title: Surgical Treatment of Erectile Dysfunction and Peyronie's Disease Using Malleable Prosthesis.
abstract: OBJECTIVE
  Peyronie's disease (PD) is a condition of middle aged men and frequently accompanied by erectile dysfunction (ED) which was attributed to penile deformity, vascular pathology and psychological components. The implantation of semi-rigid penile prosthesis allows for these patients to undergo a simple procedure aimed at correction both penile deformity and ED. The aim of this study was to investigate surgical and clinical outcomes and patient satisfaction rate at long term follow-up after semi-rigid penile prosthesis implantation (PPI) in men with PD and ED.
  
  
  METHODS
  A total of 66 patients with mean age of 49.2 (range, 30-76) years old underwent semi-rigid PPI between 1995 and 2006. Genesis (Coloplast®) was used for implantation in a standard manner by penoscrotal approach without using any graft and remodeling technique. In all patients, dilatation of corpora was performed without any difficulty and straightening of the penis was achieved. A retrospective review of clinical database and prospective telephone survey were conducted in all patients.
  
  
  RESULTS
  The mean follow-up time was 9.7 years (range, 6 to 17). There wasn't any clinical infection and complication during follow-up period. Fifty-nine patients were sexually active at the time of the interview. None of the patients reported residual curvature. The overall patient satisfaction was 91.5% (54 patients). Primary reasons for dissatisfaction were decreased penile length and prosthesis problems.
  
  
  CONCLUSIONS
  Based on our results semi-rigid PPI is effective and easy procedure for treatment of men with PD and ED without any complication and with high patient satisfaction rate in long-term follow up period.
authors.affiliation: Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey. drufukyavuz@gmail.com.
authors.forename: Ufuk
authors.initials: U
authors.lastname: Yavuz
authors.affiliation: Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
authors.forename: Seyfettin
authors.initials: S
authors.lastname: Ciftci
authors.affiliation: Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ustuner
authors.affiliation: Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Yilmaz
authors.affiliation: Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
authors.forename: Melih
authors.initials: M
authors.lastname: Culha
mesh_terms: D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010411:Penile Induration / Q000150:complications / Q000601:surgery*; D015917:Penile Prosthesis / Q000009:adverse effects; D012189:Retrospective Studies; D012720:Severity of Illness Index; D019529:Sexuality; D013997:Time Factors