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Review
. 2021 Sep 24:10:73.
doi: 10.12703/r/10-73. eCollection 2021.

Penile implant surgery-managing complications

Axel Alberto Cayetano-Alcaraz  1 , Musaab Yassin  1 , Ankit Desai  1 , Tharu Tharakan  1 , Georgios Tsampoukas  2 , Martina Zurli  1 , Suks Minhas  1
Affiliations
Review

Penile implant surgery-managing complications

Axel Alberto Cayetano-Alcaraz et al. Fac Rev. .

Abstract

Penile prosthesis surgery represents the end-stage treatment for erectile dysfunction. It is conventionally used only in cases of erectile dysfunction refractory to pharmacological treatments or vacuum constriction devices. Contemporary literature suggests that penile prothesis surgery is associated with a high satisfaction rate and a low complication profile. However, it must be appreciated that the complications of surgery can have devastating consequences on a patient's quality of life and satisfaction and include infection, prosthesis malfunction, penile corporal perforation and penile length loss. Several factors - such as appropriate patient selection, methodical preoperative assessment and patient optimization, specific intraoperative protocols and postoperative recommendations - can reduce the risk of surgical complications. This narrative review discusses the diagnosis and management of both intraoperative and postoperative complications of penile prosthesis surgery.

Keywords: Penile implantation; erectile dysfunction surgery; glans ischemia; glans necrosis; inflatable penile prosthesis (IPP); instrumentation; penile prosthesis; preoperative care; prosthesis implantation; prosthesis-related infections; reoperation; risk factors; salvage therapy; urethra.

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Conflict of interest statement

The authors declare that they have no competing interests.No competing interests were disclosed.No competing interests were disclosed.

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    2. Faculty Opinions Recommendation

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