PENILE PROSTHESIS FOR PEYRONIE'S DISEASE: RESULTS AND COMPLICATIONS

INTRODUCTION A penile prosthesis is a treatment option for men with Peyronie's disease with associated erectile dysfunction (ED). This study was undertaken to evaluate the results and complications of penile prosthesis implantation in such patients. PATIENTS AND METHODS. A retrospective review was conducted of men who underwent implantation of penile prostheses over a 24 year period. Patients included 52 men aged 32-72 (mean 55.6), who had a significant penile curvature with associated ED. A total of 58 prostheses were implanted in 52 men (6 patients had revision of the implant). The mean follow-up period was 41 months (1-199). RESULTS. A malleable prosthesis was implanted in 40 (68.90/o) men and inflatable in 18 (31.1%). Nine (15.50/o) patients required additional procedures to straighten the penis including plaque excision, penile moulding, suspensory ligament repair/division and plication. Complications included infection in 3 (5.20/o) patients and mechanical failure in 5 (8.6%), which required revision surgery. 3 other patients had revision of their prosthesis for deformity, short prosthesis and erosion. Straightening of the penis following implantation was achieved in 53 of 58 prostheses (91%), 45 (86%) patients were able to resume sexual activity. A satisfaction survey revealed 36 extremely pleased, 9 satisfied and 7 dissatisfied patients CONCLUSION. Patients with Peyronie's disease and associated erectile dysfunction can be effectively treated with a penile prosthesis. Surgery is safe and associated with a low morbidity, with a high satisfaction rate.