Penile prosthesis implantation represents a definitive treatment for refractory erectile dysfunction unresponsive to medical erotic therapy. Devices may be malleable or inflatable, with modern inflatable systems offering more natural erectile simulation.
Indications include severe vasculogenic ED, post-prostatectomy dysfunction, diabetes-related neuropathy, and Peyronie’s disease with significant curvature.
Surgical risks include infection, mechanical failure, and erosion; however, patient satisfaction rates remain high.
Advances in biomaterials and surgical techniques have enhanced safety and durability.
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