The development of effective systemic therapy for the treatment of erectile
dysfunction has resulted in a significant increase in the number of men pr
esenting for treatment. Not all men with erectile dysfunction will respond
to systemic therapy; those who fail may be candidates for penile prosthesis
implantation if second and third lines of treatment also fail or are rejec
ted by the patient and his partner. Penile prosthesis implantation continue
s to play a role in the treatment of erectile dysfunction. There is a poten
tial for the number of penile prosthesis implantation procedures to actuall
y increase. The ideal penile prosthesis is a three-piece inflatable device
that permits good penile flaccidity and increases in size and becomes rigid
with inflation.