Penile prostheses safe, well-accepted
In men with severe erectile dysfunction (ED), primary (PPP) or secondary (SPP) penile prosthesis implantation is safe and well-accepted by the patients and their partners, a recent study has found.
Over a median follow-up period of 24.5 months, the median score on the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) was 86.4 points, indicating high overall satisfaction. Scores were comparable between patients who received PPP and SPP (87.5 vs 56.8 points; p=0.267).
The partners’ median EDITS scores also suggested high overall satisfaction with the intervention (66.7 points). There was no significant difference in the scores of partners in the PPP and SPP group (66.7 vs 33.3 points; p=0.24).
At a median follow-up of 26 months, 88.4 percent of the prostheses were still functional. This proportion was significantly higher in the PPP vs SPP group (94.4 percent vs 57.1 percent; p=0.024). The overall mean prosthesis survival was 63 months and was comparable between the two groups (67.0 months in the PPP group vs 55.5 months in the SPP group; p=0.169).
The findings of the present study support the use of penile prosthesis as an effective option for severe ED patients who do not respond to less invasive treatments, researchers said.
Researchers performed a retrospective study of 51 patients with severe ED (median age 61 years), of whom 41 received PPP and 10 received SPP. All SPP implants were placed following failure of PPP. The most common causes of ED were radical prostatectomy (27.5 percent) and diabetes (21.6 percent).