You have accessJournal of UrologyHistory of Urology Forum I1 Apr 2015FRI-08 ERECTILE DYSFUNCTION: A HISTORICAL REVIEW OF TREATMENT OPTIONS WITH A FOCUS ON THE DEVELOPMENT OF THE INFLATABLE PENILE PROSTHESIS Amanda Saltzman, Kristi L. Hebert, Kristen Gurtner, and Eric Laborde Amanda SaltzmanAmanda Saltzman More articles by this author , Kristi L. HebertKristi L. Hebert More articles by this author , Kristen GurtnerKristen Gurtner More articles by this author , and Eric LabordeEric Laborde More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.486AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Reports of erectile dysfunction (ED) have been found on Egyptian tombs, Greek paintings and in the Old Testament. The treatment of ED has advanced significantly. The objective of this article is to explore historical options for the treatment of erectile dysfunction with emphasis on the development and progression of inflatable penile prosthesis (IPP). METHODS A literature review was conducted. Inclusion criteria included articles devoted to historical elements of “history of erectile dysfunction”, “history of erectile dysfunction treatment”, and “history of penile prosthesis”. Articles discussing the natural history of the disease were excluded. Twenty-one articles met criteria for inclusion in this review. RESULTS Men of Ancient Rome and Greece wore talismans of rooster and goat genitalia to serve as an aphrodisiac and promote sexual function. Romans would consume the genitalia of animals with high libidos, such as rabbits, and even drink the semen of hawks and eagles. Galvanism and the “coitus training apparatus” were early alternative treatments. In the 19th century, testosterone's role in erectile function was discovered, which lead to animal testosterone injections, and testicular grafts and transplants. The late 1990s introduced sildenafil and was followed closely by other effective oral agents. The first penile implant used rib cartilage and bone, which was reabsorbed a few years after implantation. Acrylic rods were used to avoid reabsorption, but these had high rates of infection and erosion. Silicone was then used as a single rod, which offered rigidity, but was not well concealed. The first concealed device was a pair of semi rigid silicone rods placed in each cavernosal body with a soft hinge placed beneath the pubis for concealment. This was an improvement, but patients still desired a more natural appearance in the flaccid state. Dr. F. Brantley Scott pioneered the IPP with his invention of the first 3-piece IPP consisting of sponge filled silicone cylinders. Currently available IPPs have undergone numerous revisions to address cylinder aneurysm, fibrosis and scarring, connector leakage, coatings to reduce infection, and lockout valves to reduce autoinflation. CONCLUSIONS ED has been a problem dating back to the beginning of written history. In the 21st century men have many more proven options to treat this issue and do not have to resort to such practices as ingesting animal genitalia or various forms of torture. As research continues, and new advances in treatment are made, we can offer men more treatment options. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e584 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Amanda Saltzman More articles by this author Kristi L. Hebert More articles by this author Kristen Gurtner More articles by this author Eric Laborde More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...
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