II. Indications

  1. Third-line treatment for Erectile Dysfunction when refractory to other measures

III. Preparations: Prosthesis types

  1. Semi-Rigid (persistently erect)
  2. Self-contained inflatable
  3. Three Piece inflatable
    1. Corpora cavernosa each replaced with an inflatable tube
    2. Intraabominal reservoir
    3. Pump contained within Scrotum

IV. Adverse Effects

  1. Infection (requires immediate removal)
  2. Malfunction
  3. Perforation
  4. Scarring

V. Procedure

  1. Intraoperative time: 30 minutes to 2 hours
  2. Hospitalized overnight
  3. Urologic Follow-up
    1. Postoperative: 7-10 days
    2. Postoperative: 6 weeks
    3. Yearly evaluation
  4. No sexual activity for 6 weeks after procedure
  5. Does not interfere with normal penile function
    1. Urination
    2. Ejaculation
    3. Orgasm

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