Two-piece inflatable and semi-rigid penile implants: an effective alternative?,International Journal of Impotence Research

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Two-piece inflatable and semi-rigid penile implants: an effective alternative?
International Journal of Impotence Research ( IF 2.8 ) Pub Date : 2019-11-04 , DOI: 10.1038/s41443-019-0213-0
Paolo Verze ₁ , Marco Capece ₁ , Gianluigi Califano ₁ , Roberto La Rocca ₁

Affiliation

Penile prostheses (PPs) are an excellent treatment to be considered for patients suffering from erectile dysfunction (ED), refractory to oral medications, or unwilling to consider intracavernosal injections or other therapeutic strategies. Nowadays the market is dominated by three-piece inflatable penile prosthesis (IPP), which are considered the best option available. However, in some specific cases three-piece IPP may be superseded by semi-rigid penile prosthesis (SRPP) and two-piece IPP. Despite the advantages of these implants, the literature is quite scarce, not robust and rarely takes into consideration the partner's satisfaction. This clearly affects the strength of our conviction. Most of the studies confirm that SRPPs and two-piece IPPs can be considered a valid alternative in patients with hand dexterity issues, refractory ischaemic priapism, neophallus and in cases of complex anatomies. In addition, the ease of placement and the high confidence level of surgeons make them a powerful tool in the armamentarium of urologists.

中文翻译：

两件式充气和半刚性阴茎植入物：有效的替代选择？

对于患有勃起功能障碍（ED），口服药物难以治疗或不愿意进行海绵体腔内注射或其他治疗策略的患者，阴茎假体（PPs）是一种极好的治疗方法。如今，市场上以三件式可充气阴茎假体（IPP）为主，这被认为是最好的选择。但是，在某些特定情况下，三件式IPP可能会被半刚性阴茎假体（SRPP）和两件式IPP取代。尽管有这些植入物的优点，文献却十分稀少，不够牢固，并且很少考虑到伴侣的满意程度。这显然影响了我们的信念。大多数研究证实，SRPP和两件式IPP可以被认为是有手部灵活性问题的患者的有效选择，难治性缺血性阴茎异常勃起，新发以及复杂解剖结构的病例。此外，易于放置和外科医生的高置信度使他们成为泌尿科医生武器库中的强大工具。

更新日期：2019-11-04

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