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Penile prostheses safe, well-accepted

21 May 2018
Sexual health in men – supplements vs medication

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).

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Most Read Articles
Jairia Dela Cruz, 11 Jan 2019
Use of standard-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) appears to confer protection against the risk of endometrial cancer in overweight and obese women, according to a meta-analysis.
Tristan Manalac, 11 Jan 2019
Less than 15 percent of Singaporean adolescents get the recommended 8–10 hours of sleep on a school night, reports a recent study, noting that such short sleep duration is linked to symptoms of depression, overweight or obesity, and poorer self-rated health.
04 Jan 2019
Obstructive sleep apnoea may increase the risk of male-pattern baldness in men with a family history of hair loss, and this association appears to be mediated by low serum transferrin saturation levels related to hypoxia, a study suggests.
6 days ago
Airway type 2 inflammation remains persistent in many asthmatics on inhaled corticosteroids, a new study has shown. These patients tend to be older and have a more severe disease.