Penile prosthesis surgery in the management of erectile dysfunction

Peer review under responsibility of Arab Association of Urology.

Figures & data

Table 1 Types of penile prostheses.

Company	Model	Type
AMS	700 CX	3-piece inflatable
	700 CXR	3-piece inflatable
	700 LGX	3-piece inflatable
	Ambicor	2-piece inflatable
	Spectra	Semi-rigid
	Dura II	Semi-rigid
	650/600M	Semi-rigid
Coloplast	Titan	3-piece inflatable
	Titan narrow	3-piece inflatable
Genesis		Semi-rigid

Table 2 Complications and possible strategies.

Complication type	Prevention strategies/management
Mechanical failure	Complete device replacement
Infection	Use of coated devices and perioperative antibiotics, complete device removal, washout, replacement
Erosion	Distal corporoplasty, wind-sock repair
Corporal crossover	Lateral angulation of corporal dilators, position both Keith needles prior to final cylinder placement
Corporal perforation	Direct repair, windsock patch
Urethral perforation	Direct repair, healing over urethral catheter, suprapubic diversion in select cases; abort case and return at a later date after urethral healing (preferred approach); option: plug tubing and leave single cylinder on the non-perforated side
Glans bowing	Ensure proper device size and adequate corporal dilation. Repair of SST deformity if problem noted post-operatively
Reservoir herniation	Reposition the reservoir in the perivesical space; may leave reservoir in ectopic location in select cases