Mechanical devices for the treatment of erectile dysfunction.

Almost all men with erectile dysfunction can be successfully treated. External erection devices are safe and effective for the management of partial impotence. If external devices fail to produce adequate penile engorgement or if they cannot be used, invasive treatments are available. Penile implants remain the gold standard for the management of erectile impotence, especially complete impotence. A satisfaction rate of 80 to 90 percent can be expected with all of the currently available implants. Attention to surgical detail and proper patient selection usually produce an excellent functional and anatomic result.