title: Long-term outcomes of penile prostheses for the treatment of erectile dysfunction.
abstract: Since their introduction 60 years ago, penile prostheses have remained the standard therapy for the management of refractory erectile dysfunction, with multiple long-term series reporting outcomes. A PubMed search was performed from 1990 to present, and outcomes of penile prosthetics were reviewed. Studies with <12 months follow-up were excluded. Overall mechanical survival of three-piece prostheses range from 81-94, 68-89 and 57-76% at 5, 10 and 15 years, respectively. Contemporary infection rates following recent device modifications are 1-2% (low risk) to 2-3% (high risk). Patient satisfaction ranges from 75-100% and varies by prosthetic device. Outcomes are further reviewed among specialized populations (revision surgery, Peyronie's disease, priapism, corporal fibrosis and neurologic impairments). Penile prostheses remain a viable surgical treatment option with excellent mechanical reliability, low infection rates and significant patient/partner satisfaction.
authors.affiliation: Tulane University Health Sciences Center, 1430 Tulane Avenue, SL-42, New Orleans, LA 70112, USA.
authors.forename: Landon W
authors.initials: LW
authors.lastname: Trost
authors.forename: Ross
authors.initials: R
authors.lastname: McCaslin
authors.forename: Brian
authors.initials: B
authors.lastname: Linder
authors.forename: Wayne J G
authors.initials: WJ
authors.lastname: Hellstrom
mesh_terms: D000818:Animals; D007172:Erectile Dysfunction / Q000628:therapy*; D049673:History, 20th Century; D006801:Humans; D008297:Male; D015917:Penile Prosthesis / Q000266:history; D013997:Time Factors; D016896:Treatment Outcome