1983 Volume 74 Issue 12 Pages 2131-2137
We carried out an operation to insert a double rod silicone penile prosthesis (semi-rigid type) into the penis in 15 individuals suffering from erectile impotence. The prosthesis was newly developed for Japanese by Shirai recently. It is an intermediate between Small-Carrion prosthesis and Finney prosthesis types.
An incision was made between the root of the penis and the lap and a silicone prosthesis was inserted into the corpus cavernosum penis. Erection had been incomplete due to spinal injury in 6, rectal amputation in 3, total cystectomy in 2, subtotal prostatectomy in 1, diabetes in 1, pelvic fructure in 1, and psychogenic impotence in 1 of the operated cases.
Twelve of the 15 cases have pursued nearly satisfactory sex life, but the prosthesis was taken off in the remaining 3. The reason for this was postoperative wound infection in one, long-lasting pain in the penis due to unfitness of the prosthesis in one and disapproval by his wife in one. The other two wives were cooperative for the insertion of prosthesis. It is important to make a subject understand well that the treatment is only a temporary one for organic impotence and its application should be done with caution.
