EFFICACY, SAFETY AND PATIENT SATISFACTION OUTCOMES OF THE AMS 700CX INFLATABLE PENILE PROSTHESIS: RESULTS OF A LONG-TERM MULTICENTER STUDY

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Aug 2000EFFICACY, SAFETY AND PATIENT SATISFACTION OUTCOMES OF THE AMS 700CX INFLATABLE PENILE PROSTHESIS: RESULTS OF A LONG-TERM MULTICENTER STUDY CULLEY C. CARSON, JOHN J. MULCAHY, FRED E. GOVIER, and AMS 700CX STUDY GROUP CULLEY C. CARSONCULLEY C. CARSON , JOHN J. MULCAHYJOHN J. MULCAHY , FRED E. GOVIERFRED E. GOVIER , and AMS 700CX STUDY GROUP View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67364-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We performed a long-term multicenter study of the AMS 700CX ‡ American Medical Systems, Minnetonka, Minnesota 3-piece inflatable penile prosthesis, focusing on longevity, morbidity and patient satisfaction in men implanted up to 134 months with a median followup of 47.7 months. Materials and Methods: We performed a large scale retrospective multicenter study in 2 phases. Phase 1 was a medical record review of 372 men who underwent implantation with the AMS 700CX penile prosthesis from 1987 to 1996 by 7 frequent penile prosthesis implanters. Phase 2 included a structured telephone interview of 207 patients by a neutral observer. Results: For the 372 men in phase 1 mean device mechanical reliability plus or minus standard deviation was 92.1% ± 3.3% after 3 and 86.2% ± 4.6% after 5 years. Patient age was 21 to 79 years (mean 57.6 ± 11.0) at implantation. The etiology of erectile dysfunction was vascular in 27.7% of the cases, Peyronie's disease in 16.9%, diabetes mellitus in 12.9% and radical surgery in 11.6%. Of the men 55.6% received previous treatment for erectile dysfunction. Postoperative infection and device malfunction developed in 3.2% and 17.5% of the cases, respectively. Of the 207 men interviewed in phase 2, 86% still had an AMS 700CX penile prosthesis implanted, including 87.1% with erection suitable for coitus. Currently 79% of those with a device use it at least twice monthly and 88.2% would recommend an implant to a relative or friend. Conclusions: The AMS 700CX penile implant produced suitable erection and excellent patient satisfaction at long-term followup in the majority of men. Implant reliability is excellent and postoperative morbidity is low. References 1 : The biologic basis for the clinical application of the silicones. A correlate to their biocompatibility. Arch Surg1984; 119: 843. Google Scholar 2 : Management of erectile impotence: use of implantable inflatable prosthesis. Urology1973; 2: 80. Google Scholar 3 : Experience with inflatable penile prosthesis. Urology1984; 23: 86. Google Scholar 4 : The current status of the inflatable penile prosthesis in the management of impotence: Mayo Clinic experience updated. J Urol1978; 119: 363. 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Volume 164Issue 2August 2000Page: 376-380 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordssatisfaction, patientprostheses and implantspenisimpotencedysfunction, erectileMetricsAuthor Information CULLEY C. CARSON More articles by this author JOHN J. MULCAHY More articles by this author FRED E. GOVIER More articles by this author AMS 700CX STUDY GROUP More articles by this author Expand All Advertisement PDF downloadLoading ...