Purpose: Information was collected during the first 2 years of an ongo
ing, prospective, multiinstitutional evaluation of the Dura-II dagger
penile prosthesis. Evaluation included data on clinical outcomes and a
patient satisfaction survey, and will continue for 5 years after impl
antation for each patient. Materials and Methods: To date 196 patients
have been evaluated, Surgical data, adverse events and information fr
om satisfaction surveys are reported. Results: At a followup of 13.4 /- 8.4 months postoperatively, adverse events occurred in 8.2% of the
patients, resulting in reoperation in 5.1%. There have been no mechani
cal failures. Overall satisfaction rates were 85% at 3 months, 83% at
1 year and 91% at 2 years after implantation, and levels of sexual fun
ctioning were correspondingly high. A majority of patients assigned hi
gh scores to rigidity, concealability, ability to have intercourse and
erection size, although satisfaction with erection size ranked lower
than the other measures.Conclusions: The Dura-II penile prosthesis pro
vides a satisfactory result and has an acceptable level of complicatio
ns associated with its use, Further followup will assess temporal chan
ges in satisfaction rates and sexual functioning for these patients.