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Patient Counseling
Information
Patients should be counseled in order to
have a realistic expectation of the physical,
psychological and functional outcome of
the implantation. The risks, benefits and
potential adverse events of all available
treatment options should be discussed
with the patient and considered by the
physician and patient when choosing a
treatment option.
An appropriate patient history, including
history of personality disorders, and
diagnostic work-up should be a part of the
patient decision making process.
Some patients may become dissatisfied
by the presence of the prosthetic device in
their body. This issue should be discussed
with the patient prior to the surgery.
Patient dissatisfaction may lead to device
removal.
Implantation of a penile prosthesis may
result in penile shortening, curvature
or scarring. The prosthetic erection may
differ from the patient's original, natural
erection in that it may be shorter, less firm,
have less girth, and reduced sensations.
Realistic cosmetic expectations should be
communicated to the patient and should
include the potential for skin scarring,
scrotal deformity, pump bulge in the
scrotum, lack of concealability and other
possible adverse events. Patients should
also be aware that penile prostheses are
not considered to be lifetime implants.
Improper implantation of a penile
prosthesis may not provide rigidity to the
glans, which may result in a floppy glans
and may result in a lack of rigidity of the
corpus spongiosum. Penile flaccidity may
be less than it was before implantation.
Patients who undergo revision surgery
may notice a change in the character of
their erection compared to their previous
implant, which may include differences
in sensation, length, girth, rigidity, and/
or flaccidity. It is also important that the
physician discusses with the patient
the possibility of an allergic reaction to
the materials in the device (See Silicone
Information).
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