[Treatment of erectile dysfunction with penile prothesis. Our experience].
OBJECTIVE
The aim of this study was to review the current situation of penile prosthesis in the treatment of erectile dysfunction and to analyze the indications, degree of acceptability and complications in our experience.


METHODS
From 1984 to 2003, 48 implants were inserted in men suffering from impotence due to different etiologies. The mean age was 55 years. Vascular disease, Diabetes and pelvic surgery were the most common pathologies recorded. The type of prothesis inserted were malleable inactive in 7 cases (14.58%), Jonas6, Acu-form1. Inflable active with 3 components in 19 cases (39.58%), AMS 700 plus17, Alpha2. Inflable active integrated in 5 cases (10.41%) Hydroflex4, Dynaflex1. Inflable active with 2 components in 17 cases (35.4%), Ambicor2, Mark II15.


RESULTS
Infection of the prosthesis was observed in 6.25% of the cases. This infectious complication required removal of the prosthesis. 4.16% of the cases complained of mechanical failure that required change of the prosthesis. 80% of the patients were satisfied with the results.


CONCLUSIONS
Penile prostheses continue to be an effective and valid therapeutic alternative in impotent. Although the complication rate is low, adequate information must be provided to the patient.
Rodríguez Faba
O
O
Servicio de Urología I, Hospital Universitario Central de Asturias, Oviedo, Asturias.
Martín Benito
J L
JL
Escaf Barmadah
S
S
Rodríguez Martínez
J J
JJ
Jalón Monzón
A
A
Regadera Sejas
J
J
D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis / Q000009:adverse effects; D011183:Postoperative Complications / Q000453:epidemiology