Clinical Experience with Hinged Silicone Penile Implants for Impotence

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Abstract
Men (25) between 26-66 yr old who underwent implantation of paired hinged silicone penile prostheses for impotence are discussed. Subtraction of 20 mm from the maximum symphysis to the mid glans length obtained in the outpatient setting provided an accurate estimate of the rigid shaft length of the implanted prostheses. The prosthesis, itself, was a satisfactory corporeal dilator in 84% of the patients. In 1 case the prosthesis had to be removed because of infection and 4 patients would have benefited from a narrower shaft diameter prosthesis. After implantation of the new prosthesis 96% of the patients had satisfactory intercourse.