Follow-up analysis of penile prosthesis implantation

YE Fangzheng; ZHANG Xiaoming

doi:10.13263/j.cnki.nja.2025.12.005

Abstract：Objective To investigate the satisfaction of patients after penile prosthesis implantation.Methods A ret-rospective analysis was conducted on clinical data of 23 patients who underwent penile prosthesis implantation at the General Hos-pital of the Southern Theater Command from June 2021 to December 2024 and participated in follow-up surveys.Results The average age of patients was(40.7±12.0)years.The primary etiologies of erectile dysfunction included trauma(69.6％),dia-betes(26.1％)and neurological diseases(4.3％).All surgeries were performed via the penoscrotal approach.The operative duration ranged from 120 to 154 minutes,with a median of 135 minutes.The incidence of postoperative complications was 17.39％,mainly concentrated in diabetic patients,and all were effectively controlled through debridement or conservative treat-ment.The average postoperative sexual frequency was 1.34±0.77 times per week.The satisfaction scores of the patients and their partners for postoperative sexual life averaged 2.04 and 2.22 points(out of 3),respectively.Conclusion Penile pros-thesis implantation significantly improves the quality of sexual life in patients with erectile dysfunction,demonstrating high me-chanical safety and postoperative satisfaction.Although the diabetic population carries a higher risk of complications,their strong demand for functional recovery means their postoperative satisfaction remains largely unaffected.