Abstract：
BACKGROUND: With 50 years\' experience, inflatable penile implants are the preferred option for erectile dysfunction refractory to pharmacological and mechanical treatment. Technical and surgical improvements have optimized patient success and satisfaction. However, multi-factorial dissatisfaction persists.
OBJECTIVE: The aim of this study is to provide an overview of available technological improvements and innovations, as well as the perioperative management and complications of inflatable penile implant surgery.
METHODS: A literature review was carried out over the last twenty years to answer 4 questions: what are the different inflatable penile implants available in 2023, for which indications, results and complications.
RESULTS: Four companies propose inflatable penile implants in France. The main improvements have been in the various components of the prosthesis with better cylinder extension, more ergonomic reservoirs, and more manageable pumps, leading to a better durability. Indications have been extended to patients suffering from Peyronie\'s disease and in emergency cases of priapism. In response to demand from the transgender population, specific phalloplasty implants have been developed. New options are being developed for difficult cases of retracted penis. Results show a high satisfaction rate. Currently the main challenge is the management of infection with the development of rescue protocols using antibiotics to preserve implants - or replace them in a single operation.
CONCLUSIONS: After 50years\' experience, improvements in penile implants led to effective, satisfactory and safe treatment and can be proposed in new indications. Further development is sill necessary to offer solutions in difficult cases.
OBJECTIVE: The aim of this study is to provide an overview of available technological improvements and innovations, as well as the perioperative management and complications of inflatable penile implant surgery.
METHODS: A literature review was carried out over the last twenty years to answer 4 questions: what are the different inflatable penile implants available in 2023, for which indications, results and complications.
RESULTS: Four companies propose inflatable penile implants in France. The main improvements have been in the various components of the prosthesis with better cylinder extension, more ergonomic reservoirs, and more manageable pumps, leading to a better durability. Indications have been extended to patients suffering from Peyronie\'s disease and in emergency cases of priapism. In response to demand from the transgender population, specific phalloplasty implants have been developed. New options are being developed for difficult cases of retracted penis. Results show a high satisfaction rate. Currently the main challenge is the management of infection with the development of rescue protocols using antibiotics to preserve implants - or replace them in a single operation.
CONCLUSIONS: After 50years\' experience, improvements in penile implants led to effective, satisfactory and safe treatment and can be proposed in new indications. Further development is sill necessary to offer solutions in difficult cases.
摘要：
背景：拥有50年的经验，充气阴茎植入物是药物和机械治疗难以治疗的勃起功能障碍的首选选择。技术和手术的改进优化了患者的成功率和满意度。然而,多因素的不满仍然存在。
目的：本研究的目的是概述现有的技术改进和创新，以及充气阴茎植入手术的围手术期处理和并发症。
方法：在过去的二十年中进行了文献综述，以回答4个问题：2023年有哪些不同的可充气阴茎植入物，结果和并发症。
结果：四家公司在法国提出了充气阴茎植入物。主要的改进是假体的各个部件具有更好的圆柱体延伸，更符合人体工程学的水库，和更易于管理的泵，导致更好的耐用性。适应症已扩展到患有Peyronie病和紧急阴茎异常勃起的患者。为了响应变性人的需求，已经开发了特定的子宫成形术植入物。对于困难的阴茎缩回病例，正在开发新的选择。结果显示了较高的满意率。目前，主要挑战是通过开发使用抗生素保存植入物或在一次手术中替换植入物的抢救方案来管理感染。
结论：经过50年的经验，阴茎植入物的改进导致有效的，治疗效果满意且安全,可提出新的适应证。进一步的发展是必要的，以在困难的情况下提供解决方案。
目的：本研究的目的是概述现有的技术改进和创新，以及充气阴茎植入手术的围手术期处理和并发症。
方法：在过去的二十年中进行了文献综述，以回答4个问题：2023年有哪些不同的可充气阴茎植入物，结果和并发症。
结果：四家公司在法国提出了充气阴茎植入物。主要的改进是假体的各个部件具有更好的圆柱体延伸，更符合人体工程学的水库，和更易于管理的泵，导致更好的耐用性。适应症已扩展到患有Peyronie病和紧急阴茎异常勃起的患者。为了响应变性人的需求，已经开发了特定的子宫成形术植入物。对于困难的阴茎缩回病例，正在开发新的选择。结果显示了较高的满意率。目前，主要挑战是通过开发使用抗生素保存植入物或在一次手术中替换植入物的抢救方案来管理感染。
结论：经过50年的经验，阴茎植入物的改进导致有效的，治疗效果满意且安全,可提出新的适应证。进一步的发展是必要的，以在困难的情况下提供解决方案。
