The panel reports that with practice, the injection procedure is easy and usually painless. Complications, including prolonged erection, painful erection and fibrosis, should be discussed with the patient. A penile prosthesis is a plastic device surgically implanted inside the penis so that it can be made rigid. A prosthesis does not affect urination, libido, orgasm, ejaculation or genital sensation. Rarely, implant recipients experience unexplainable persistent pain or decreased penile sensation.
Prosthesis implantation is a highly reliable but invasive form of therapy.
Complications, especially infection and erosion, need to be discussed with the patient. A standard indicates that the outcomes of the interventions are sufficiently well-known to permit meaningful decisions and there is virtual unanimity about the intervention. A guideline indicates that the outcomes are sufficiently well-known and an appreciable but not unanimous majority agree on the policy. An option means that the outcomes of the interventions are not sufficiently well-known and patient preferences are divided, or there is indifference to the intervention. One important recommendation viewed as standard by the panel is that physicians fully inform patients and their partners about these recommended treatment options in an unbiased manner, including information on the advantages and disadvantages of all treatment options.