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Les prothèses gonflables dans le traitement de l'impuissance: résultats de 80 implantations
Andrologie volume 6, pages 208–213 (1996)
Resume
La chirurgie prothétique de l'impuissance a été transformée par l'apparition des prothèses gonflables détrônant les modèles semi-rigides plus anciens. L'engouement suscité par cette nouvelle technique a aujourd'hui laissé place à des interrogations sur les résultats fonctionnels et les complications de cette chirurgie rarement étudiés de manière concomitante dans la littérature. Nous rapportons notre expérience à propos de 80 mises en place de prothèses gonflables posées entre octobre 1987 et octobre 1994. Le suivi moyen est de 3 ans, l'évaluation des résultats objectifs (fonctionnement mécanique de la prothèse, complications) et subjectifs (sexualité des patients), porte sur 68 patients. Les résultats sont:
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• 54,5% d'anomalies de fonctionnement,
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• 7% d'infections de la prothèse,
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• 27,5% d'ablations du matériel.
La majorit\'e des patients se d\'eclarent satisfaits bien que seulement 65% ont repris une activit\'e sexuelle r\'eguli\`ere.
Abstract
The prosthetic surgery of impotence has been transformed by the onset of inflatable prostheses which have superseded the old semi-rigid designs.
Objective
The goal of this study is the evaluation of the functionnal results and the complications of this type of surgery. Such questions have been poorly discussed in the literature.
Methods
We report our experience on 80 inflatable prostheses that were implanted between october 1987 and october 1994. The mean follow-up is 3 years and the assessment of the objective (mechanical functioning of the prosthesis and complications) and sujective results (sexuality of the patients) is carried out on 68 patients.
Results
The results are the following:
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• 54.5% of functioning disturbances,
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• 7% of infections,
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• 27.5% of prosthesis removals.
Most of the patients considered they were satisfied although only 65% returned to a regular sexual activity.
References
BONDIL P., RIGOT J.M.: Les indications de prothèses péniennes. Contracept. Fertil. Sexual., 1986, 14, 1025–1029.
BISHOP J.R., MOUL J.W., SIHELNIC S.A., PEPPAS D.S., GORMLEY T.S. and McLEOD D.G.: Use of glycosylated hemoglobin to identify diabetics at high risk for penile periprosthetic infections. J. Urol., 1992, 147, 386–388.
BRETAN P.N., M.D., Jr.: History of the prosthetic treatment of impotence. Urol. Clin. N. Amer. 1989, 16, 1–5.
BROOKS M.B.: 42 months of experience with MENTOR inflatable penile prothesis. J. Urol.; 1988, 139, 48–49.
BUCH JP, ZORN BH, TAYLOR RJ: Cost — benefit analysis of pharmacologic erection program versus penile prosthesis. Urology, 1991, 37(2), 116–118.
CARSON C.C., and ROBERTSON C.N.: Late hematogenous infection of penile prostheses. J. Urol., 1988, 139, 50–52.
CUMMING J. and PRYOR J.P.: Treatment of organic impotence. British Journal of Urology., 1991, 67, 640–643.
DELAGER S. THOMAS M.: L'impuissance: possibilités thérapeutiques. Ann. Med. Interne., 1990, 4, 367–373.
EENGEL R.M.E., SMOLEV J.K. and HACKLER R.: Experience with the MENTOR inflatable penile prothesis. J. Urol., 1986, 135, 1181–1182.
FALLON B., GHANEM H.: Sexual performance and satisfaction with penile prosthesis in impotence of various etiologies. Int. J. Impotence Res., 1990, 2, 35–42.
FEIN RL.: GFS Mark II inflatable penile prosthesis: four — year clinical study. Urology, 1994, 43(2), 209–213.
FURLOW W.L., GOLDWASSER B. and GUNDIAN J.C.: Implantation of AMS 700 penile prosthesis: long term results. J. Urol., 1988, 139, 741–742.
GARBER BB.: Mentor alpha 1 inflatable penile prosthesis: patient satisfaction and device reliability. Urology, 1994, 43(2), 214–217.
GOLDSTEIN I, BERTERO EB, KAUFMAN JM, WITTEN FR et al.: Early experience with the first pre-connected 3-piece inflatable penile prosthesis: the Mentor alpha 1. J. urol, 1993, 150(6), 1814–1818.
GREGORY J.G., PURCELL M.H. and STANDEVEN J.: The inflatable penile prosthesis: failure of the rear tip extender in reducing the incidence of cylinder leakage. J. Urol., 1984, 131, 668–669.
KABALIN J.N. and KESSLER R.: Infectious complications of penile prosthesis surgery. J. Urol. 1988, 139, 953–955.
KAUFMAN J.J., BOXER R.J., BOXER B. and QUINN M.C.: Physical and psychological results of penile prothesis: A statical survey. J. Urol., 1981, 126, 173–175.
KAUFMAN J.J., LINDNER A. and RAZ S.: Complication of penile prothesis surgery for impotence. J. Urol., 1982, 128, 1192–1194.
LUE F.T., TANAGHO E.A.: Physiology of erection and pharmacological management of impotence. Urology, 1987, 137, 829–835.
JOSEPH D.B., BRUSKEWITZ R.C. and BENSON R.C.: Long term evaluation of the inflatable penile prothesis. J. Urol., 1984, 131, 670–673.
McLAREN R.H. and BARRETT D. M.: Patient and partner satisfaction with the AMS 700 penile prosthesis. J. Urol., 1992, 147, 63–65.
MERRILL D.C.: MENTOR inflatable prothesis. Urol. Clin. N. Amer. 1989, 16, 7–12.
MONTAGUE D.K.: Periprosthetic infections. J. Urol., 1987, 138, 68–69.
MONTAGUE D.K.: Penile prothesis, an overview. Urol. Clin. N. Amer., 1989, 16, 7–12.
PEDERSEN B., TIEFER L., RUIZ M. and MELMAN A.: Evaluation of patients and partners 1 to 4 years after penile prosthesis surgery. J. Urol., 1988, 139, 956–958.
RADOMSKI S.B., and HERSCHORN S.: Risk factors associated with penile prosthesis infection. J. Urol., 1992, 147, 383–385.
RANDRUP E, WILSON S, MOBLEY D, SUAREZ G, MEKRAS G, BAUM N.: Clinical experience with Mentor alpha 1 inflatable penile prosthesis. Report of 333 cases. Urology, 1993, 42, 305–310.
SCHLAMOWITZ K.E., BEUTLER R.E., SCOTT F.B., KARAKAN I. and WARE S.: Reaction of the implantation of inflatable prothesis among psychogenally and organically impotent men. J. Urol., 1983, 129, 295–298.
SCOTT F.B., BRADLEY W.E. and TIMM G.W.: Management of erectile impotence. Use of implantable prosthesis. Urology, 1973, 1, 80.
STEINKOHL W.B. and LEACH G.E.: Mechanical complications associated with MENTOR inflatable penile prosthesis. Urology, 1991, 38, 32–34.
THOMALA J.V., THOMPSON S.T., ROWLAND R.G. and MULCAHY J.J.: Infectious complications of penile prosthetic implants. J. Urol., 1987, 138, 65–67.
VIRAG R.: Intracavernous injection of papaverine for erectile failure. Lancet, 1982, 2, 938.
WALTERS F.P., NEAL D.E., REGE A.B., GEORGE W.J., RICCI M.J. and HELLSTROM W.J.N.: Cavernous tissue antibiotic levels in penile prosthesis surgery. J. Urol., 1992, 147, 1282–1284.
WESPES E.: Impuissance organique masculine. Acta. Urol. Belg. 1987, 55, 1–330.
WILSON K.S., WAHMAN G.E. and LANGE J.L.: Eleven years of experience with the inflatable penile prosthesis. J. Urol., 1988, 139, 951–952.
WOODWORTH B.E., CARSON C.C. and WEBSTER G.D.: Inflatable penile prothesis: effect of device modification on functional longevity. Urology., 1991, 38, 533–536.
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Rossi, D., Bladou, F., Ayuso, D. et al. Les prothèses gonflables dans le traitement de l'impuissance: résultats de 80 implantations. Androl. 6, 208–213 (1996). https://doi.org/10.1007/BF03034450
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DOI: https://doi.org/10.1007/BF03034450