Penile Prosthesis: Adjunct to Treatment in Patients with Neurogenic Bladder

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Abstract
During a 4 yr period, penile prostheses were implanted in 33 patients with neurogenic bladders to manage bladder dysfunction and in some cases correct impotence. Although complications occurred in 6 patients, urinary problems did not increase postoperatively. The 10 patients who wore condom catheters indicated that the penile prosthesis helped to keep the catheter in place and the 8 who used intermittent self-catheterization reported that the urethral meatus was more accessible with the insertion of the prosthesis. Of the 24 patients who were sexually active, 19 experienced orgasm postoperatively.