madman
Super Moderator
* Data from the literature consistently supports the inflatable penile prosthesis as the ultimate treatment for ED, despite its irreversible nature, arising from the destruction of the natural tissue involved in erection. We conclude that the penile prosthesis should be offered as the last alternative treatment, only for regaining erectile function but not for the enlargement of the penis.
* Today, the treatment armamentarium includes reassurance, psychotherapy, medications, life-style changes and external devices, all of which have proven efficacy and play a critical role in a personalized, stepwise approach. When conservative measures fail, penile prosthesis implantation remains the final therapeutic option. This procedure has demonstrated long-term safety, efficacy and high patient acceptance, particularly in those who are strongly motivated to restore erectile function.
Abstract
Erectile dysfunction (ED) is a long-standing condition that benefits from modern treatments. For those seeking medical attention for ED, it brings a significant negative impact on health-related quality of life and self-esteem. The penile prosthesis represents the last option in the therapeutic hierarchy for this condition, and the last decades have seen major improvements in both mechanics, durability and safety of this implant. Herein, this review highlights the most commonly used penile prosthetic devices, the surgical techniques involved, and the current evidence supporting their safety and effectiveness. Data from the literature consistently supports the inflatable penile prosthesis as the ultimate treatment for ED, despite its irreversible nature, arising from the destruction of the natural tissue involved in erection. We conclude that the penile prosthesis should be offered as the last alternative treatment, only for regaining erectile function but not for the enlargement of the penis.
3.2 The devices
3.3 Surgical Technique
3.4 Intraoperative complications
3.5 Follow-up
3.6 Postoperative complications
4. Conclusions
Erectile dysfunction, although not a life-threatening medical condition, represents a significant psychosocial issue both for the patient and his sexual partner. It has a profound impact on health-related quality of life, emotional well-being, and self-esteem. Despite this, many patients do not seek medical attention, and treatment should be reserved for those who are motivated to regain their erectile function.
In recent decades, there has been a notable evolution in both therapeutic options and clinical attitudes toward erectile dysfunction. Today, the treatment armamentarium includes reassurance, psychotherapy, medications, life-style changes and external devices, all of which have proven efficacy and play a critical role in a personalized, stepwise approach. When conservative measures fail, penile prosthesis implantation remains the final therapeutic option. This procedure has demonstrated long-term safety, efficacy and high patient acceptance, particularly in those who are strongly motivated to restore erectile function.
It is important to emphasize that penile prosthesis surgery is irreversible, and this aspect should be clearly and extensively discussed with the patient and documented in the medical files. While some degree of penile length preservation or enhancement may be achieved, this procedure should not be marketed as a method to increase penile length or girth. Instead, it must be positioned as a functional intervention aimed solely at restoring erectile capacity.
* Today, the treatment armamentarium includes reassurance, psychotherapy, medications, life-style changes and external devices, all of which have proven efficacy and play a critical role in a personalized, stepwise approach. When conservative measures fail, penile prosthesis implantation remains the final therapeutic option. This procedure has demonstrated long-term safety, efficacy and high patient acceptance, particularly in those who are strongly motivated to restore erectile function.
Abstract
Erectile dysfunction (ED) is a long-standing condition that benefits from modern treatments. For those seeking medical attention for ED, it brings a significant negative impact on health-related quality of life and self-esteem. The penile prosthesis represents the last option in the therapeutic hierarchy for this condition, and the last decades have seen major improvements in both mechanics, durability and safety of this implant. Herein, this review highlights the most commonly used penile prosthetic devices, the surgical techniques involved, and the current evidence supporting their safety and effectiveness. Data from the literature consistently supports the inflatable penile prosthesis as the ultimate treatment for ED, despite its irreversible nature, arising from the destruction of the natural tissue involved in erection. We conclude that the penile prosthesis should be offered as the last alternative treatment, only for regaining erectile function but not for the enlargement of the penis.
3.2 The devices
3.3 Surgical Technique
3.4 Intraoperative complications
3.5 Follow-up
3.6 Postoperative complications
4. Conclusions
Erectile dysfunction, although not a life-threatening medical condition, represents a significant psychosocial issue both for the patient and his sexual partner. It has a profound impact on health-related quality of life, emotional well-being, and self-esteem. Despite this, many patients do not seek medical attention, and treatment should be reserved for those who are motivated to regain their erectile function.
In recent decades, there has been a notable evolution in both therapeutic options and clinical attitudes toward erectile dysfunction. Today, the treatment armamentarium includes reassurance, psychotherapy, medications, life-style changes and external devices, all of which have proven efficacy and play a critical role in a personalized, stepwise approach. When conservative measures fail, penile prosthesis implantation remains the final therapeutic option. This procedure has demonstrated long-term safety, efficacy and high patient acceptance, particularly in those who are strongly motivated to restore erectile function.
It is important to emphasize that penile prosthesis surgery is irreversible, and this aspect should be clearly and extensively discussed with the patient and documented in the medical files. While some degree of penile length preservation or enhancement may be achieved, this procedure should not be marketed as a method to increase penile length or girth. Instead, it must be positioned as a functional intervention aimed solely at restoring erectile capacity.
