RESULTS WITH DIFFERENT PENILE IMPLANTS

Treatment of erectile dysfunction with penile prostheses has become we ll-established. However, the number of different products available ma kes it difficult to choose the ideal prosthesis. From 1/89 to 12/92 a total of 71 patients received a penile implant. 32 patients had semiri gid prosthesis (Small-Carrion(R), SC), 19 men had one-piece self-conta ined hydraulic prostheses (Flexiflate(R), FF), and 20 men had three-pi ece hydraulic prostheses (AMS 700 Ultrex(R) AMS). After a mean follow- up of 20.7 months (range: 3-52 months), revision was required in 3 of the SC-group (9.4 %), in 4 of the FF-group (21.1 %), and in 2 of the A MS-group (10 %). 95 % of the patients were satisfied with the AMS-impl ant as compared to 84.4 % with the SC-implant. Because of difficult ha ndling and insufficient rigidity, satisfaction with the FF-implant did not exceed 57.9 %. In conclusion, three-piece hydraulic penile prosth eses are the treatment of choice in cases of incurable erectile dysfun ction.