Abstract
The purpose of this study was to analyze retrospectively the exact site(s) of device failure of a large series of Mentor Alpha I inflatable penile prostheses. The study consisted of 442 patients implanted over a 12-year period. Only those patients who developed a device malfunction and returned for re-evaluation by the author were included. The exact site(s) of device malfunction were obtained from a review of operative reports. The average length of follow-up in this series was 63 months, ranging from 1 to 138 months. In all, 22 (4.98%) patients developed device malfunction and returned for evaluation, including six (3.9%) of the 154 infrapubic devices and 16 (5.6%) of the 288 scrotal devices. Of these 22 patients, three declined revision and 19 were reoperated on by the author. The exact site of malfunction differed in the infrapubic vs scrotal implants. Most malfunctions of the scrotal device involved tubing fractures at the pump strain reliefs, whereas infrapubic device malfunctions typically involved the cylinders or the reservoir. A review of these malfunction patterns may assist the manufacturer in further improving the reliability of this prosthesis, and may assist implanting surgeons in planning operative procedures.
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References
Goldstein I et al. Oral sildenafil in the treatment of erectile dysfunction. N Engl J Med 1998; 338: 1397–1404.
Levine LA, Dimitriou RJ . Vacuum constriction and external erection devices in erectile dysfunction. Urol Clin North Am 2001; 28: 335–341.
Porst H . The rationale for prostaglandin E1 in erectile failure: a survey of worldwide experience. J Urol 1996; 155: 802–815.
Leungwattanakij S, Flynn V, Hellstrom WJG . Intracavernosal injection and intraurethral therapy for erectile dysfunction. Urol Clin North Am 2001; 28: 343–354.
McVary KT et al. Topical prostaglandin El SEPA gel for the treatment of erectile dysfunction. J Urol 1999; 162: 726–731.
Wagner G . Apomorphine SL (UprimaR): a new treatment for the management of erectile dysfunction. Int J Imp Res 2001; 13 (Suppl 3): S1–S2.
Padma-Nathan H et al. On-demand IC351 (Cialis™) enhances erectile function in patients with erectile dysfunction. Int J Imp Res 2001; 13: 2–9.
Porst H et al. The efficacy and tolerability of vardenafil, a new, oral, selective phosphodiesterase type 5 inhibitor, in patients with erectile dysfunction: the first at-home clinical trial. Int J Imp Res 2001; 13: 192–199.
Lizza EF, Zorgniotti AW . Experience with the long-term effect of microsurgical penile revascularization. Int J Impot Res 1994; 6: 145–152.
Goldstein I, Hatzichristou DG, Pescatori ES . Pelvic, perineal, and penile trauma-associated arteriogenic impotence: pathophysiologic mechanisms and the role of microvascular arterial bypass surgery. In: Bennett AH, ed. Impotence. Diagnosis and management of erectile dysfunction. WB Saunders: Philadelphia, 1994, pp 213–228.
Wespes E, Moreire de Goes P, Sattar AA, Schulman C . Objective criteria in the long-term evaluation of penile venous surgery. J Urol 1994; 152: 888–890.
Lue TF, Donatucci CF . Dysfunction of the venoocclusive mechanism. In: Bennett AH, ed. Impotence. Diagnosis and management of erectile dysfunction. WB Saunders: Philadelphia, 1994, pp 197–204.
Montague DK, Angermeier KW . Penile prosthesis implantation. Urol Clin North Am 2001; 28: 355–361.
Randrup E et al. Clinical experience with Mentor Alpha I inflatable penile prosthesis. Report on 333 cases. Urology 1993; 42: 305–308.
Wilson SK, Wahman GE, Lange JL . Eleven years of experience with the inflatable penile prosthesis. J Urol 1988; 139: 951–952.
Garber BB . Mentor Alpha 1 inflatable penile prosthesis: patient satisfaction and device reliability. Urology 1994; 43: 214–217.
Goldstein I et al. Safety and efficacy outcome of Mentor Alpha-1 inflatable penile prosthesis implantation for impotence treatment. J Urol 1997; 157: 833–839.
Garber BB . Inflatable penile prosthesis: results of 150 cases. Br J Urol 1996; 78: 933–935.
Dubocq F et al. Long-term mechanical reliability of multicomponent inflatable penile prosthesis: comparison of device survival. Urology 1998; 52: 277–281.
Govier FE et al. Mechanical reliability, surgical complications, and patient and partner satisfaction of the modern three-piece inflatable penile prosthesis. Urology 1998; 52: 282–286.
Wilson SK, Cleves MA, Delk JR . Comparison of mechanical reliability of original and enhanced Mentor Alpha I penile prosthesis. J Urol 1999; 162: 715–718.
Garber BB, Marcus SM . Does surgical approach affect the incidence of inflatable penile prosthesis infection? Urology 1998; 52: 291–293.
Garber BB . Outpatient inflatable penile prosthesis insertion. Urology 1997; 49: 600–603.
Garber BB . Mentor Alpha-1 inflatable penile prosthesis cylinder aneurysm: an unusual complication. Int J Impot Res 1995; 7: 13–16.
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Garber, B. Inflatable penile prosthesis: site-specific malfunction analysis. Int J Impot Res 15, 22–25 (2003). https://doi.org/10.1038/sj.ijir.3900942
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DOI: https://doi.org/10.1038/sj.ijir.3900942
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