REPORT OF A MULTICENTER CLINICAL-EVALUATION OF THE DURA-II PENILE PROSTHESIS

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.