AMS Three–Piece Inflatable Implants for Erectile Dysfunction: A Long–Term Multi–Institutional Study in 200 Consecutive Patients
Abstract
Objectives The aim of this study was to assess the longterm mechanical reliability of AMS (American Medical Systems) three-piece inflatable implants and their impact on patient-partner satisfaction in 200 consecutive patients with erectile dysfunction who underwent surgery in five different institutions. Methods Patient charts included in the study were collected and extensively assessed to record pre- and intraoperative data and postoperative complications. All patients and 120 partners were then seen often in the office at a mean follow-up of 59 months (range 6-130) and they were extensively questioned about function of the device and its impact on the couple's sexual life. Results At the long-term follow-up, 185 patients (92.5%) were still engaging in sexual intercourse with a mean frequency of 1.7/week. Patients and partners reported prosthetic erections as excellent, satisfactory or poor in 96 (48%), 100 (50%) and 4 (2%) cases, and in 20 (17%), 80 (66%) and 20 (17%) cases, respectively. Postoperative sexual activity was considered excellent, satisfactory or poor by 140 (70%), 44 (22%) and 16 (8%) patients and by 34 (28%), 81 (68%) and 5 (4%) partners, respectively. Reasons for patients' complaints included postoperative penile shortening in 60 (30%) cases and poor glandular engorgement in 40 (20%) cases. Partners' main complaint was unnaturalness of the prosthetic erection, a factor reported by 30 (25%) subjects. Complications requiring surgical exploration included infe…
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Daily oral supplementation of DHEA produces a rise in serum levels of DHEA, concomitant with increase in sexual performance and satisfaction.
“The results suggest that daily oral supplementation of the hormone produces a rise in serum levels of DHEA, concomitant with increase in sexual performance and satisfaction.”
From Erectile dysfunction and its pharmacology: An overview (2017) · cites this paper as [44]
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- Authors
- Montorsi, F., Rigatti, P., Carmignani, G., Corbu, C., Campo, B., Ordesi, G., Breda, G., Silvestre, P., Giammusso, B., Morgia, G., & Graziottin, A.
- Affiliations
- IRCCS Ospedale San Raffaele (IT)
- Vita-Salute San Raffaele University (IT)
- Ospedale Policlinico San Martino (IT)
- University of Genoa (IT)
- ASST Melegnano e della Martesana (IT)
- Ospedale San Bassiano (IT)
- University of Catania (IT)
- Venue
- European Urology
- Publisher
- Elsevier BV
- Published
- 2000
- Volume
- 37
- Issue
- 1
- Pages
- 50-55
- ISSN
- 0302-2838 (ISSN-L)
- 1421-993X
- OpenAlex
- W1996970431
- Cited by
- 229
- References
- 24
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 12 · 2023: 7 · 2022: 4 · 2021: 7 · 2020: 11 · 2019: 15 · 2018: 9 · 2017: 12 · 2016: 10 · 2015: 10 · 2014: 8 · 2013: 11 · 2012: 13
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Urology (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- erectile dysfunction, inflatable penile prosthesis, mechanical reliability, long-term outcomes, patient satisfaction, partner satisfaction, implant-associated infection, equipment failure
- MeSH terms
- Adult, Aged, Aged, 80 and over, Coitus, Female, Follow-Up Studies, Humans, Male, Middle Aged, Penile Erection, Postoperative Complications, Prosthesis Design, Prosthesis Failure, Retrospective Studies, Time Factors, Penile Prosthesis, Patient Satisfaction
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