TITLE:
Penile Prostheses: Indications and Results from a Series of 35 Cases in Cameroon
AUTHORS:
Junior Barthélémy Mekeme, Axel Makon Nwaha, Jean Cédrick Fouda, Nzati, Junior Marcel Yon Mekeme, Achille Yellem Kpanou, Bright Che Awondo, Maurice Fonji, Achille Aurèle Mbassi, Georges Kemegni, Pierre Ongolo Zogo, Pierre Joseph Fouda, Paul Owono Etoundi, Fru Angwafo Iii
KEYWORDS:
Erectile Dysfunction, Penile Prostheses, Indications, Results
JOURNAL NAME:
Open Journal of Urology,
Vol.16 No.1,
January
27,
2026
ABSTRACT: Introduction: Erectile Dysfunction (ED) is a taboo and public health issue in Cameroon. To date, there are several therapeutic modalities. This is a preliminary study to present our short experience on the indications and results in our patients who have benefited since November 2022 from the placement of a penile prosthesis for the management of this pathology after the failure of the various medical treatments. Methodology: This is a descriptive cross-sectional study with prospective data collection over a six-month period from January 1 to June 30, 2024, in two urology departments. Patients who had benefited from the placement of a penile prosthesis for the management of ED were included. The severity of ED was assessed with the International Erectile Function Index 5 (IIEF5) score, and satisfaction with the LIKERT scale. The clinical data were collected using a pre-established and confidential survey sheet, captured, and analyzed using SPSS version 23.0. Results: A total of 35 patients were selected. The mean age was 65 (62 - 72) years, with extremes of 24 and 84 years. The majority of them were married, 33 (93.3%), 21 (60%) had a higher level of education, and 19 (53.3%) were employed. ED was severe in all cases. In 9 (60%), it was gradually established. The causes of ED were organic in 53.3% and dominated by vascular etiologies in 14 (40.0%). High blood pressure was the dominant medical comorbidity in 60.0%. Prostate tumors were the most common urological comorbidities in 13 (60.0%). Spinal anesthesia and the penoscrotal approach have been used in all our patients. The malleable implant was used in 28 (80.0%). Postoperative residual pain was the main complication found in 7 (20.0%). Sexual activity as early as six weeks after surgery was resumed in 28 (80.0%). Conclusion: Erectile dysfunction is a problem that undermines our society, and penile prosthesis surgery remains an effective asset after the failure of various medical treatments.