Reglamento para el envío de resúmenes al X Congreso de la Sociedad Latinoamericana de Medicina Sexual - SLAMS
Use of Ambicor penile prosthesis in Peyronie’s Disease and as replacement for malfunctioning AMS 700 device
Giulio Scarzella, I1; Steven Wilson, K2
1 George Washington University. 2 University of Arkansas.
Objective: Since introduction in 1996, we have used the Ambicor 2 piece prosthesis as our exclusive inflatable implant in a variety of clinical situations. This retrospective study evaluates device satisfaction, mechanical reliability and medical problems.
Material and Methods: The Ambicor 2 piece inflatable prosthesis was used in 77 consecutive patients presenting for impotence refractory to conservative therapy. We had previously performed 444 3 piece prostheses and the newly available device was offered to all patients regardless of etiology of impotence. Thirty-two were primary implants of which 20 had bothersome Peyronie’s Disease. The remaining 34 were replacement devices for a malfunctioning AMS 700. All implantations received peri-operative antibiotics, closed suction drainage and 4 weeks of post-operative antibiotics. Patients were followed 6 months - 6 years (average 3.5 years.)
Results: All patients are currently implanted with the device. All patients were queried regarding erection and flaccidity satisfaction. Most (95%) were satisfied or very satisfied. Four (12%) of the 34 revision patients were disappointed with girth when compared to their previous 3-piece but none to the extent of requesting revision surgery. All Peyronie’s patients had satisfactory straightening without further adjunctive procedures. There were no infections and 3 mechanical failures. Kaplan Meier statistical study shows 90% three-year survival from revision for mechanical reason.
Conclusions: The Ambicor 2-piece inflatable penile prosthesis has good patient satisfaction even when implanted for Peyronie’s Disease and patients who had previously had 3-piece devices. Mechanical reliability is similar to other inflatable devices and infections did not occur.