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Mechanical reliability of the AMS 700CXM inflatable penile prosthesis for the treatment of male erectile dysfunction

Authors
 YOUNG DEUK CHOI  ;  YEONG JIN CHOI  ;  JANG HWAN KIM  ;  HYUNG KI CHOI 
Citation
 JOURNAL OF UROLOGY, Vol.165(3) : 822-824, 2001 
Journal Title
 JOURNAL OF UROLOGY 
ISSN
 0022-5347 
Issue Date
2001
MeSH
Adult ; Aged ; Erectile Dysfunction/surgery* ; Humans ; Male ; Middle Aged ; Penile Prosthesis*/adverse effects ; Postoperative Complications/epidemiology ; Prosthesis Design ; Prosthesis Failure ; Retrospective Studies
Keywords
penis ; impotence ; penile prosthesis ; impotence
Abstract
PURPOSE: The AMS 700CXM inflatable penile prosthesis with medium controlled expansion cylinders was introduced in 1990 to provide a device with controlled expansion in girth and fitness for Asian men. We reviewed our experience with the AMS 700CXM prosthesis with particular regard to postoperative complications and reliability. MATERIALS AND METHODS: From January 1991 to April 1999, 273 men with erectile dysfunction underwent primary penile prosthesis implantation with the AMS 700CXM. Functional status of the prosthesis was assessed retrospectively by reviewing the medical records and a telephone interview. RESULTS: Patient age was 24 to 78 years and mean followup was 49 months. Of the 28 complications (10.3%) 8 (3%) were nonmechanical and 20 (7.3%) were mechanical. Nonmechanical complications included infection in 2 cases, erosion in 3, surgical complications in 2 and tube kinking in 1. Mechanical complications involved a cylinder tear in 11 cases (4%), pump failure in 4 (1.5%) and a reservoir tear in 2 (0.7%). Mechanical reliability of the device was 98.2% after 2, 95.7% after 3 and 90.4% after 5 years. CONCLUSIONS: The AMS 700CXM is suitable for Asian men and its mechanical reliability is excellent. However, more device modifications are needed to guarantee good reliability during long-term followup.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022534705665366
DOI
10.1016/S0022-5347(05)66536-6
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
Choi, Hyung Ki(최형기)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141953
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