USE OF PENILE PROSTHETIC IMPLANTS IN PATIENTS WITH PENILE FIBROSIS

For a subset of impotent patients with penile fibrosis, the implantati on of a penile prosthesis is their only therapy for restoration of ere ctile function. A careful preoperative evaluation is imperative and sh ould include a detailed history, physical examination, selected diagno stic studies, selection of a prosthesis, and extensive patient and par tner counseling. Techniques for managing fibrosis are outlined, and in many cases, additional reconstructive procedures may be required. The se surgical techniques permit highly motivated patients not to termina te their sex lives at an unacceptably early age.