Penile arterial revascularization is only appropriate in young patients with demonstrable arteriogenic ED due to congenital vascular anomalies or traumatic injuries to the pudendal or penile arteries (e.g., after road traffic accidents).
There are three forms of penile prostheses available: semi-rigid, malleable, and inflatable. Typical candidates for a penile implant are patients with chronic disease states such as long-term diabetes and end-organ failure or severe arterio-genic impotence combined with severe veno-occlusive dysfunction and men with treatment unresponsive Peyronie's disease in combination with ED. Typical complications of prosthetic surgery are infections (1-5%) and mechanical failures (10-20%)
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