Q000295:instrumentation / Q000523:psychology / Q000592:standards; D015917:Penile Prosthesis / Q000523:psychology / Q000592:standards; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology; D016896:Treatment Outcome