[Adjuvant surgical maneuvers in penile prostheses implant to improve their aesthetic and functional outcomes]

Rev Int Androl. Apr-Jun 2019;17(2):68-77. doi: 10.1016/j.androl.2017.12.001. Epub 2018 Mar 12.
[Article in Spanish]

Abstract

Penile prosthetic surgery is the definitive treatment for those patients with erectile dysfunction refractory to medical treatment. Although it associates satisfaction rates>90%, it is known that men with Peyronie's disease, body mass index>30kg/m2 or those previously operated on radical prostatectomy have lower satisfaction rates than the general population. The main reasons for dissatisfaction are the subjective loss of penile length and glans' flaccidity. Given such circumstance, several adjuvant surgical techniques have been described to improve aesthetic and functional outcomes after the implant. In our review, we wanted to investigate the different maneuvers used in patients with Peyronie's disease, those used to avoid the reduction of penile length and those used to avoid the floppy glans syndrome.

Keywords: Complicaciones; Complications; Disfunción eréctil; Erectile dysfunction; Penile prosthesis; Prótesis de pene; Satisfacción; Satisfaction.

Publication types

  • Review

MeSH terms

  • Esthetics
  • Humans
  • Male
  • Penile Diseases / surgery*
  • Penile Implantation / methods*
  • Penile Induration / surgery
  • Penile Prosthesis*
  • Recovery of Function
  • Treatment Outcome