Inflatable penile prosthesis: Results of 150 cases

Objectives To evaluate the reliability of the prosthesis and the rate of complications in organically impotent men who were implanted with an inflatable penile prosthesis. Patients and methods A consecutive series of 150 men (mean age 60 years, range 25-90) were followed for a mean of 19 months (range 0-65) after implantation of the Mentor Alpha 1 penile prosthesis. Information was obtained from their medical records and by telephone interview, but the satisfaction of the patients was not assessed quantitatively. Results There were no complications in 145 of the patients and they currently have functioning prostheses. Complications occurred in five patients (3%), including two peri-prosthetic infections (1%) and two intra-operative and one post-operative cylinder aneurysm. Complications requiring re-operation occurred in three (2%) of patients; none of the implants leaked. Conclusions These results suggest that for men with organic impotence, a Mentor Alpha 1 implant is an effective treatment option with acceptable morbidity and good mechanical reliability.