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The penile implant for erectile dysfunction.
J Sex Med. 2004 Jul; 1(1):98-109.JS

Abstract

INTRODUCTION

Penile prostheses, introduced as the first effective organic treatment for erectile dysfunction over three decades ago, have an important role in the treatment of erectile dysfunction when other nonprosthetic treatment options have proven unsatisfactory. Although they are the least chosen and most invasive treatment option, they have the highest satisfaction rate of all available ED options and provide a predictable and reliable result.

AIM

To provide recommendations/guidelines concerning state-of-the-art knowledge for utilization of the penile prosthesis in the management of men with erectile dysfunction.

METHODS

An International Consultation in collaboration with the major sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. There were 10 experts from seven countries concerning the Penile Implant for Erectile Dysfunction.

MAIN OUTCOME MEASURE

Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate.

RESULTS

Recommendations/guidelines for penile prosthesis (hydraulic, semi-rigid and soft silicone) insertion for management of men with erectile dysfunction were updated. Consensed issues included: criteria for patient selection, informed consent procedures, strategies for preoperative preparation, operative incisions/technical considerations and outcome results in terms of patient satisfaction and device survival. Updated information was reviewed concerning therapies for device failures, device insertion in scarred corporal bodies and strategies for managing implant infections.

CONCLUSIONS

There is a need for more research in developing management strategies for insertion of penile prostheses in men with ED.

Authors+Show Affiliations

Department of Urology, Indiana University, Indianapolis, IN, USA. jmulcahy@iupui.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16422990

Citation

Mulcahy, John J., et al. "The Penile Implant for Erectile Dysfunction." The Journal of Sexual Medicine, vol. 1, no. 1, 2004, pp. 98-109.
Mulcahy JJ, Austoni E, Barada JH, et al. The penile implant for erectile dysfunction. J Sex Med. 2004;1(1):98-109.
Mulcahy, J. J., Austoni, E., Barada, J. H., Choi, H. K., Hellstrom, W. J., Hellstrom, W. J., Krishnamurti, S., Moncada, I., Schultheiss, D., Shultheiss, D., Sohn, M., & Wessells, H. (2004). The penile implant for erectile dysfunction. The Journal of Sexual Medicine, 1(1), 98-109.
Mulcahy JJ, et al. The Penile Implant for Erectile Dysfunction. J Sex Med. 2004;1(1):98-109. PubMed PMID: 16422990.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The penile implant for erectile dysfunction. AU - Mulcahy,John J, AU - Austoni,Edouardo, AU - Barada,James H, AU - Choi,Hyung Ki, AU - Hellstrom,W J, AU - Hellstrom,Wayne J G, AU - Krishnamurti,Sudhakar, AU - Moncada,Ignacio, AU - Schultheiss,Dirk, AU - Shultheiss,Dirk, AU - Sohn,Michael, AU - Wessells,Hunter, PY - 2006/1/21/pubmed PY - 2006/2/17/medline PY - 2006/1/21/entrez SP - 98 EP - 109 JF - The journal of sexual medicine JO - J Sex Med VL - 1 IS - 1 N2 - INTRODUCTION: Penile prostheses, introduced as the first effective organic treatment for erectile dysfunction over three decades ago, have an important role in the treatment of erectile dysfunction when other nonprosthetic treatment options have proven unsatisfactory. Although they are the least chosen and most invasive treatment option, they have the highest satisfaction rate of all available ED options and provide a predictable and reliable result. AIM: To provide recommendations/guidelines concerning state-of-the-art knowledge for utilization of the penile prosthesis in the management of men with erectile dysfunction. METHODS: An International Consultation in collaboration with the major sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. There were 10 experts from seven countries concerning the Penile Implant for Erectile Dysfunction. MAIN OUTCOME MEASURE: Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate. RESULTS: Recommendations/guidelines for penile prosthesis (hydraulic, semi-rigid and soft silicone) insertion for management of men with erectile dysfunction were updated. Consensed issues included: criteria for patient selection, informed consent procedures, strategies for preoperative preparation, operative incisions/technical considerations and outcome results in terms of patient satisfaction and device survival. Updated information was reviewed concerning therapies for device failures, device insertion in scarred corporal bodies and strategies for managing implant infections. CONCLUSIONS: There is a need for more research in developing management strategies for insertion of penile prostheses in men with ED. SN - 1743-6095 UR - https://www.unboundmedicine.com/medline/citation/16422990/The_penile_implant_for_erectile_dysfunction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)30052-7 DB - PRIME DP - Unbound Medicine ER -