Avaliação dos resultados e da satisfação global após tratamento da disfunção eréctil com prótese peniana insuflável de três componentes: a nossa experiência

Abstract

Introduction and objective: Three-piece inflatable penile prostheses are the last option in the treatment of organic erectile dysfunction, when conservative therapies are unsuccessful, contraindicated or rejected. Our objective was to investigate the ten year outcome of patients treated with three-piece inflatable implant and its impact on patientpartner satisfaction in our department. Material and methodsSince 2001 to 2010, 41 patients with erectile dysfunction received a three piece penile implant. Two patients were lost for follow-up. Data was obtained from medical records, clinical evaluation and telephone interview. All patients and partners were assessed with a questionnaire about life quality and satisfaction. Mean age at surgery was 59.6 years (38–73 yrs). Median follow-up time was of 18 months (6–77 months). ResultsRadical prostatectomy (46.4%) and diabetes mellitus (39.0%) were the main reason for dysfunction in this patient group. Six patients (14.6%) had early postoperative minor complications. Four patients (9.7%) presented with penile implant infection and the prosthesis were removed and not re-implanted. There were no reports of mechanical failure or prosthesis revision. The majority of patients (94.6%) were satisfied after surgery, with significant improvement in libido and relationship with partners. ConclusionThe global satisfaction of the patients and their partners after three-piece penile inflatable implantation is high, with a low complication rate. These results confirmed that three-piece inflatable penile prostheses are the gold standard in treatment of organic erectile dysfunction when conservative therapies failed.