Surgical Treatment of Erectile Dysfunction: Historical Perspective and Overview

Abstract

In this chapter the surgical treatment of erectile dysfunction and its historical perspective are reviewed. The standard surgical treatment of erectile dysfunction is the implantation of a penile prothesis, either semirigid or inflatable ones. Penile prothesis materials and design have improved along the last three decades, contributing to a lower rate of mechanical complications and an increased long-term durability. Both penile prothesis hydrophilic- and antibiotic impregnated-coatings, as well as new operative approaches such as the “no touch” approach, have greatly contributed to the lower rate of post-operative infection observed in recent years. Surgeons must be aware of both intra- and post-operative complications of penile prothesis implantation and their management as its prevention is key to success. Penile revascularization still has a minor role in the surgical treatment of erectile dysfunction, although patient selection is key.