Penile Prostheses: Indications and Results from a Series of 35 Cases in Cameroon
- 1 Urology and Andrology Department, Yaounde Central Hospital, Yaounde, Cameroon
- 2 Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 3 Urology and Andrology Department, Yaounde Central Hospital, Yaounde, Cameroon
- 4 Institut Supérieur de Technologie Médicale, Yaounde, Cameroon
- 5 Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 6 Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 7 Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 8 Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 9 Urology and Andrology Department, Yaounde Central Hospital, Yaounde, Cameroon
- 10 Urology and Andrology Department, Yaounde Central Hospital, Yaounde, Cameroon
- 11 Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 12 Medical Imaging Centre, Yaounde Central Hospital, Yaounde, Cameroon
- 13 Medical Imaging Centre, Yaounde Central Hospital, Yaounde, Cameroon
- 14 Medical Imaging Centre, Yaounde Central Hospital, Yaounde, Cameroon
- 15 Urology Department, Douala Laquintinie Hospital, Douala, Cameroon
Abstract
Introduction : Erectile Dysfunction (ED) is a taboo and public health issue in Cameroon. To date, there are several therapeutic modalities. This is a preliminary study to present our short experience on the indications and results in our patients who have benefited since November 2022 from the placement of a penile prosthesis for the management of this pathology after the failure of the various medical treatments. Methodology : This is a descriptive cross-sectional study with prospective data collection over a six-month period from January 1 to June 30, 2024, in two urology departments. Patients who had benefited from the placement of a penile prosthesis for the management of ED were included. The severity of ED was assessed with the International Erectile Function Index 5 (IIEF5) score, and satisfaction with the LIKERT scale. The clinical data were collected using a pre-established and confidential survey sheet, captured, and analyzed using SPSS version 23.0. Results : A total of 35 patients were selected. The mean age was 65 (62 - 72) years, with extremes of 24 and 84 years. The majority of them were married, 33 (93.3%), 21 (60%) had a higher level of education, and 19 (53.3%) were employed. ED was severe in all cases. In 9 (60%), it was gradually established. The causes of ED were organic in 53.3% and dominated by vascular etiologies in 14 (40.0%). High blood pressure was the dominant medical comorbidity in 60.0%. Prostate tumors were the most common urological comorbidities in 13 (60.0%). Spinal anesthesia and the penoscrotal approach have been used in all our patients. The malleable implant was used in 28 (80.0%). Postoperative residual pain was the main complication found in 7 (20.0%). Sexual activity as early as six weeks after surgery was resumed in 28 (80.0%). Conclusion: Erectile dysfunction is a problem that undermines our society, and penile prosthesis surgery remains an effective asset after the failure of various medical treatments.
- Urologie2018, 4e Edition, du collège francais des urologues par Elsevier Masson SAS.p405. Jean Etienne Terrier: Items122-UE5-Trouble de l’érection.
- Julie, P. (2019) Dysfonction érectile: Connait-on vraiment la répartition de cette maladie dans le monde? Dysfonction Erectile. https://www.dysfonction-erectile.com/
- Bajic, P., Mahon, J., Faraday, M., Sadeghi-Nejad, H., Hakim, L. and McVary, K.T. (2020) Etiology of Erectile Dysfunction and Duration of Symptoms in Patients Undergoing Penile Prosthesis: A Systematic Review. Sexual Medicine Reviews , 8, 333-337. https://doi.org/10.1016/j.sxmr.2019.05.003
- Mekeme, et al . (2023) Pose d’une prothèse pénienne hydraulique à Yaoundé: À propos d’un cas chez un jeune adulte drépanocytaire homozygote SS. Journal of Science and Diseases , 1, 3.
- Giordano, A., Smarrazzo, F., Cilio, S., Califano, G., Collà Ruvolo, C. and Verze, P. (2023) History of Penile Implants: From Implants Made of Bone to Modern Inflatable Penile Implants. International Journal of Impotence Research , 35, 601-608. https://doi.org/10.1038/s41443-023-00695-4
- Akakpo, W. (2023) Implant pénien (prothèse pénienne). Andrologie Paris. https://www.andrologie-paris.fr/
- Bettocchi, C., et al . (2010) Penile Prostheses. Therapeutic Advances in Urology , 2, 35-40. https://pubmed.ncbi.nlm.nih.gov/21789081/
- Levine, L.A., Becher, E., Bella, A., Brant, W., Kohler, T., Martinez-Salamanca, J.I., et al . (2016) Penile Prosthesis Surgery: Current Recommendations from the International Consultation on Sexual Medicine. The Journal of Sexual Medicine , 13, 489-518. https://doi.org/10.1016/j.jsxm.2016.01.017
- Giuliano, F., et al . (2002) Prévalence de l’insuffisance érectile en France: Résultats d’une enquête épidémiologique menée auprès d’un échantillon représentatif de 1004 hommes. Progrès en Urologie , 12, 260.
- Frydman, V., Pinar, U., Abdessater, M., Akakpo, W., Grande, P., Audouin, M., et al . (2021) Long-Term Outcomes after Penile Prosthesis Placement for the Management of Erectile Dysfunction: A Single-Centre Experience. Basic and Clinical Andrology , 31, Article No. 4. https://doi.org/10.1186/s12610-021-00123-x
- Levine, L.A., et al . (2001) Fiabilité mécanique et sécurité, et satisfaction des patients avec la prothèse pénienne gonflable AMBICOR: Résultats d’une étude sur 2 centres. Journal d ’ Urologie , 166, 932-937.
- Barrier, A., Marcelli, F. and Villers, A. (2019) Courbe d’apprentissage d’implantation de prothèse pénienne. Progrès en Urologie , 29, 947-954. https://doi.org/10.1016/j.purol.2019.10.002