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Abstract

Volume 22, Issue 1 (January 2020) 22, 39–44; 10.4103/aja.aja_127_19

Penile prosthesis implant in the special populations: diabetics, neurogenic conditions, fibrotic cases, concurrent urinary continence surgery, and salvage implants

Eric Chung1,2,3

1 AndroUrology Centre, Brisbane, QLD 4000, Australia
2 University of Queensland, Princess Alexandra Hospital, Brisbane, QLD 4000, Australia
3 Macquarie University Hospital, Sydney, NSW 2109, Australia

Correspondence: Dr. E Chung (ericchg@hotmail.com)

03-Dec-2019

Abstract

Penile prosthesis implant (PPI) remains an effective and safe treatment option for men with erectile dysfunction (ED). However, PPI surgery can be associated with a higher risk of complications in certain populations. This article provides a critical review of relevant publications pertaining to PPI in men with diabetes, significant corporal fibrosis, spinal cord injury, concurrent continence surgery, and complex salvage cases. The discussion of each category of special populations includes a brief review of the surgical challenges and a practical action-based set of recommendations. While specific patient populations posed considerable challenges in PPI surgery, strict pre- and postoperative management coupled with safe surgical practice is a prerequisite to achieving excellent clinical outcomes and high patient satisfaction rate.

Keywords: continence surgery; diabetes; erectile dysfunction; penile prosthesis implant; Peyronie's disease; priapism; salvage surgery; spinal cord injury

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