What are the complications of penile implant surgery?
Common complications of penile implant surgery include but are not limited to implant infection, mechanical failure, device erosion, device migration, sizing problems, and auto-inflation. Injury to nearby organs like urethra and corpora cavernosa are also possible. Infection occurs in approximately 2-3% of primary (first time) implant surgeries. Infection and subsequent device removal may result in penile scaring and loss of penile length, which may lead to the inability to perform any further implant surgery. What are the satisfaction rates? Penile implants offer the patient a very high level of satisfaction (90% in patients, 75% in partners) when compared to other forms of ED treatment. This is due to their spontaneity, consistency, and rigidity. However, preoperative counseling is very important to ensure that the patient has realistic expectations regarding their outcome. It is important to make sure the patient understands that penile prostheses only increase hardness of the shaft