title: [Penile prosthesis. Quality outcomes and morbidity].
abstract: OBJECTIVE
  To study patient satisfaction and complications appeared in a series of patients with erectile dysfunction undergoing implant of penile prosthesis.
  
  
  METHODS
  Retrospective study of all patients undergoing surgical treatment for erectile dysfunction by penile prosthesis implant between 1993 and 2003. Collected data included patient age at the time of surgery, previous treatment, and significant medical history. We reviewed the models of prosthesis employed, incisions, and complications appeared. Finally, a questionnaire was elaborated to establish the level of patient satisfaction.
  
  
  RESULTS
  24 prostheses were implanted between 1993 and 2003. Mean patient age was 56.6 +/- 7.56 years (36-63), median 59.5 yr. Penile-scrotal incision was employed in 13 (54.16%) patients, suprapubic incision in 6 (25%) and subcoronal incision in 1 (4.16%). Type of prosthesis: semirrigid AMS 600 9 (37.5%), semirrigid AMS 650 10 (41.66%); the two component hydraulic prosthesis AMS Ambicor was used only in one case. Six (25%) patients presented complications. 16.66% were minor, cavernositis, pain, hematoma or prosthesis extrusion. Prosthesis extraction was necessary in 2 (8.33%) cases. 13 (54.16%) patients responded to the telephone survey 85% of them use their prosthesis. 54% percent refer adequate self-satisfaction and partner satisfaction (well satisfied/much satisfaction). 23% not too bad, and the remainder 23% bad or very bad.
  
  
  CONCLUSIONS
  Despite the highest rate of postoperative complications, penile prosthesis is adequately accepted by patients with erectile dysfunction, even malleable models. Patient satisfaction is high, being higher in partners. Most patients would desire to undergo surgery again if they were in the same situation.
authors.affiliation: Servicio de Urología, Hospital Universitario de Getafe, Getafe, Madrid, España. vchivaro@yahoo.es
authors.forename: Vicente
authors.initials: V
authors.lastname: Chiva Robles
authors.forename: Luis
authors.initials: L
authors.lastname: Llanes González
authors.forename: Carlos
authors.initials: C
authors.lastname: Pascual Mateo
authors.forename: Gino
authors.initials: G
authors.lastname: Espinales Castro
authors.forename: Ignacio
authors.initials: I
authors.lastname: Romero Cajigal
authors.forename: Antonio
authors.initials: A
authors.lastname: Berenguer Sánchez
mesh_terms: D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D015917:Penile Prosthesis / Q000009:adverse effects; D012189:Retrospective Studies