Department of Urology, University of California, Irvine, Orange, CA, USA.
USC Institute of Urology and Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Int J Impot Res. 2023 Nov;35(7):613-619. doi: 10.1038/s41443-023-00773-7. Epub 2023 Oct 12.
Inflatable Penile Prostheses (IPP) implantation is a surgical treatment for patients desiring definitive treatment for erectile dysfunction. While this procedure has proven to be effective, it also carries its own set of unique risks that need to be carefully considered. The article reviews the current understanding of complications associated with penile prosthetic surgery and provides strategies to mitigate these adverse events. This article covers various aspects of IPP implantation, including the risks of infection, bleeding, injury to nearby structures, glans ischemia, and device malfunction. It also discusses the importance of careful preoperative screening to identify risk factors and the implementation of infection reduction strategies such as antimicrobial prophylaxis, skin prep, and operative techniques. In addition, it emphasizes the need for postoperative vigilance and prompt management of any complications that may arise. Overall, the article provides a comprehensive overview of the risks and strategies for mitigating complications associated with IPP implantation. Our recommendations are given based on the current consensus in the field and highlight the importance of careful planning, attention to detail, and effective communication between healthcare providers and patients. Despite the potential risks, this review underscores the fact that complications following penile prosthesis implantation are relatively rare.
可膨胀阴茎假体（IPP）植入术是一种针对希望根治勃起功能障碍的患者的手术治疗方法。虽然该手术已被证明是有效的，但它也有其独特的风险，需要仔细考虑。本文综述了与阴茎假体手术相关的并发症的现有认识，并提供了减轻这些不良事件的策略。本文涵盖了 IPP 植入术的各个方面，包括感染、出血、邻近结构损伤、龟头缺血和器械故障的风险。还讨论了术前仔细筛选以识别风险因素和实施感染减少策略（如抗菌预防、皮肤准备和手术技术）的重要性。此外，强调了对任何可能出现的并发症进行术后警惕和及时处理的必要性。总体而言，本文提供了 IPP 植入术相关并发症的风险和减轻策略的全面概述。我们的建议基于该领域的现有共识，并强调了精心规划、关注细节以及医疗保健提供者与患者之间有效沟通的重要性。尽管存在潜在风险，但这篇综述强调了一个事实，即阴茎假体植入术后并发症相对较少。
