{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:23:43Z","timestamp":1787775823486,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:00:00Z","timestamp":1739491200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    The study aimed to assess the long-term device survival of a 3-piece inflatable penile prosthesis (PP) in patients with erectile dysfunction (ED). This retrospective observational longitudinal study involved patients with drug-refractory ED who underwent primary 3-piece inflatable PP implantation at a single center from 1992 to 2019. The outcomes included complications of various inflatable PP models, and Kaplan\u2013Meier analysis was used to estimate the probability of PP survival. Of the total 426 patients, 140 (32.9%) were implanted in the period of 1992\u20132000, 128 (30.0%) in the period of 2001\u20132008, and 158 (37.1%) in the period of 2009\u20132019. The PP used in the study included AMS 700 CX (62.0%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 264), AMS 700 CXR (7.7%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 33), AMS Ultrex Plus (10.3%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 44), and Alpha I (20.0%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 85). The overall complication rate was 28.2% (120\/426), and the majority happened after 6 months. The causes of device removal included mechanical failure (11.0%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 47), infection (3.9%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 17), cylinder extrusion (6.3%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 27), and unspecified (0.2%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 1). Of the total mechanical failures (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 47), 18 (38.3%) occurred in the cylinders, 10 (21.3%) occurred in the pump, 7 (14.9%) occurred in the reservoir, 6 (12.8%) occurred in the connections, and 6 (12.8%) were nonspecific. Global average survival rates of the PP at 1 year, 5 years, 10 years, and 15 years were 96.2%, 86.7%, 77.5%, and 58.7%, respectively. The 3-piece inflatable PP has an excellent device survival rate at 5 years and 10 years.\n                  <\/jats:p>","DOI":"10.4103\/aja2024112","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T04:00:10Z","timestamp":1739505610000},"page":"38-42","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Excellent long-term device survival of inflatable penile prosthesis over 27 years"],"prefix":"10.4103","volume":"28","author":[{"given":"Ignacio","family":"Moncada","sequence":"first","affiliation":[{"name":"Department of Urology and Robotic Surgery, La Zarzuela University Hospital, Madrid 28023, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod","family":"Krishnappa","sequence":"additional","affiliation":[{"name":"Department of Urology and Robotic Surgery, La Zarzuela University Hospital, Madrid 28023, Spain"},{"name":"Andrology Division, Department of Urology and Robotic Surgery, AndroNeo, Orchidz Health, NU Hospitals, Bengaluru 560010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ignacio","family":"Martinez-Salamanca","sequence":"additional","affiliation":[{"name":"Lyx Institute of Urology, Francisco de Vitoria University, Madrid 28006, Spain"},{"name":"Department of Urology, Puerta De Hierro-Majadahonda University Hospital, Madrid 28222, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Pedro","family":"Palma-Hendges","sequence":"additional","affiliation":[{"name":"Lyx Institute of Urology, Francisco de Vitoria University, Madrid 28006, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Javier","family":"Gonzalez-Garcia","sequence":"additional","affiliation":[{"name":"Lyx Institute of Urology, Francisco de Vitoria University, Madrid 28006, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Hernandez-Fernandez","sequence":"additional","affiliation":[{"name":"Department of Urology, Gregorio Maranon University General Hospital, Complutense University, Madrid 28007, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Lledo-Garcia","sequence":"additional","affiliation":[{"name":"Department of Urology, Gregorio Maranon University General Hospital, Complutense University, Madrid 28007, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"key":"R1-20260122","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.jsxm.2015.12.034","article-title":"Incidence and prevalence of sexual dysfunction in women and men:a consensus statement from the Fourth International Consultation on Sexual Medicine 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