1983 Volume 74 Issue 7 Pages 1228-1235
Many materials have been used in surgical management of erectile impotence. Presently, the two main types of prosthesis being used are the inflatable and the semirigid double rods.
We have performed operative insertion of the semirigid prosthesis, Finney prosthesis, in 28 cases. In most them impotence occurred after pelvic surgery. Insertion of the prosthesis was performed either by the perineal or penile base approach.
We reviewed our experience of Finney procedure and compared surgical results of each approach. The average operative time of the perineal approach was 75 minutes and the time of the penile approach was 25 minutes.
Of all 28 cases, sexual intercourse has become to be possible by the time of 5 weeks after the operation, in spite of local pain, which disappeared within a week or so spontaneously. There was no serious complication in our cases. In 5 cases out of 20 of the perineal approach, the local pain persisted over a week after surgery, but it disappeared by the time of 3 to 4 weeks postoperatively. On the other hand, there was no such problem in cases of the penile approach. In 3 cases operated by the perineal approach, difficulty of urination was worsened. These were the cases of postoperative A-P resection for rectal cancer. Intermittent self cathetelization was educated to theses patients. In 4 cases of ours, the penile edema appeared, but there was no marked difference of its occurrence between the perineal and the penile approach. Anyway, we have experienced no case of infection and no case in whom prosthesis needed to be removed because of any reasons due to the operation.
After all, we have confirmed that the insert operation of Finney prosthesis is a safe and useful procedure for impotence and that the penile base approach is more satisfactory since it has resulted in fewer complication and shorter operative time.
