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Long-term Followup of and Patient Satisfaction With the Dynaflex Self-Contained Inflatable Penile Prosthesis

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(01)64500-2

1527-3792

John N. Kabalin, Jeffrey C. Kuo,

Urinary Bladder and Prostate Research

No AccessJournal of UrologyClinical Urology: Original Articles1 Aug 1997Long-term Followup of and Patient Satisfaction With the Dynaflex Self-Contained Inflatable Penile Prosthesis John N. Kabalin and Jeffrey C. Kuo John N. KabalinJohn N. Kabalin More articles by this author and Jeffrey C. KuoJeffrey C. Kuo More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64500-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We analyzed our experience with the Dynaflex* American Medical Systems, Minnetonka, Minnesota. self-contained inflatable penile prosthesis to define specific complication rates and patient satisfaction in the long term. Materials and Methods: From October 1990 through October 1994, 62 men underwent implantation of a Dynaflex prosthesis. Mean and median time since implantation was 50 and 53 months, respectively (minimum 24). In addition to standard followup and tabulation of complications, patients were contacted and interviewed regarding satisfaction with the prosthesis. Results: Mechanical device failures occurred in 9.7% of cases with a mean time to failure of 40 months in 6 prostheses. An additional 16.1% of patients had an unsuccessful outcome due to dissatisfaction with the Dynaflex. Of the patients with a functional Dynaflex prosthesis contacted at the time of this review 88.1% expressed satisfaction. Conclusions: Mechanical failure rates for the Dynaflex prosthesis are comparable to those previously reported for multicomponent inflatable penile prostheses. Patient dissatisfaction, mainly due to difficulty in operating the Dynaflex inflation and deflation mechanisms, is much higher than for multicomponent inflatable penile prostheses. However, in patients who are successful in mastering operation of the Dynaflex satisfaction rates are high. Careful patient selection, and extended training and education efforts are the keys to maximizing successful outcomes with the Dynaflex prosthesis. References 1 : The Hydroflex penile prosthesis.. Urol. Clin. N. Amer.1989; 16: 33. Google Scholar 2 : Experience with the Hydroflex penile prosthesis.. Sem. Urol.1986; 4: 239. Google Scholar 3 : The Hydroflex self-contained inflatable prosthesis: experience with 100 patients.. J. Urol.1988; 140: 1422. Abstract, Google Scholar 4 : Experience with the Hydroflex penile prosthesis.. J. Urol.1989; 141: 58. Abstract, Google Scholar 5 : Long-term results with Hydroflex and Dynaflex penile prostheses: device survival comparison to multicomponent inflatables. J. Urol.1996; 155: 1621. Link, Google Scholar 6 : Corporeal fibrosis as a result of priapism prohibiting function of self-contained inflatable penile prosthesis.. Urology1994; 43: 401. Google Scholar 7 : Long-term experience with controlled expansion cylinders in the AMS 700CX inflatable penile prosthesis and comparison with earlier versions of the Scott inflatable penile prosthesis.. Urology1994; 44: 400. Google Scholar 8 : The AMS 700 inflatable penile prosthesis: long-term experience with the controlled expansion cylinders.. J. Urol.1993; 149: 46. Abstract, Google Scholar Urology Section, Palo Alto Veterans Affairs Health Care System, Palo Alto, California.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLEVINE L, ESTRADA C and MORGENTALER A (2018) MECHANICAL RELIABILITY AND SAFETY OF, AND PATIENT SATISFACTION WITH THE AMBICOR INFLATABLE PENILE PROSTHESIS: RESULTS OF A 2 CENTER STUDYJournal of Urology, VOL. 166, NO. 3, (932-937), Online publication date: 1-Sep-2001. Volume 158Issue 2August 1997Page: 456-459 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information John N. Kabalin More articles by this author Jeffrey C. Kuo More articles by this author Expand All Advertisement PDF downloadLoading ...