10 years of experience with penile prosthesis implantation in Taiwanese patients

Purpose: We evaluated the long-term results of penile prosthesis implantati on during the last 10 years. Special considerations were examined concernin g Asian corporeal diameter, device survival and sociocultural factors influ encing patient-partner satisfaction. Materials and Methods: We followed 331 patients who underwent penile prosth esis implantation from December 1985 to May 1996. Surgical data, postoperat ive complications and information from a survey on satisfaction are reporte d. Results: The most prevalent corporeal diameter in our patients was 11.0 to 11.5 cm. Postoperatively wound infection was the most serious surgical comp lication. The 5-year device survival was similar in the malleable and infla table types except for a poorer outcome with the self-contained inflatable Hydroflex dagger penile prosthesis. Overall patient satisfaction with surge ry was 86.6%. Conclusions: Penile prosthesis implantation still has its place as definiti ve therapy in some patients with uncorrectable erectile dysfunction. In Tai wanese society more consideration of prosthesis selection, surgical prepara tion and patient-partner counseling is the basis for further success in the future.