Penile Prostheses: Indications and Results from a Series of 35 Cases in Cameroon

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.