Spontaneous tumescence after implantation of three-piece hydraulic penile prostheses: a short-term experience.

Abstract:

:We evaluated spontaneous tumescence after penile prostheses implantation in a retrospective study. A total of 32 patients with three-piece hydraulic implants (17 Mentor Alpha I, 15 AMS Ultrex Plus) were enrolled. Consultation, personal interviews and questionnaires for both the patients and their partners provided the necessary information. The average follow-up period was 29 months. In total, 50 % of the patients reported spontaneous tumescence without activation of the implant and one further patient (3%) claimed full rigid spontaneous erections. General satisfaction with the prosthetic result was high at 91%. The following complications arose: one case of prosthesis infection, one case of mechanical failure, one case of cylinder dislocation and two cases of paraphimosis. A possible explanation for spontaneous tumescence after penile prosthesis implantation is the elevated preload of the compressed rather than destructed cavernous tissue. The artificial erection evoked by the prosthesis then takes the form of a normal physiological reaction and/or a good objective ridigity, and could account for the high patient satisfaction rate with three-piece hydraulic implants.

journal_name

Int J Impot Res

authors

Manning M,Martínez FJ,Alken P,Jünemann KP

doi

10.1038/sj.ijir.3900979

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

152-5

issue

3

eissn

0955-9930

issn

1476-5489

pii

3900979

journal_volume

15

pub_type

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