Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

• Published in: Asian journal of andrology Vol. 18; no. 5; pp. 754 - 758
• Main Authors: Pryor, Michael, Carrion, Rafael, Wang, Run, Henry, Gerard
• Format: Journal Article
• Language: English
• Published: China Wolters Kluwer - Medknow Publications 01.09.2016; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Adult; Aged; erectile dysfunction; penile implant surgery; penile prosthesis; Follow-Up Studies; Humans; Male; Middle Aged; Original; Patient Satisfaction; Penile Diseases - psychology; Penile Diseases - surgery; Penile Erection - physiology; Penile Implantation - methods; Penile Implantation - psychology; Penile prostheses; Penile Prosthesis; Penis - surgery; Postoperative Period; Surgical research; Urologic surgery; 假体; 勃起功能障碍; 康复; 形态变化; 泰坦; 测量技术; 满意度; 阴茎; United States
• ISSN: 1008-682X; 1745-7262; 1745-7262
• DOI: 10.4103/1008-682X.163266

A common complaint after inflatable penile prosthesis surgery is reduced penile length. We previously reported how using the Coloplast Titan inflatable penile prosthesis with aggressive new length measurement technique （NLMT） coupled with postoperative IPP rehabilitation of the implant for 1-year helped to improve patient satisfact on and erectile peni e measurements Th s is a 2 years follow-up of a prospective, three-center, study of 40 patients who underwent Titan prosthesis placement, With new length measurement technique for erectile dysfunction. Patient instructions were to inflate daily for 6 months and then inflate maximally for 1-2 h daily for 6-24 months. Fifteen penile measurements were taken before and immediately after surgery and at follow-up visits. Measurement changes were improved at 24 months as compared to immediately postoperative and at 12 months. 67.8% of subjects were satisfied with their length at 2 years, and 77% had perceived penile length that was longer （30.8%） or the same （46.2%） as prior to the surgery. 64.3% and 17.9% of subjects had increased and unchanged satisfaction, respectively, with penile length as compared to prior to penile implant surgery. All but one subject （96.5%） was satisfied with the overall function of his implant. This study suggests using the Coloplast Titan with aggressive cylinder sizing, and a postoperative penile rehabilitation inflation protocol can optimize patient satisfaction and erectile penile measurements at 2 years postimplant.