First implantation: preparation, setup and implantation for malleable penile prosthesis

Abstract

Treatment for erectile dysfunction (ED) is becoming more common in Thailand. The spectrum of treatment varies from non-invasive techniques such as medication, to counseling for invasive treatment such as injection and finally to penile prosthesis implantation. As the demand for penile implant surgery increases it is increasingly crucial to ensure thorough preparation and patient care in order to minimize the risk of harmful complications, for example device infection. This review article aims to provide guidance on various aspects of the surgical process, including pre- and intra-operative patient preparation, essential equipment and supplies, and step-by- step surgical techniques. It also offers key pointers for post-operative care. This article may be valuable for those looking to start performing penile prosthesis surgery or for those seeking to improve their current practices. Literature was reviewed from PubMed and Google scholar databases. This article provides crucial information on patient selection, pre-operative counseling, surgical setup and technique, and post-operative care for malleable penile prosthesis implantation. A penile prosthesis is an excellent option for men with refractory ED as opposed to medical treatment or with contraindications to medical management. However, this operation is still relatively uncommon in Thailand. Malleable prostheses offer advantages including being cost-effective, having a low risk of malfunction, and being easier to implant in comparison to inflatable implants. This review aims to encourage, reassure, and convince new implanters to complete all spectrums of ED treatment.