Excellent long-term device survival of inflatable penile prosthesis over 27 years

The study aimed to assess the long-term device survival of a 3-piece inflatable penile prosthesis (PP) in patients with erectile dysfunction (ED). This retrospective observational longitudinal study involved patients with drug-refractory ED who underwent primary 3-piece inflatable PP implantation at...

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Autores: Moncada, Ignacio, Krishnappa, Pramod, Martinez-Salamanca, Juan Ignacio, Palma-Hendges, Luiz Pedro, Gonzalez-Garcia, Francisco Javier, Hernandez-Fernandez, Carlos, Lledo-Garcia, Enrique
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universidad Francisco de Vitoria
Repositorio:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
Idioma:inglés
OAI Identifier:oai:ddfv.ufv.es:10641/7901
Acceso en línea:https://hdl.handle.net/10641/7901
Access Level:acceso abierto
Palabra clave:device survival
erectile dysfunction
infection
mechanical failure
penile prosthesis
Infection
Penile prosthesis
Mechanical failure
Device survival
Erectile dysfunction
Urology
Yes
yes
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spelling Excellent long-term device survival of inflatable penile prosthesis over 27 yearsMoncada, IgnacioKrishnappa, PramodMartinez-Salamanca, Juan IgnacioPalma-Hendges, Luiz PedroGonzalez-Garcia, Francisco JavierHernandez-Fernandez, CarlosLledo-Garcia, Enriquedevice survivalerectile dysfunctioninfectionmechanical failurepenile prosthesisInfectionPenile prosthesisMechanical failureDevice survivalErectile dysfunctionUrologyYesyesThe study aimed to assess the long-term device survival of a 3-piece inflatable penile prosthesis (PP) in patients with erectile dysfunction (ED). This retrospective observational longitudinal study involved patients with drug-refractory ED who underwent primary 3-piece inflatable PP implantation at a single center from 1992 to 2019. The outcomes included complications of various inflatable PP models, and Kaplan–Meier analysis was used to estimate the probability of PP survival. Of the total 426 patients, 140 (32.9%) were implanted in the period of 1992–2000, 128 (30.0%) in the period of 2001–2008, and 158 (37.1%) in the period of 2009–2019. The PP used in the study included AMS 700 CX (62.0%, n = 264), AMS 700 CXR (7.7%, n = 33), AMS Ultrex Plus (10.3%, n = 44), and Alpha I (20.0%, n = 85). The overall complication rate was 28.2% (120/426), and the majority happened after 6 months. The causes of device removal included mechanical failure (11.0%, n = 47), infection (3.9%, n = 17), cylinder extrusion (6.3%, n = 27), and unspecified (0.2%, n = 1). Of the total mechanical failures (n = 47), 18 (38.3%) occurred in the cylinders, 10 (21.3%) occurred in the pump, 7 (14.9%) occurred in the reservoir, 6 (12.8%) occurred in the connections, and 6 (12.8%) were nonspecific. Global average survival rates of the PP at 1 year, 5 years, 10 years, and 15 years were 96.2%, 86.7%, 77.5%, and 58.7%, respectively. The 3-piece inflatable PP has an excellent device survival rate at 5 years and 10 years.Facultad de Medicina20262026-01-0120262026-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10641/7901reponame:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoriainstname:Universidad Francisco de VitoriaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddfv.ufv.es:10641/79012026-06-11T12:44:57Z
dc.title.none.fl_str_mv Excellent long-term device survival of inflatable penile prosthesis over 27 years
title Excellent long-term device survival of inflatable penile prosthesis over 27 years
spellingShingle Excellent long-term device survival of inflatable penile prosthesis over 27 years
Moncada, Ignacio
device survival
erectile dysfunction
infection
mechanical failure
penile prosthesis
Infection
Penile prosthesis
Mechanical failure
Device survival
Erectile dysfunction
Urology
Yes
yes
title_short Excellent long-term device survival of inflatable penile prosthesis over 27 years
title_full Excellent long-term device survival of inflatable penile prosthesis over 27 years
title_fullStr Excellent long-term device survival of inflatable penile prosthesis over 27 years
title_full_unstemmed Excellent long-term device survival of inflatable penile prosthesis over 27 years
title_sort Excellent long-term device survival of inflatable penile prosthesis over 27 years
dc.creator.none.fl_str_mv Moncada, Ignacio
Krishnappa, Pramod
Martinez-Salamanca, Juan Ignacio
Palma-Hendges, Luiz Pedro
Gonzalez-Garcia, Francisco Javier
Hernandez-Fernandez, Carlos
Lledo-Garcia, Enrique
author Moncada, Ignacio
author_facet Moncada, Ignacio
Krishnappa, Pramod
Martinez-Salamanca, Juan Ignacio
Palma-Hendges, Luiz Pedro
Gonzalez-Garcia, Francisco Javier
Hernandez-Fernandez, Carlos
Lledo-Garcia, Enrique
author_role author
author2 Krishnappa, Pramod
Martinez-Salamanca, Juan Ignacio
Palma-Hendges, Luiz Pedro
Gonzalez-Garcia, Francisco Javier
Hernandez-Fernandez, Carlos
Lledo-Garcia, Enrique
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Facultad de Medicina
dc.subject.none.fl_str_mv device survival
erectile dysfunction
infection
mechanical failure
penile prosthesis
Infection
Penile prosthesis
Mechanical failure
Device survival
Erectile dysfunction
Urology
Yes
yes
topic device survival
erectile dysfunction
infection
mechanical failure
penile prosthesis
Infection
Penile prosthesis
Mechanical failure
Device survival
Erectile dysfunction
Urology
Yes
yes
description The study aimed to assess the long-term device survival of a 3-piece inflatable penile prosthesis (PP) in patients with erectile dysfunction (ED). This retrospective observational longitudinal study involved patients with drug-refractory ED who underwent primary 3-piece inflatable PP implantation at a single center from 1992 to 2019. The outcomes included complications of various inflatable PP models, and Kaplan–Meier analysis was used to estimate the probability of PP survival. Of the total 426 patients, 140 (32.9%) were implanted in the period of 1992–2000, 128 (30.0%) in the period of 2001–2008, and 158 (37.1%) in the period of 2009–2019. The PP used in the study included AMS 700 CX (62.0%, n = 264), AMS 700 CXR (7.7%, n = 33), AMS Ultrex Plus (10.3%, n = 44), and Alpha I (20.0%, n = 85). The overall complication rate was 28.2% (120/426), and the majority happened after 6 months. The causes of device removal included mechanical failure (11.0%, n = 47), infection (3.9%, n = 17), cylinder extrusion (6.3%, n = 27), and unspecified (0.2%, n = 1). Of the total mechanical failures (n = 47), 18 (38.3%) occurred in the cylinders, 10 (21.3%) occurred in the pump, 7 (14.9%) occurred in the reservoir, 6 (12.8%) occurred in the connections, and 6 (12.8%) were nonspecific. Global average survival rates of the PP at 1 year, 5 years, 10 years, and 15 years were 96.2%, 86.7%, 77.5%, and 58.7%, respectively. The 3-piece inflatable PP has an excellent device survival rate at 5 years and 10 years.
publishDate 2026
dc.date.none.fl_str_mv 2026
2026-01-01
2026
2026-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10641/7901
url https://hdl.handle.net/10641/7901
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2

http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2

http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
instname:Universidad Francisco de Vitoria
instname_str Universidad Francisco de Vitoria
reponame_str DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
collection DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869408646117457920
score 15,812429

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