Penile prosthesis implantation

Abstract

A variety of treatment options for erectile dysfunction (ED) exist. For initial treatment in most men with ED, systemic therapy in the form of a phosphodiesterase inhibitor, such as sildenafil citrate, is appropriate. If systemic therapy is either contraindicated or unsuccessful, men and their partners should be offered second-line therapies that include the use of a vacuum erection device, intraurethral prostaglandin, or penile injections. If these second-line treatment options prove unsatisfactory or are rejected, then penile prosthesis implantation should be considered. © 2006 Humana Press Inc.