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Les prothèses gonflables dans le traitement de l'impuissance: résultats de 80 implantations

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:

  • • 54,5% d'anomalies de fonctionnement,

  • • 7% d'infections de la prothèse,

  • • 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The prosthetic surgery of impotence has been transformed by the onset of inflatable prostheses which have superseded the old semi-rigid designs.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:

  • • 54.5% of functioning disturbances,

  • • 7% of infections,

  • • 27.5% of prosthesis removals.

Most of the patients considered they were satisfied although only 65% returned to a regular sexual activity.

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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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Mots clés

  • impuissance
  • prothèse pénienne

Key words

  • impotence
  • penile prosthesis