title: A practical overview of considerations for penile prosthesis placement.
abstract: Penile prostheses have remained the gold-standard therapy for medically refractory erectile dysfunction (ED) since their popularization. Advances in device design and surgical techniques have yielded improved rates of infection, satisfaction, and mechanical survival of devices. Operative techniques in penile prosthesis surgery include the use of adjunctive procedures (such as ventral phalloplasty and release of the suspensory ligament), management of penile fibrosis, and manoeuvres to correct Peyronie's-disease-related curvature. Complications include urethral and corporal perforation, crossover, infection, impending erosion, and/or supersonic transporter deformity. Long-term data regarding mechanical, overall, and infection-free survival demonstrate excellent results, and, given the consistently high satisfaction rates and limited alternatives for medically refractory ED, penile prostheses are likely to remain a relevant and important treatment strategy for the foreseeable future.
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
authors.forename: Landon
authors.initials: L
authors.lastname: Trost
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
authors.forename: Philip
authors.initials: P
authors.lastname: Wanzek
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
authors.forename: George
authors.initials: G
authors.lastname: Bailey
mesh_terms: D000818:Animals; D004867:Equipment Design / Q000295:instrumentation / Q000379:methods; D007172:Erectile Dysfunction / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D019935:Penile Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D010411:Penile Induration / Q000175:diagnosis / Q000601:surgery; D015917:Penile Prosthesis / Q000009:adverse effects; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control; D016896:Treatment Outcome