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Abstract

Volume 26, Issue 4 (July 2024) 26, 335–343; 10.4103/aja202386

Current devices, outcomes, and pain management considerations in penile implant surgery: an updated review of the literature

Ancha, Nirupama1; Eldin, Maya1; Woodle, Tarah2; Gereta, Sofia1; Hariprasad, Krishna3; Butler, Imani1; Charles Osterberg, E III1

1Department of Surgery and Perioperative Care, University of Texas at Austin Dell Medical School, Austin, TX 78712, USA
    
    2Department of Urology, Brooke Army Medical Center, San Antonio, TX 78234, USA
    
    3Department of Molecular Biosciences, The University of Texas at Austin, Austin, TX 78712, USA

Correspondence: Dr. EC Osterberg III (charlesosterberg@gmail.com)

20 February 2024

Abstract

Penile prosthesis surgery is a definitive treatment for erectile dysfunction (ED). The two categories of penile prosthesis are endorsed by professional guidelines, inflatable penile prosthesis (IPP) and malleable penile prosthesis (MPP). Each modality of penile prosthesis offers distinct advantages and incorporates specific design features, allowing for personalized device selection that aligns with individual needs and preferences. While the overall complication rate of penile implant surgery remains low, surgeons should maintain a high index of suspicion for complications in the perioperative time period. Multimodal analgesic regimens including nerve blocks and narcotic-free pathways should be administered to manage perioperative pain. Finally, the high patient satisfaction after penile prosthesis surgery underscores the success of this ED treatment option.

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Asian Journal of Andrology CN 31-1795/R ISSN 1008-682X  Copyright © 2023  Shanghai Materia Medica, Chinese Academy of Sciences.  All rights reserved.